Pelvic Muscle Rehabilitation: A Standardized Protocol for Pelvic Floor Dysfunction
Pelvic floor muscle strengthening. (a) Electromyographic tracing of a patient with stress urinary incontinence during a series of rapid contractions (“quick flicks”) in which the patient is asked to contract and relax over multiple 5-second intervals. The tracing reveals reduced electrical activity and recruitment during contractions (5 mcV) on the initial session. (b) Same patient following sessions of pelvic muscle rehabilitation revealing marked increased electromyographic activity during the contraction (15 mcV) phase of the rapid contraction (“quick flicks”).