II. Indications

  1. Stress Incontinence (includes Postpartum Incontinence)

III. Efficacy

  1. Effective at restoring postpartum continence
  2. Glazener (2001) BMJ 323:593-6 [PubMed]

IV. Mechanism

  1. Strengthens pubococcygeus muscle
  2. Strengthens smaller pelvic floor musculature

V. Specific Kegal Exercises

  1. While urinating try to stop the flow of urine
    1. Start and stop it as often as possible
  2. Repeatedly contract as if you were stopping your urine
    1. Perform while not urinating
  3. Tighten Rectum as if avoiding to pass gas
    1. Contract the anus, but do not move buttocks

VI. General Suggestions

  1. Hold Kegal Exercise for count of 5
  2. Advance to using weights within the vagina
  3. Perform Kegal Exercises as often as possible
    1. Study of Postpartum Incontinence recommended 100/day
    2. Glazener (2001) BMJ 323:593-6 [PubMed]
  4. Pick an activity you do often as a reminder
    1. Phone rings
    2. TV commercial
  5. Tighten your pelvic floor at stress times
    1. Before sneezing
    2. Rising from a chair
    3. Laughing
    4. Lifting an object

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Ontology: Pelvic floor exercises (C0262718)

Definition (NIC) Strengthening and training the levator ani and urogenital muscles through voluntary, repetitive contraction to decrease stress, urge, or mixed types of urinary incontinence
Definition (ALT) Instructing a client to voluntarily and repetitively contract pelvic muscles to train and/or strengthen his or her pubococcygeal muscles. Service is billed in 15-minute increments.
Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 151532005, 183304004, 183306002
English Pelvic Muscle Exercise, exercises for pelvic floor (treatment), exercises for pelvic floor, kegel exercises, kegel exercise, exercises kegels, exercises muscles pelvic, pelvic floor exercises, pelvic muscle exercise, exercises kegel, pelvic muscle exercises, pelvic floor exercise, Pelvic floor exercises advised, PFE - Pelvic floor exercises, PFEX - Pelvic floor exercises, Pelvic floor exercises, Kegel exercises, Pelvic floor exercises (regime/therapy), Pelvic muscle exercises, Pelvic floor exercises (procedure), Pelvic floor exercise training individual each 15 minutes, plvc flr ex.trn ndvdl ea.15m
Spanish ejercicios para el piso pélvico (régimen/tratamiento), ejercicios para el piso pélvico