Understanding Your Pelvic Floor: A Guide to Physical Therapy Assessments
Pelvic Floor Physical Therapy Assessment: What to Expect and How it Helps

What is Pelvic Floor Physical Therapy Assessment?
Pelvic floor physical therapy assessment is a specialized evaluation performed by a physical therapist to assess the strength, function, and coordination of the pelvic floor muscles. These muscles form a sling-like structure that supports the pelvic organs and plays a crucial role in bowel, bladder, and sexual function.
Why Pelvic Floor Physical Therapy Assessment is required?
This assessment is often performed to:
- Diagnose and treat pelvic floor dysfunction, such as urinary incontinence, fecal incontinence, or pelvic organ prolapse.
- Evaluate the effectiveness of pelvic floor muscle exercises or biofeedback therapy.
- Assess the impact of pregnancy, childbirth, or menopause on pelvic floor health.
- Identify underlying conditions that may be affecting pelvic floor function, such as neurological disorders or chronic pain.
which are the method of Pelvic Floor Physical Therapy Assessment ?
The assessment may involve:
- Internal examination: The physical therapist may gently insert a gloved finger into the vagina or rectum to assess the strength and tone of the pelvic floor muscles.
- External examination: The therapist may observe the patient’s abdominal muscles and pelvic floor movements during coughing, sneezing, or bearing down.
- Muscle testing: The patient may be asked to perform specific exercises to assess the strength and coordination of the pelvic floor muscles.
- Postural assessment: The therapist may evaluate the patient’s posture and alignment to identify any contributing factors to pelvic floor dysfunction.
- Biofeedback: This technique uses sensors to provide real-time feedback on muscle activity, helping patients learn to contract and relax the pelvic floor muscles effectively.
who should go for Pelvic Floor Physical Therapy Assessment ?
Individuals who may benefit from a pelvic floor physical therapy assessment include:
- Women with urinary or fecal incontinence, pelvic organ prolapse, or pain during intercourse.
- Men with urinary incontinence or erectile dysfunction.
- Individuals who have undergone pelvic surgery or radiation therapy.
- People with neurological conditions that affect bowel or bladder function
What are the results of Pelvic Floor Physical Therapy Assessment ?
The results of the assessment will help the physical therapist identify any weaknesses, tightness, or coordination problems in the pelvic floor muscles. This information will be used to develop a personalized treatment plan.
What are the components of Pelvic Floor Physical Therapy Assessment ?
The assessment may include:
- Medical history: The therapist will review your medical history and symptoms.
- Physical examination: The therapist will examine your pelvic floor muscles and assess your posture and alignment.
- Functional assessment: The therapist may evaluate your ability to perform activities such as coughing, sneezing, or lifting.
- Muscle testing: The therapist will assess the strength and coordination of your pelvic floor muscles.
- Biofeedback: If necessary, biofeedback may be used to help you learn to control your pelvic floor muscles.