{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:11:47Z","timestamp":1789564307677,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"20","license":[{"start":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T00:00:00Z","timestamp":1729209600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009713","name":"Foundation for Physical Therapy Research","doi-asserted-by":"publisher","award":["Pelvic Health grant 2019"],"award-info":[{"award-number":["Pelvic Health grant 2019"]}],"id":[{"id":"10.13039\/100009713","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["physoc.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiological Reports"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The pelvic floor responds to changes in trunk pressure, elevating during low\u2010pressure exhale and descending during high\u2010pressure exhale. Voicing occurs during exhalation, spanning low\u2010to\u2010high trunk\u2010pressure, yet it is unknown how voicing affects the pelvic floor. The aim of this study was to quantify pelvic floor response to voicing and identify if there are differences for women with stress urinary incontinence. We hypothesized that shouting would cause pelvic floor descent, with greater magnitude for incontinent women. Sixty women (38 incontinent, 22 continent) performed four voicing tasks (counting to \u201c4\u201d in speaking\/shouting\/low\u2010pitch\/high\u2010pitch voice) while transperineal ultrasound measured changes in pelvic floor morphology. ANOVA compared variance of responses to voicing and\n                    <jats:italic>t<\/jats:italic>\n                    \u2010tests compared groups. Bladder neck height shortened, levator plate length increased and levator plate angle decreased more during shouting compared to speaking; consistent with pelvic floor straining. There were no differences for high versus low pitch\u2010voicing and small group differences based on continence status. Voicing causes pelvic floor muscles to strain, with greater strain during shouting. Changing vocal pitch does not affect pelvic floor morphology and incontinent women had slight differences from continent women. Voicing may be a safe way to lengthen the pelvic floor without provoking incontinence.\n                  <\/jats:p>","DOI":"10.14814\/phy2.70090","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T21:38:02Z","timestamp":1729287482000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["How does the pelvic floor respond to modulations in trunk pressure induced by a variety of voicing tasks? A cross\u2010sectional, observational study"],"prefix":"10.14814","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5862-9931","authenticated-orcid":false,"given":"Aliza","family":"Rudavsky","sequence":"first","affiliation":[{"name":"Department of Kinesiology Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0343-5168","authenticated-orcid":false,"given":"Linda","family":"McLean","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010009\u20100997\u20104"},{"issue":"5","key":"e_1_2_10_3_1","first-page":"191","article-title":"Measuring thoracic excursion: Reliability of the cloth tape measure technique","volume":"107","author":"Bockenhauer S. 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