Pediatric Pelvic Floor Physical Therapy

Objectives Understand what is pelvic floor PT Understand what interventions are used in pelvic floor PT Understand if pelvic floor PT is appropriate for my child Understand how my child could benefit from pelvic floor PT

Full Body Approach Pain Posture & Alignment Respiratory Diaphragm Assessment Beighton Scale of Joint Hypermobility Pelvic Floor assessment Posture & Alignment Trunk strength, tone Diastasis recti Abdominal restrictions & Scar tissue Hip strength & ROM Flexibility, hamstrings

Treatment Individualized, based on current research, focused on patient and family goals Posture training Abdominal strengthening/stabilization Diaphragmatic breathing techniques Promoting ideal alignment, hamstrings etc Manual therapy sEMG biofeedback Creating or interpreting bathroom schedules/habits Bowel and bladder hygiene behavior Strengthening or stretching the pelvic floor Bathroom environment modifications Home program development Our goal is to empower families to independently manage their health

Does my child need Pelvic Floor PT? Does your child have the feeling of needing to have several voids/BMs over a short period of time? Does your child have the feeling of not completing a void/BM, or not feel empty after completion of a void/BM? Does your child experience constipation or strain to complete a void/BM? Does your child frequently experience fecal or urinary leaks? Does your child experience wetting the bed overnight? Does your child experience pain in their lower back, pelvic region, genitals, or rectum unexplained by other causes?

Maria Obermeyer MSN APRN Maria.Obermeyer@cchmc.org Questions? Sarah Fox, PT, DPT pelvicrehab.com Maria Obermeyer MSN APRN Maria.Obermeyer@cchmc.org