Ecografía para la valoración del suelo pélvico femenino. Revisión sistemática

Laburpena

Objective The goal of this systematic review is to determine existing scientific evidence regarding the validity and reliability of ultrasound modalities in the assessment of the female pelvic floor muscles, and to establish their correlation with other measuring methods used in this area. Search strategy and study selection We conducted an online research in the main health-science databases: PubMed, Biblioteca Cochrane Plus, PEDro, PsycINFO, Scopus, ISI (Web of Science), SciELO, Lilacs, Dialnet, IME,Kinedoc, Banque de Donnéesen Santé Publique (BDSP), y Littérature Scientifique en Santé (LiSSa), as well as in Cuestiones de Fisioterapia journal, between October 2015 and May 2016. The studies were analyzed, inclusion and exclusion criteria were applied, and their level of scientific evidence and their methodological quality were assessed through the QUADAS-2 tool. Summary of results Forty-three articles were included. Studies were classified into 2 different categories according to whether they tried to establish the validity and reliability of sonographic modalities or to correlate them with other measuring instruments and methods. Their applicability and probability of bias were analyzed. Conclusions The risk of bias in all of the studies assessed does not allow us to conclude the validity and reliability of ultrasound in the assessment of the female pelvic floor. Transperineal and endoperineal modalities are the most studied, being the transabdominal modality barely studied. More research is needed with a low risk of bias that could confirm the validity and reliability of the different sonographic modalities in several positions, especially in those that are close to daily life activities, such as standing and sitting.