The Pelvic Floor 101 Class - Review of Anatomy & Kinesiology

Outline


We will be focusing on the Anatomy and Kinesiology ( the science of human movement) over the next 4 weeks, this class will be continuous until you know this stuff inside and out.



Skeletal Muscles

Pelvic Diaphragm Muscles

Related Muscles (very important and helps you to make sense of other pain you feel in hips, thighs, lower back, etc.)

Pelvic Floor Function

Physiology (the function of living organisms) of Micturition (micturition simply means peeing, voiding) the physiology of micturition involves coordination between the central, autonomic and stomactic nervous systems. (You can see that your central nervous system has a lot to do with what is going on with your condition which should tell you that bladder retraining is very important, in simple terms it help to retrain the central nervous system so it is not signaling your brain that you have to pee every 5 minutes thus causing annoying bladder spasms.

Next months we will learn about Anatomic Impairments such as Birth Injury and Neurol0gic Dysfunction. We will also learn ways to improve our injuries. This class will be more than learning about the pelvis it will also include learning how to care for the pelvis and begin healing.

Are you guys excited, I am! Don't worry we are going to start off slow so, no one gets overwhelmed.

We will begin with the Skeletal Muscles of the Pelvic Floor but first please read this important information and write the key notes down in your note pad.

Physiologic impairments of the gynecologic, urinary, and gastrointestinal systems are often treated with medications or surgery that have little to no success. Today, however, more and more doctors are recognizing the benefits of education and various physical therapies.

Pelvic floor muscle rehabilitation involves the skeletal muscles located at the base of the abdominal cavity. The Pelvic floor refers collectively to tissues that span from the pubic bone to the coccyx. This area includes skeletal muscles under voluntary control, which responds to the same training techniques as other skeletal muscles in the body.

You will be introduced to the anatomy and kinesilogy of the pelvic floor, physiology of micturiton, and anatomic and physiologic impairments of the pelvic floor.

Management of common physiologic impairments of the pelvic floor, pelvic floor-related diagnoses, and their impact on other areas of the body will be discussed, and clinical applications will be provided/explained - If I am lucky my son will help me do some video's so I can show you guys the applications.

Note: If your seeing a physical therapist for Pelvic floor issue they should screen you for pelvic floor impairments and provide basic instruction in strengthening these skeletal muscles and at the same time you need to be doing pelvic stretches at home on a daily basis otherwise your experience more pain than usually with PT. We will discuss more about exercises and the order of their application a bit later.

Class: Skeletal Muscles

• The skeletal muscles of the pelvic floor can be divided into four layers, from superficial to deep: (1) The anal sphincter, (2) Superficial perineal muscles, (3) urogenital diaphragm, and (4) the pelvic diaphragm.
• The Anal Sphincter is the most superficial skeletal muscles.
• The Anal Sphincter includes the internal anal sphincter (smooth muscle) and the external anal sphincter which is the skeletal muscle. These sphincter fuse superiorly with the puborectalis component of the pelvic diaphragm muscles. These three muscles function together to provide fecal continence. Neurologic innervation is provide form the forth sacral nerve and interior branch of the pudendal nerve.
• Neurologic innervations involves your central nervous system which provides the pathway to the sacral nerve and the interior branch of the pudendal nerve so you can see why you have so much pain when the signals are not functions properly.
• The superficial perineal muscles aid in sexual functioning of the pelvic floor, and the urogenital diaphragm is part of the continence mechanism.
• The three superficial perineal muscles are the bulbocavernosus, the ischiocavernosus, and the superfical transverse perineal. The three muslces of the urogenital diaphragm are the urethrovaginal sphincter (pertains to a fistula between the urethra and the vagina), the compressor urethrae (formely known together as the deep transverse perineal), and the sphincter urethrae.
  
  Assignment: Well I looked up all the terms for you, you just click on them and write down the meaning and write in the shortest form, no need to write a book for each meaning. We will have a multiple choice quiz next Wednesday.

Please take a close look at this pic and all the different muscles.

See sensor insert - this can be use to do kegels and your physical therapist uses this to measure your pelvic muscle strength.