{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T04:01:00Z","timestamp":1749528060279,"version":"3.41.0"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1997,5,31]],"date-time":"1997-05-31T00:00:00Z","timestamp":865036800000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1997,5]]},"abstract":"<jats:p>Background. Conservative treatment of urinary incontinence (UI) may be more reliable if it is associated with improved testing of pelvic floor function. The results of cone training in patients and healthy controls are compared.<\/jats:p><jats:p>Methods. Voluntary contractions of pelvic floor muscles in 16 women with genuine stress incontinence, 14 with mixed stress\/urge incontinence, and eight healthy controls were assessed by digital transvaginal palpation, manometry, and inspection using the so\u2010called speculum\u2010lift test. In addition, the capability to hold vaginal cones was investigated. All examinations were done before and after four\u2010week cone training (Femcon\u00ae 20\u201370 g).<\/jats:p><jats:p>Results. Prior to cone training, no pelvic floor response was recordable from eight women (27%) by palpation and from seven women (23%) by inspection. After training, contractions were restored in all women. The best post\u2010training results were obtained by palpation (27 positive responses), followed by manometry (25 women, 83%), and speculum\u2010lift test (13 women, 43%). The capability to hold vaginal cones was also improved. Initial weights in 15 UI patients (50%) were lower (cone No. 1\u20132) than in eight healthy women (cone No. 5). Average contractility increased from 5 to 9.7 mmHg in patients and from 17.5 to 23.1 mmHg in healthy women. Twenty\u2010four patients (80%) were cured (57%&gt;) or improved (23%). Twenty\u2010six asked for continuation of cone training.<\/jats:p><jats:p>Conclusions. Pelvic floor conditioning with vaginal cones is a good alternative to poor acceptance or insufficient availability of conventional exercises.<\/jats:p>","DOI":"10.3109\/00016349709047828","type":"journal-article","created":{"date-parts":[[2008,3,5]],"date-time":"2008-03-05T19:06:46Z","timestamp":1204744006000},"page":"455-460","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Pelvic floor findings in urinary incontinence results of conditioning using vaginal cones"],"prefix":"10.1111","volume":"76","author":[{"given":"Wolfgang","family":"Fischer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Linde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1997,5,31]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"160","volume-title":"Urodynamik fur Klinik und Praxis","author":"Abrams P.","year":"1983"},{"key":"e_1_2_1_3_1","first-page":"163","volume-title":"Pelvic floor reeducation","author":"Anthuber C.","year":"1994"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930090505"},{"key":"e_1_2_1_5_1","first-page":"296","article-title":"Structural aspects of the extrinsic continence mechanism","volume":"72","author":"Delancey J OL","year":"1988","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091-2182(89)90123-7"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00376246"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348309156252"},{"key":"e_1_2_1_9_1","first-page":"176","volume-title":"Urogyn\u00e4kologie in Praxis und Klinik","author":"Fischer W.","year":"1995"},{"key":"e_1_2_1_10_1","first-page":"204","volume-title":"Urogynakologie in Praxis und Klinik","author":"Fischer W.","year":"1995"},{"key":"e_1_2_1_11_1","first-page":"222","volume-title":"Urogynakologie in Praxis und Klinik","author":"Fischer W.","year":"1995"},{"key":"e_1_2_1_12_1","first-page":"18","article-title":"Beckenbodenkonditionierung mit Vaginalgewichten","volume":"118","author":"Fischer W.","year":"1996","journal-title":"Zentralbl Gyn\u00e4kol"},{"volume-title":"Die Rolle der quergestreiften Sphinktermuskulatur f\u00fcr die Speicherfunktion der Harnblase und ihre Beeinflu\u00dfbarkeit durch Biofeedback\u2010Mechanismen","year":"1986","author":"Heidler H.","key":"e_1_2_1_13_1"},{"key":"e_1_2_1_14_1","first-page":"394","article-title":"Neurophysiological assessment of treatment with vaginal cones","volume":"10","author":"Hesse U.","year":"1991","journal-title":"Neurourol Urodynam"},{"key":"e_1_2_1_15_1","first-page":"51","volume-title":"Pelvic floor re\u2010education","author":"Hilton P.","year":"1994"},{"key":"e_1_2_1_16_1","first-page":"807","article-title":"The Q\u2010Tip\u2010Test: standardization of the technique and its interpretation in women with urinary incontinence","volume":"71","author":"Kanam M. M.","year":"1988","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_17_1","first-page":"42","volume-title":"Pelvic floor re\u2010education","author":"Laycock J.","year":"1994"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1988.tb06512.x"},{"key":"e_1_2_1_19_1","unstructured":"PlevnikS..New method for testing and strengthening of pelvic floor muscles.Proceedings of the 15th Annual Meeting of ICS London 1985;267\u20138."},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-77034-0_8"},{"volume-title":"Principles and practice","year":"1994","author":"Sch\u00fcssler B.","key":"e_1_2_1_21_1"},{"key":"e_1_2_1_22_1","first-page":"169","volume-title":"Pelvic floor re\u2010education","author":"Sch\u00fcssler B.","year":"1944"},{"key":"e_1_2_1_23_1","first-page":"184","volume-title":"Urogyn\u00e4kologie in Praxis und Klinik","author":"Ulmsten U.","year":"1995"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1022863"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1990.tb03252.x"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F00016349709047828","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/00016349709047828","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T07:02:06Z","timestamp":1749452526000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.3109\/00016349709047828"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,5]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1997,5]]}},"alternative-id":["10.3109\/00016349709047828"],"URL":"https:\/\/doi.org\/10.3109\/00016349709047828","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"type":"print","value":"0001-6349"},{"type":"electronic","value":"1600-0412"}],"subject":[],"published":{"date-parts":[[1997,5]]},"assertion":[{"value":"1997-05-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}