The Pelvic Floor: A clinical model for function and rehabilitation

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• 作者：Ruth Sapsford
• 关键词：Pelvic floor muscles ; abdominal muscles ; automatic function ; dysfunction ; rehabilitation
• 刊名：Physiotherapy
• 出版年：2001
• 出版时间：December 2001
• 年：2001
• 卷：87
• 期：12
• 页码：620-630
• 全文大小：304 K

文摘

The pelvic floor forms the inferior boundary of the abdomino-pelvic cavity. The co-ordinated action of the muscles which surround this cavity generates intra-abdominal pressure, with the pelvic floor muscles acting before the pressure rise to maintain organ support and urinary and faecal continence. When the pelvic floor muscles lose their automatic co-ordinated function, it is the timing of muscle recruitment, as well as the endurance and strength, which is deficient. This paper presents a theory on how automatic pelvic floor muscle activity operates in healthy women, discusses how it is lost, suggests a non-invasive way of testing it, and proposes a programme to restore the automatic recruitment timing of the muscles, as well as their endurance and strength, to optimise rehabilitation outcomes.