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
Description: