Correlation between Creatine Phosphokinase and Pelvic Floor Muscle Strength in Postnatal Women | ||||
| Benha International Journal of Physical Therapy | ||||
| Articles in Press, Accepted Manuscript, Available Online from 02 August 2025 PDF (394.66 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bijpt.2025.383448.1089 | ||||
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| Authors | ||||
Hadeer Mostafa abd el latif Gharib  1; Hala Mohamed hanafy Omara2; Hossam El din Hussein3; Manal Ahmed El-Shafei 4
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| 1Faculty of physical therapy , cairo university , women health departement , Giza , Egypt . | ||||
| 2women health department, faculty of physical therapy , cairo university ,giza , Egypt . | ||||
| 3ostetrics and gynecology department ,faculty of medicine , al-azhar university , cairo , Egypt | ||||
| 4Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Giza, Egypt. | ||||
| Abstract | ||||
| Background: The pelvic floor muscles are primarily responsible for supporting the visceral organs of the abdomen and for facilitating the passage of urine through the urethral, anal, and vaginal openings. Vaginal deliveries were associated with increased levels of muscle cell damage markers, specifically creatine phosphokinase (CPK), compared to cesarean sections (CSs). Purpose: The study aimed to examine the correlation among CPK levels and pelvic floor muscle (PFM) strength within postnatal women. Methods: Eighty-four post-partum women who delivered vaginally, (4-6 weeks after delivery), Participants in this study were aged between 25 and 35 years, with a body mass index of fewer than thirty kg/m². Evaluations: Blood analysis was done to measure level of CPK and biofeedback (TG Myo Feedback 420v) was utilized to evaluate PFM strength. Results: The study’s findings revealed that there was a negative correlation (r= 0.226, p= 0.038) among CPK and PFM strength in postnatal women. But CPK and parity were positively correlated (r= 0.230, p= 0.035) in postnatal women. Conclusion: CPK is a soft marker that can be used in conjunction with other techniques to determine the PFM strength in postnatal women but it is not a specific indicator for PFM strength. | ||||
| Keywords | ||||
| Biofeedback; Creatine phosphokinase; Postnatal women; Pelvic floor muscles | ||||
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