{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:29:53Z","timestamp":1791397793069,"version":"4.3.3"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore the involvement of a distraction task in involuntary reflex pelvic floor muscle contraction following cough.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Informed consent was obtained from 33 healthy volunteers. Involuntary contraction of the external anal sphincter (EAS) was induced by means of coughing. Cough efforts were elicited by electronic order. The electromyographic (EMG) activity of the EAS was recorded during involuntary contraction elicited by coughing. The trials were carried out twice: combined (or not) with a mental distraction task; the paced auditory serial additional test (PASAT). Reaction time (RT) defined as latency between the stimulus and maximum EAS EMG activity (RT1), latency between the stimulus and external intercostal (EIC) muscle EMG activity (RT2), latency between EIC EMG activity and EAS EMG activity (RT3), duration of the contraction, and the area under the EAS EMG activity curve (perineal contraction) were measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The distraction task altered anticipation of the PFM contraction: RT3 was \u221280.00\u2009ms (IQR \u2212107; \u221256) without the PASAT versus \u221256.67\u2009ms (IQR: \u221294; \u22122) with the distraction task (ratio 0.71, <jats:italic>P\u2009<\/jats:italic>=\u20090.0045, Wilcoxon test). RT2 was altered during the distraction task: 583.33\u2009ms (IQR: 344\u2013775) without PASAT versus 652.71\u2009ms (503\u2013790) during PASAT (ratio 1.12, <jats:italic>P\u2009<\/jats:italic>=\u20090.031, Wilcoxon test). Finally, when the two conditions (respectively with and without the mental distraction task) were compared, there was a significant difference between the area under the EAS EMG activity curve (0.0115\u2009mv sec vs. 0.0103\u2009mv sec, ratio 0.90, <jats:italic>P\u2009<\/jats:italic>=\u20090.023).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The mental distraction task altered involuntary reflex contraction of the pelvic floor muscles. <jats:italic>Neurourol. Urodynam. 36:160\u2013165, 2017<\/jats:italic>. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.22903","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T20:21:16Z","timestamp":1444422076000},"page":"160-165","source":"Crossref","is-referenced-by-count":10,"title":["Influence of a distraction task on the involuntary reflex contraction of the pelvic floor muscles following cough"],"prefix":"10.1002","volume":"36","author":[{"given":"Thibault","family":"Thubert","sequence":"first","affiliation":[{"name":"Neuro\u2010Urology Department Tenon Hospital Assistance Publique des H\u00f4pitaux de Paris France"},{"name":"GMC\u2010UPMC 01 GREEN (Group of clinical Research in Neuro\u2010Urology, University Pierre and Marie Curie) France"},{"name":"APHP, Hopital Antoine B\u00e9cl\u00e8re Service de gyn\u00e9cologie obst\u00e9trique et biologie de la reproduction France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Villot","sequence":"additional","affiliation":[{"name":"GMC\u2010UPMC 01 GREEN (Group of clinical Research in Neuro\u2010Urology, University Pierre and Marie Curie) France"},{"name":"APHP, Hopital Antoine B\u00e9cl\u00e8re Service de gyn\u00e9cologie obst\u00e9trique et biologie de la reproduction France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Billecocq","sequence":"additional","affiliation":[{"name":"Cabinet de r\u00e9\u00e9ducation p\u00e9rin\u00e9ale 34 rue Raymond Losserand Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Auclair","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes Inserm UMR 1129 France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e9rard","family":"Amarenco","sequence":"additional","affiliation":[{"name":"Neuro\u2010Urology Department Tenon Hospital Assistance Publique des H\u00f4pitaux de Paris France"},{"name":"GMC\u2010UPMC 01 GREEN (Group of clinical Research in Neuro\u2010Urology, University Pierre and Marie Curie) France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Deffieux","sequence":"additional","affiliation":[{"name":"GMC\u2010UPMC 01 GREEN (Group of clinical Research in Neuro\u2010Urology, University Pierre and Marie Curie) France"},{"name":"APHP, Hopital Antoine B\u00e9cl\u00e8re Service de gyn\u00e9cologie obst\u00e9trique et biologie de la reproduction France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(94)70346-9"},{"key":"e_1_2_6_3_1","first-page":"1","article-title":"Simultaneous recording of intravesical and intra\u2010urethral pressure. A study on urethral closure in normal and stress incontinent women","volume":"276","author":"Enhorning G","year":"1961","journal-title":"Acta Chir Scand Suppl"},{"key":"e_1_2_6_4_1","first-page":"38","article-title":"Experimental observations on the integration of bladder and urethral function","volume":"68","author":"McGuire EJ","year":"1976","journal-title":"Trans Am Assoc Genitourin Surg"},{"key":"e_1_2_6_5_1","first-page":"255","article-title":"Stress Urinary Incontinence","volume":"47","author":"McGuire EJ","year":"1976","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01900538"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)50122-6"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.07.006"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000147305.00443.df"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0473-y"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20506"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22613"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20004"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22524"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.2000.88.4.1207"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20228"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.03.084"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)49238-X"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.24297"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-201X.2004.01263.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/gast.1997.v113.pm9247458"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12224"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20963"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797611404901"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22553"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20336"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22370"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0525-3"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2010.06.009"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22903","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22903","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.22903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T21:02:18Z","timestamp":1696366938000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.22903"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,9]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1002\/nau.22903"],"URL":"https:\/\/doi.org\/10.1002\/nau.22903","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,9]]}}}