Pelvic floor therapy

Question 1

What are the 3 main functions of the pelvic floor

Answer 1

urinary, sexual and anorectal

Question 2

What is pre-programmed anticipatory activity

Answer 2

PFM contracts before movement in preparation for UE movement

Question 3

What are the different types of pelvic floor dysfunction and muscle dysfunction

Answer 3

Pelvic floor:
Low tone - weakness and injury
High tone - overactivity
Poor coordination

Muscle dysfunction:
Pain syndromes
Prolapse of internal organs
Poor core stabilization

Question 4

What is the general approach with these patients

Answer 4

Education, exercises, manual techniques, biofeedback, electrical stim, insertion techniques or proprioceptive balloon techniques.

Question 5

Urinary incontinence education: what to say

Answer 5

definition: involuntary loss of urine

Education:
- increase water intake
- decrease caffeine + alcohol
- avoid constipation
- contract pelvic floor before and during activity
- Use a urine diary (5-8x per day)
- avoid constipation

Question 6

Things to consider

Answer 6

Many patients wish they had been referred years ago.
Need to go 5 - 8x per day
Sex should not be painful
Female athletes primarily have issues with incontinence
EDUCATE AND REFER

Question 7

What are some red flags

Answer 7

sudden urge, hematuria, retention, constant dripping