What REALLY happens in a pelvic floor physio assessment
Wondering what actually happens during a pelvic floor physio assessment? We’ve got the down-low about what you can expect… right here!
Watch the video above, or read the transcript below.
Read the transcript below!
Hi everyone, it’s Kim Vopni from Bellies Inc. and we are here at the Canadian Association of Midwives for their annual conference and we found this incredible business called Model-med where they make the most amazing models for childbirth education and pelvic assessment. We thought we would take an opportunity to use their models, they’ve allowed us to use them, and we have Julia Di Paolo from Bellies Inc. She’s our pelvic floor physiotherapist and she’s going to demonstrate what actually happens in a pelvic floor physiotherapy assessment. We know we tell you all the time to go, so we want you to know what actually happens and what you can expect.
All right, The first thing we’re going to look at is the outside genitalia. We’re looking for infection or signs of something that’s amiss. We’re going to look between the labia very, very gently and making sure everything is okay. Then we’re going to very gently insert our fingers one at a time. If there’s enough space, then the second one will go in, very gently and very slowly. If you do have pain, not to worry, we’ll take that into consideration. What we are doing at the very beginning is just assessing tone.
We talk about whether you have too much tone or not enough tone and what we want is that resistance to stretch. We’ll just make our way all the way around and then we’ll go in a little deeper and we’ll get to see the muscles at the back as well, all the way down and around. Now if you have too much tone I’m not going to be able to stretch. If your tone is too lax, hypotonic, I’m going to be able to stretch it quite a bit. Then we’re going to get all the way around. Now seeing as there’s enough tone in our model, what I’m going to do next is I’m actually going to do a stretch downwards and splay the labia so I can see into the pelvic floor.
Now this one is empty because it’s a model, but I’d be looking for a uterus or a bladder or rectum that’s descended so it would be prolapsed and then assess how far down it is. In a real person, I would ask her to then cough or push down so I could see how much movement there was, or how much support was left in the pelvic floor. The next thing we’re going to do is then ask for a Kegel. I’ll put my fingers back in and I’ll ask you to do a Kegel the way you know how and then I’ll teach you how to do it correctly if you’re not already doing it correctly. We’re looking for that squeeze and lifting up movement there. That’s pretty much it. Pretty simple and then we come out.
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