Pelvic Floor Rehabilitation
Pelvic floor rehabilitation is a specialized physiotherapy approach that aims to strengthen pelvic floor muscles, improve bladder and bowel control, and treat various pelvic floor dysfunctions.
The pelvic floor is a muscle group that supports the bladder, uterus, and rectum and controls the urinary and defecation systems. Dysfunction of these muscles can lead to various problems such as urinary incontinence, pelvic organ prolapse, and sexual dysfunctions. Pelvic floor rehabilitation aims to address these problems through specialized exercises and treatment techniques.
What is the Pelvic Floor?
The pelvic floor is a hammock-like muscle and connective tissue structure that spans from the pubic bone to the coccyx. These muscles support the pelvic organs, control continence, and contribute to sexual functions. Weakness or overactivity of pelvic floor muscles can cause various health problems.
What is Pelvic Floor Rehabilitation?
Pelvic floor rehabilitation is a physiotherapy approach that includes muscle training, biofeedback, manual therapy, and behavioral strategies to address pelvic floor dysfunction. Treatment is tailored to the individual and works on strengthening weak muscles or relaxing overactive muscles.
- •Pelvic floor muscle exercises (Kegels)
- •Biofeedback training
- •Manual therapy techniques
- •Bladder training
- •Behavioral modifications
- •Core stabilization exercises
Importance of Assessment
Pelvic floor rehabilitation begins with a comprehensive assessment. Muscle strength, endurance, coordination, and presence of overactivity are evaluated. Based on the assessment, an individualized treatment program is created. Digital palpation and surface EMG biofeedback can be used for assessment.
When is Pelvic Floor Rehabilitation Applied?
- Stress urinary incontinence
- Urge urinary incontinence
- Mixed urinary incontinence
- Fecal incontinence
- Pelvic organ prolapse
- Prenatal preparation
- Postpartum recovery
- Chronic pelvic pain
- Sexual dysfunction
- Post-prostatectomy incontinence
Treatment Process
Comprehensive Assessment
History, symptoms, and pelvic floor muscle function are evaluated.
Education
Patient is educated about pelvic anatomy and muscle training.
Exercise Program
Individual exercise program is created and taught.
Progressive Training
Training is progressed according to muscle development and functional improvement.
Benefits
- Improved bladder control
- Reduced urinary leakage
- Support for pelvic organs
- Enhanced sexual functions
- Improved quality of life
- Increased self-confidence
Frequently Asked Questions
Is pelvic floor rehabilitation only for women?
How long does pelvic floor rehabilitation take?
Is pelvic floor assessment uncomfortable?
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