Physiotherapy Below the Belt Pelvic Floor Exercises

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PhysiotherapyBelow the BeltPelvic
Floor Exercises

• Joan Perkins
• Physiotherapist

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Overview

• The Multi Functional Pelvic Floor
• Anatomy
• Types and Causes of Urinary Incontinence
• Impact of Chronic Diseases
• Identify, Ensure Correct Technique and
  Functionally Train Pelvic Floor
• Where to access help

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Multi-Functional Pelvic Floor

• Water works control
• Support Pelvic Organs
• Bowel Function
• Intra-Abdominal Pressure
• Sexual Role
• Sacro-Iliac Joint Stability

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Pelvic Floor Muscle

• Pubo rectalis
• Pubo coccygeus
• Ilio coccygeus
• Muscles and connective tissue work together
• Peri urethral ligament
• Pubo urethral ligament

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Pelvic Floor Muscles

• Broad flat muscle sheets that support pelvic
  organs
• Sphincteric actions that contribute to Continence
• Provide Sacro coccygeal stability and Core
  stability
• Concentric / Isometric Muscle Contraction

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Types of Urinary Incontinence

• Stress Incontinence
• Urethral Hypermobility
• Intrinsic Sphincter Deficiency

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Urge Incontinence
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Causes of Urinary Incontinence

• Pelvic Floor Muscles can become loose and weak
• Pregnancy / Labour / Menopause
• Straining / Constipation
• Heavy Lifting
• Age
• Obesity
• Asymptomatic Women
• Inherited Factors
• Young, elite, female athletes
• High Impact Frequent, Intense Training
• Abdominal Curl-Ups

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Chronic Diseases affect Urinary Incontinence

• Neurological Diseases PD, MS, Stroke
• COPD
• Arthritis
• OP
• LBP
• Diabetes

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PFMs

• Identify Correct Muscles
• Ensure Correct Technique
• Co-Contraction PF and TA
• Functional Training

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Pelvic Floor

• Complex
• Multifunctional
• Unique
• Anatomically variable
• Not necessarily optimal in sports women and
  asymptomatic women

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Where to get help?

• Continence Physiotherapist
• Concord Hospital Joan Perkins on 9767 6183
• Australian Physiotherapy Association
• www.physiotherapy.asn.au
• Continence Nurse
• CFA Hotline
• 1800 330 066
• CFA Resource Catalogue
• Pamphlets