Coccygeus: Difference between revisions

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== Assessment  ==
== Assessment  ==
The coccygeal movement test is a simple, objective and non-invasive test used for adequate localization of the pelvic floor muscles.<ref>Stensgaard SH, Bek KM, Ismail KM. Coccygeal movement test: an objective, non-invasive test for localization of the pelvic floor muscles in healthy women. Medical Principles and Practice. 2014;23(4):318-22.</ref>  
To evaluate the activity of the pelvic floor muscles, palpation of the coccyx is one. This is known as the coccygeal movement test. The coccygeal movement test is a simple, objective and non-invasive test used for adequate localization of the pelvic floor muscles.<ref>Stensgaard SH, Bek KM, Ismail KM. Coccygeal movement test: an objective, non-invasive test for localization of the pelvic floor muscles in healthy women. Medical Principles and Practice. 2014;23(4):318-22.</ref> It is done to know if a woman can appropriately identify an contract her [[Pelvic Floor Anatomy|pelvic floor muscles]].


== Treatment  ==
== Treatment  ==

Revision as of 15:54, 17 November 2020

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Original Editor - Innocent Abugu

Top Contributors - Innocent Abugu and Kim Jackson

Description[edit | edit source]

Coccygeus also known as ischiococcygeus is a triangular-shaped sheet of muscle located posterior to the levator ani muscles and anterior to the sacrospinous ligament in the pelvic floor. The coccygeus, together with the levator ani, forms the pelvic diaphragm.

Origin[edit | edit source]

It originates from the ischial spine.

Insertion[edit | edit source]

The lateral aspect of the coccyx and the sacrum, along the sacrospinous ligament.[1]

Nerve[edit | edit source]

The anterior rami of S4 an S5.

Artery[edit | edit source]

Internal pudendal and inferior gluteal artery.

Function[edit | edit source]

  • It supports the pelvic viscera.
  • It flexes the coccyx.
  • It weakly aids the puborectalis to control urination an defecation especially when there is an increase in intra-abdominal pressure.

Clinical relevance[edit | edit source]

The pelvic floor muscles (PFM), which consist of the levator ani and coccygeus muscles, are crucial for supporting pelvic organs[2]. Disorder of the pelvic floor muscles would result in pelvic organ prolapse and urinary incontinence.

Assessment[edit | edit source]

To evaluate the activity of the pelvic floor muscles, palpation of the coccyx is one. This is known as the coccygeal movement test. The coccygeal movement test is a simple, objective and non-invasive test used for adequate localization of the pelvic floor muscles.[3] It is done to know if a woman can appropriately identify an contract her pelvic floor muscles.

Treatment[edit | edit source]

Resources[edit | edit source]

  1. Chaudhry SR, Hulaibi FA, Nahian A, Chaudhry K. Anatomy, Abdomen and Pelvis, Pelvis. StatPearls [Internet]. 2020 May 24. StatPearls Publishing LLC.
  2. Huang YC, Chang KV. Kegel Exercises. InStatPearls [Internet] 2020 Apr 7. StatPearls Publishing.
  3. Stensgaard SH, Bek KM, Ismail KM. Coccygeal movement test: an objective, non-invasive test for localization of the pelvic floor muscles in healthy women. Medical Principles and Practice. 2014;23(4):318-22.