Disuse dysfunctions Disuse dysfunction of the pelvic floor occurs when a woman has no cognitive knowledge of the pelvic floor muscles or their function. As a preventative or curative measure, active exercise is indicated after a muscle evaluation. Kegel exercises can be performed correctly at any stage of a woman's life. If a patient has difficulty performing a contraction, biofeedback can be utilized to assist them in doing the exercise correctly. Functional electrical stimulation can also be utilized to assist in strengthening the pelvic floor musculature if needed.
Electrical stimulation is used for neuromuscular re-education and to enhance motor learning.
Supportive dysfunctions can cause pelvic relaxation, uterine prolapse and stress incontinence due to the decrease in normal pelvic floor support. Changes can also occur with menopause and aging. Incoordination Dysfunctions Muscle coordination is part of normal motor function requiring the use of the correct muscle at the correct time with the correct intensity. Any difficulty in the performance of the muscle contraction and relaxation can result in incoordination dysfunction. Physical therapy treatment for incoordination dysfunctions include training and re-education of the pelvic floor musculature and can be assisted with biofeedback.