Becki Braund: The pelvic floor muscle is a group of muscles that acts as a hammock or a sling, and basically supports all the organs in the pelvis. In the female, it's your uterus, bladder and rectum. When those muscles aren't working properly, that's when you see this pelvic floor muscle dysfunction, and that is what we are really trying to assess with physical therapy.
These pelvic floor muscles dysfunctions can have different classifications. You can have an underactive pelvic floor. In that case, it's kind of that classic weakness, low tone, and that's where you see a lot of the incontinent issues. You can also have an overactive pelvic floor muscle. In that case, it's more those muscles are of high tone. They have a really hard time relaxing, and oftentimes, you see a lot of pain issues with that. You can also have a non-functioning pelvic floor, where there's just, really, little or no activity going on down there at all.
Physical therapy can help with these incontinent and pelvic floor muscle dysfunctions by really doing that thorough evaluation from the beginning to try to really figure out what is their problem, what is the concern. Is it that overactive, underactive pelvic floor? And then kinda tailoring a whole program for them based on what we find and the deficits we see that then they can work on and try to build up, you know, that strength or work on the relaxation depending on what they need.
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