Deepak Panwar Bachelor of Physiotherapy, School of Physiotherapy, Delhi Pharmaceutical Sciences & Research University

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ROLE OF PHYSIOTHERAPY IN PELVIC FLOOR CARE

Deepak Panwar
Bachelor of Physiotherapy, School Of Physiotherapy, Delhi Pharmaceutical Sciences &
Research University

INTRODUCTION

The pelvic floor is made up of a layer of SIGNS AND SYMPTOMS


muscles covering the bottom of the pelvis that
Classification
support the bladder and bowel in men and of pelvic floor
bladder, bowel and womb in women. These dysfunction
structures that sit on top of the pelvic floor are
known as our pelvic organs. • Constipation or bowel strains
• Ongoing pain in the pelvic region,
genitals or rectum.
• A prolapse – may feel as though there is
a bulge/ pressure in the rectum or a
feeling of needing to use the bowels
without actually needing to go.
• Accidentally leaking urine when you
exercise, laugh, cough or sneeze.
PELVIC PAIN AND
HYPERTONUS

URINARY • 1. Ongoing pain in the pelvic region,


INCONTINENCE genitals or rectum.
• 2. A prolapse – may be felt as a bulge in
the vagina (feeling or seeing a bulge or
lump in or coming out of the vagina) or a
PROLAPSE feeling of heaviness, discomfort, pulling,
dragging or dropping sensation.
• 3. Accidentally leaking urine when you
exercise, laugh, cough or sneeze (stress
incontinence).
• 4. Feelings of urgency in needing to the
bathroom, or not making it there in time.

FUNCTION OF PELVIC FLOOR


MUSCLES

• Support internal pelvic organs in the correct positions (Bladder, bowel and womb).
PELVIC ORGAN
SUPPORT

• Allows self-control of bladder and bowel habits using the sphincter muscles. This allows us
BLADDER AND
to control the release of urine (wee), faeces and gas.
BOWEL CONTROL

• When relaxed, they allow the passage of urine and faeces out of the body.
PASSING OF URINE
AND FAECES

• Sexual function in males the pelvic floor muscles are important in maintaining an erection
during sex and preventing early ejaculation.
• In females awareness of the tightening of the pelvic floor muscles can contribute to sexual
SEXUAL FUNCTION
sensation

• The pelvic floor muscles play a role in breathing by relaxing and increasing the space the KEGEL’S EXERCISE
lungs have to expand.
BREATHING

CORE
EDUCATION
STABILIZATION
• During pregnancy, the pelvic floor offers support to the baby and also assists in childbirth
PREGNANCY AND
CHILD BIRTH

ROLE OF
PHYSIOTHERAPY IN
PELVIC FLOOR CARE

ELECTRICAL
BIOFEEDBACK
STIMULATION

CONE - THERAPY

Pelvic floor dysfunction is an umbrella term for a variety of


disorders that occur when pelvic floor muscles and ligaments are
impaired Tissues surrounding the pelvic organs may have
increased or decreased sensitivity or irritation resulting in pelvic
pain. Pelvic floor dysfunction may include any of a group of
clinical conditions that includes urinary incontinence, fecal
References
incontinence, pelvic organ prolapse, sensory and emptying 1. https://www.physio-
abnormalities of the lower urinary pedia.com/Pelvic_Floor_Dysfunction_-
tract, defecatory dysfunction, sexual dysfunction and _A_patient_guide.
several chronic pain syndromes, including vulvodynia. The three 2. http://academic.oup.cpm/ptj/search-
most common and definable conditions encountered clinically
result?page=1&q=pelvic%20floor%20managem
are urinary incontinence, anal incontinence and pelvic organ
prolapse. ent&fi_SiteID=5575&searchsourcetype=1&alljo
urnals=1
3. http://www.sciencedirect.com/topics/medicine-
and-dentistry//pelvic-floor-dysfunction

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