Senior Physiotherapist SONYA GILL KAUR, Singapore Kegel (levatores) (1) (levator ani) (Pubococcygeus) (iliococcygeus) (ischiococcygeus) ( ) (pudendal nerve)(s2,3,4) (perineal branch) (postural function) (S2,3,4) (small diameter) 1.
2. 3. (birth canal) 4. / eliminate examination evaluate education exercise & strengthen (electrotherapy) emphasize home routine encourage lifelong habits entry into records
2 1. 2. (3) 3. ( ) 4. (2) 5. 6. a. b. c. d. e. f. 7. (stretch reflex) 8. 9.
3., (isometric) / 150 10 15 ( ) (weighted cones)
1 15 (4) 1. 20.36g 2. 30.03g 3. 44.85g 4. 55.88g 5. 67.28g 4 (kg) 1 2 3 4 5 6 / / / 1 2 3 4 5 6 7 8 9 10 11 12
/ { { { (Progress Chart) 1. 1. 7. 3 4 6 8 8 2. 8. 3. 2468 9.
4. 10. 5. 11. 6. 12. (Alzheimer s diseases) (stroke) (electrotherapy) (Extra corporeal magnetic innervation ExMI)(5)
5. (Extra corporeal magnetic innervation ExMI) 20-30 2 3 8-10 (6) 85% (7) 6.
7. 85% (8) 8. (Interferential current) (Faradism) (Transcutaneous-electrical neuromuscular stimulation) 20-50H 2 1. (fast twitch) (slow 2. (vasularization)(50h 2 ) 3.
/ (gracilis muscle) I 0.5>1ms 50H 2 12 3 2-10 II (abduct) (gluteus medius) (perineal body) I 12 6-10 (Inferential current) (plate electrode) (Ischial spine) ( ) (9)
9. (vacuum electrode) (adductors) 0-100 IF 10 Hz 50 Hz 10 15 (10,11) 10. 11. (Faradism) (surge) (pulse) (1ms 50 H 2 )
2-10 6-10 TENS( ) ( 12) 12. (2) (pelvic floor levator muscles)
2. / 1 2 3 ( ) 4 (coccyx)
5 6 (tampon) 1. 4 2. ( ) 3. ( ) 4. 5. ( ) 6. 3 4 234 ( ) 234 ( ) 234 ( )
4 6 (stress specific exercise) (stress specific exercises) ( ) ( ) ( ) (gluteal) (hip adductor) (bearing down) / / ( ) 10
(Millard 1984) ( ) ( ) * (* ) - - 10 300-400 - (stress specific exercises) -