What is FloorRehab?

WHERE THE ART AND SCIENCE OF PELVIC FLOOR REHAB MEET

What is the Pelvic Floor?

The pelvic floor consists of muscles, ligaments, and connective tissues that support the pelvic organs against gravity and intraabdominal pressure. Each component has their own distinct function, action and susceptibility to injury. The female levator ani consist of the iliococcygeus, the pubococcygeus, pubovaginalis and the puborectalis. Superficial muscles include bulbocavernosus, ischiocavernosus and transverse perineal.

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The pelvic floor must allow relaxation of this support at the urogenital hiatus during voiding and parturition while maintaining the anatomic position of pelvic structures. The complex mechanics of its bimodal function and frequent insults to the integrity of the pelvic diaphragm from altered biomechanics, pregnancy, athletics, menopause, sexual trauma and obesity contribute to the pelvic musculature’s vulnerability to damage and injury.  Lying within the pelvic cavity are the piriformis, and obturator muscles, which are not elements of the pelvic diaphragm but may contribute to pelvic pain when injured. These muscles are easily accessible from an intravaginal perspective. Many underlying hip, low back and sacroiliac pain syndromes begin with PF dysfunction. 

What is Pelvic Floor Dysfunction?

Each muscle within the pelvic floor may become weak because it has trigger points or spastic portion(s) of the muscle which inhibit is normal ability to contract and relax. .

If we try to strengthen these already tight muscles of the pelvic floor, not only will the condition not improve, but we could create a new problem or make the current condition worse. It is essential to treat the spastic portion first. This may by itself release a muscle and allow it to function correctly.

STRENGTHENING THE TRUE “LOWER CORE”

Strengthening a weak muscle is not a one size fits all. We must pay particular attention to power and endurance of each muscle and train them differently according to their function. We must also train them to co-contract with the rest of the “lower core” transverse abdominus, internal obliques and diaphragm.

The pelvic floor is the missing link in the “lower core” and lumbopelvic stabilization training.

Most pelvic floor conditions are caused by a combination of weak and spastic pelvic floor muscles. Pelvic floor manual release techniques play an important role in diagnosing and treating both the weak and spastic muscles involved with each individual case of dyspareunia. Manual techniques increase the woman’s awareness of her pelvic floor muscles, release trigger and tender points, normalize the overactivity, and increase the strength of the of weak pelvic floor muscles. 

Diagnosing and correcting spasticity in relation to the corresponding joint function of the hips, pelvis, low back and lower extremity are essential to fully normalize the relationship between the pelvic floor and these structures. Proper functioning and movement of these joint complexes is essential to decreasing abnormal stress upon the pelvic floor and a healthy functioning pelvic floor is a core stabilizing factor for these structures.  

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FloorRehab

  • An exciting new paradigm that both prevents and treats female pelvic floor conditions.
  • Evidence-based pelvic floor rehab program targeting both strength and conditioning in all parts of the pelvic floor, the “true core” and the woman as a whole.
  • Targets the root cause of weakness in the pelvic floor and general deconditioning in women.
  • Highly specific rehab exercises designed to stimulate both the deep slow twitch muscle fibers and the superficial fast twitch muscle fibers within the pelvic floor musculature.
  • When first combined with Pelvic Power Release Techniques to normalize any spastic component in the pelvic floor and joint manipulation to normalize low back, pelvic and hip joint motion, the three therapies are very effective at correcting a dysfunctional pelvic floor and achieving general conditioning in women.

SPECIAL ISSUE 3

NEW THIS ISSUE

FloorRehab

Key Questions:

  1. What are the three primary muscles and one primary muscle group that define the true “lower core”?

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