Pelvic Floor Rehabilitation

Abstract

Pelvic floor muscles are like any muscles in the body which is affected by aging process. It is a highly complex structure which is made of pelvic floor muscles (PFMs) and an intricate neural network. This elaborate system must work in a highly integrated. Investigations for PFD in elderly are discussed such as clinical, urodynamic, manometric, imaging, and neurophysiologic assessments. Neurophysiological studies including pudendal nerve terminal motor study (PNTML) and pelvic floor electromyography (EMG) are essential to localize and assess the severity and mechanism of injury. The primary clinical aim during PFD management is to correct the anatomy of pelvic floor in order to preserve or restore its function. As a consequence, patients need careful clinical assessment, appropriate investigations, and counseling before embarking on a well-defined PFMT. When the patient is referred to physical therapy, the typical management process includes assessment of impairments, and determination of prognosis and interventional plan of care