Rehabilitation treatment of pelvic floor muscles

The role of the pelvic floor muscles is very important, supporting many organs of the abdomen, including the rectum, vagina, uterus, and bladder. Regardless of the birth or cesarean section, the pregnancy process will cause different degrees of damage to the female pelvic floor function, resulting in pelvic floor muscle dysfunction. nmcat.org

In the early stage of pelvic floor muscle damage, it may only manifest as vaginal relaxation, abdominal abdomen, urinary frequency, constipation, and other discomforts. In middle and old age, symptoms such as urinary incontinence, uterine prolapse, and bladder rectal bulging may occur, causing indescribable pain. Seriously affect the quality of life.

In developed countries and regions such as Europe, America, Japan, and South Korea, pelvic floor muscle assessment, biofeedback training, and electrical stimulation therapy have been popularized. https://www.ncbi.nlm.nih.gov/pubmed/20946219

The best time for pelvic floor repair is 42 days to 1 year after delivery, and the golden age is half a year.

If there is no problem in the examination, the pelvic floor rehabilitation training should be carried out in time, because the baby will inevitably have some influence on the pelvic floor muscles, and proper rehabilitation training will help improve the quality of life.

01 Which women need pelvic floor muscle exercise?

answer

Maternal women 28 weeks after pregnancy, whether it is cesarean section or delivery, can perform pelvic floor muscle function training. In addition, a woman who has an unintended pregnancy such as a miscarriage can also be performed. Rehabilitation must be performed if:

(1) Urinary problems: Involuntary leakage of urine, urinary incontinence, and urgency when coughing and sneezing;

(2) The pelvic organ descends from the normal position;

(3) vaginal anterior wall bulging;

(4) vaginal relaxation.

ask

02 When does the maternal start exercising?

answer

New mother after 30 days of delivery

New mother after cesarean section 3 months later

Or depending on your physical recovery

Rehabilitation training of pelvic floor muscles

When a woman gives birth, the pelvic floor muscles are severely damaged, so after delivery, almost all women need rehabilitation training for the pelvic floor muscles. So how do you perform rehabilitation training for pelvic floor muscles? Today, I will introduce you to the rehabilitation training methods for pelvic floor muscles.

The Kegel movement, also known as the pelvic movement, was published in 1948 by Dr. Arnold Kegel of the United States. It is an internationally common postpartum recovery of the pelvic floor muscles by repeatedly scaling part of the pelvic muscles.

The goal is to increase muscle tone by stretching the pubic caudal muscles of the pelvic floor. Many obstetric experts have suggested that women who adhere to the “Kegel movement” after childbirth not only help to relieve tension and heavy body, but also help solve the two most troublesome problems for pregnant women, one is leaking urine, and the other is hemorrhoids.

Simple Kegel

Find the pelvic floor muscles (when urinating, control the urine – harvest – urine – harvest muscles), tighten 2~3 seconds during exercise, relax for 2~3 seconds, tighten and relax once, (recommended to use the stopwatch) continuous 20 ~100 times.

Pelvic scroll

Kneeling flat, legs apart, the same width as the hip, the toes raised, the body is square, hands flat on the abdomen, shoulders relaxed, face up.

Action exercises:

Take a deep breath, the abdomen is like a balloon, let the belly full of gas, your hand can feel the feeling of abdomen inflation while doing the “Urine”.

Breathing gently gives a “hehe” sound, tightening the gas from the abdomen, the hand can feel the contraction of the abdominal muscles, and at the same time doing the “urine” Received.At this time, the pelvis will roll under the traction of the abdominal muscles.

Hip bridge

The body lies flat on a stable plane, with the legs bent 90 degrees, the feet are the same width as the hips, the toes are raised, the hands are flat on both sides of the body, and the eyes are looking directly above.

Action exercises:

Inhale, belly up, dourine in the “Urine–receive” of Kegel exercise, exhale, “receive” in Kegel exercise, tighten the abdominal muscles, compress the abdomen, pelvis backwards, hips The force is to let the buttocks leave the plane first, and the spine is like a beaded ball under the joint force of the buttocks and the abdomen, starting from the buttocks and finally leaving the thoracic vertebrae.

Squat

The body stands, feet apart and shoulder width, hands squatting / natural drooping, shoulders relaxed, eyes looking ahead.

Action exercises:

Inhale, bend your hips and bend your knees, your hands are flat before you, your knees should not exceed your toes, the upper body should be as parallel as your calves, and the pelvic floor muscles should be relaxed when you squat.

Exhale, the body stands up and returns to the preparatory position. When you are fully standing, you must remember to do Kegel’s “receiving” movement, and remember to close your hips.

For beautiful women, beautiful yoga poses are indispensable.

Cat stretch: Like a kitten stretched, kneeling on the ground, stretching the spine in the breath. Hands and knees at four o’clock, the thighs and arms are perpendicular to the ground; the inhalation back sinks, the chin rises, the buttocks rise upwards; the exhalation arches the back, allowing the chin and chest to be close. It can improve the blood flow of the spine and spinal nerves, as well as relieve constipation that many pregnant women are prone to.

Leg-up style: supine, legs slowly close together, and 30 degrees with the ground, stay for a while and then lift up, 60 degrees with the ground, then stay up and lift up to 90 degrees. Every time you do 2-4 groups, the slower the effect, the better. This action can exercise the lower abdomen muscles.

Baby supine: inhale, bend your legs, hug your hands, exhale, press your legs against your chest. Inhale first, then exhale, while raising your head and knees. Repeatedly, do a total of 3 times. It can stretch and strengthen the neck muscles, and nourish and strengthen the abdomen, eliminate the dirty and turbid air of the abdomen, and relieve constipation symptoms.

Because the role of the pelvic floor muscles is very important, as the core muscle group can stand alone “bottom”, the following are two targeted training methods.

 A type of muscle fiber: contract your pelvic floor muscles for as long as possible, then rest. Shrink time = rest time.

Training time is not less than 20 minutes per day.

Type II muscle fibers: Maximum strength contracts your pelvic floor muscles and then relaxes quickly. Break time = twice working time.

Training time should not less than 10 minutes per day.