1. Pediatric Pelvic Floor Physical Therapy

2. 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

3. 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

4. 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

5. 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?

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