Physiotherapy Below the Belt Pelvic Floor Exercises

1. PhysiotherapyBelow the BeltPelvic Floor Exercises Joan Perkins Physiotherapist

2. 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

3. Multi-Functional Pelvic Floor • Water works control • Support Pelvic Organs • Bowel Function • Intra-Abdominal Pressure • Sexual Role • Sacro-Iliac Joint Stability

5. Pelvic Floor Muscle • Pubo rectalis • Pubo coccygeus • Ilio coccygeus Muscles and connective tissue work together • Peri urethral ligament • Pubo urethral ligament

6. 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

7. Types of Urinary Incontinence Stress Incontinence Urethral Hypermobility Intrinsic Sphincter Deficiency

9. Urge Incontinence

11. 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

12. Chronic Diseases affect Urinary Incontinence • Neurological Diseases – PD, MS, Stroke • COPD • Arthritis • OP • LBP • Diabetes

13. PFM’s • Identify Correct Muscles • Ensure Correct Technique • Co-Contraction PF and TA • Functional Training

14. Pelvic Floor • Complex • Multifunctional • Unique • Anatomically variable • Not necessarily optimal in sports women and asymptomatic women

15. 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