Pelvic Floor Physical Therapy

105 Pages·2015·3.06 MB·English

by  Angela K Keir

PELVIC FLOOR
PHYSICAL THERAPY
Colleen Sandro, MS, PT, COMT, BCIA-PMD
Objectives
 Understand Physical Therapy evaluation
and treatment for pelvic floor dysfunction
 Become familiar with Physical Therapy
outcomes for pelvic floor patients
Pelvic Floor Physical Therapy
 Incontinence
Urge and stress incontinence
Urinary and fecal incontinence
 Pelvic Organ Prolapse
 Pelvic Pain
 Voiding Dysfunction
Constipation
Hesitancy, incomplete voiding
Pregnancy and Post Partum PT
 Pregnancy related musculoskeletal
problems
Back pain
Pubic pain
Sciatic/Radicular pain
 Post partum musculoskeletal problems
Diastasis recti
Incontinence
Normal Pelvic Floor Function
 Support for pelvic organs
 Sphincter closure for continence
 Sexual function
 Spine and pelvis stabilization
 Resting tone for urination
 Descent for stool evacuation
Categories
Pelvic Floor Dysfunction
 Low Tone or Weak
 Uncoordinated
 High Tone or Pain
Pelvic Floor Weakness
Symptoms/Diagnoses
 Incontinence
 Pelvic Organ Prolapse
 Back Pain
Physical Therapy
For the Low Tone or Weak Patient
 Increase muscle recruitment and strength for
support
 Improve sphincter closure pressure for
continence
 Improve reflex inhibition of bladder to control
urgency
 Core strength for support and stability
Uncoordinated Pelvic Floor
Symptoms/Diagnoses
 Constipation
 Hesitancy/Incomplete Voiding
 Pelvic Floor Dyssynergia
Pelvic Floor Pain/High Tone
Diagnoses
 Pelvic Pain  Endometriosis
 Back Pain  Prostatitis
 Coccydynia  Interstitial Cystitis
 Dyspareunia  Irritable Bowel
Syndrome
 Pudendal neuralgia
 Non-relaxing pelvic
floor
 Levator ani syndrome
 Tension myalgia of
pelvic floor