Paediatric Physiotherapy for Pelvic Floor Dysfunctions

Pelvic floor dysfunctions in children can affect their daily activities, causing discomfort and challenges with bladder or bowel control. Early intervention with paediatric physiotherapy is a proactive approach to addressing these issues. Through targeted exercises and professional care, children can strengthen their pelvic floor, enhance coordination, and improve overall well-being.

Pelvic Floor Dysfunctions in Children

The pelvic floor is a group of muscles supporting the bladder, bowel, and other internal organs. Dysfunction in these muscles can lead to a range of issues, including:

• Urinary incontinence
• Constipation
• Pelvic pain
• Frequent bladder infections

These dysfunctions may result from factors like poor posture, stress, improper toilet habits, or developmental delays. Addressing them early can prevent long-term complications and help children regain control over their bodies.

Types of Pelvic Floor Dysfunctions

Overactive Pelvic Floor

Muscles that are excessively tight can cause pain or difficulty in fully emptying the bladder or bowel.

Underactive Pelvic Floor

Weak or poorly functioning muscles fail to provide adequate support, leading to urinary leakage or prolapse symptoms.

Lack of Coordination

In some cases, children struggle with timing the relaxation and contraction of pelvic muscles, which can result in incomplete evacuation or accidents.

Prevention and Care for Pelvic Floor Dysfunctions

Promoting Healthy Habits

Encourage children to maintain good posture, drink enough water, and follow a balanced diet rich in fiber to prevent strain on pelvic muscles.

Physiotherapy for Long-Term Relief

Paediatric physiotherapy in Scarborough provides a structured approach to strengthen and rehabilitate the pelvic floor. Therapy includes tailored exercises and techniques that address the underlying causes of dysfunction.

Ten Exercises for Pelvic Floor Strengthening

1. Balloon Breathing

This exercise teaches children how to breathe deeply and relax the pelvic floor. The child lies on their back with hands on their abdomen. Inhale deeply through the nose, imagining the belly expanding like a balloon. Exhale slowly, feeling the belly deflate. This helps improve awareness and relaxation of the pelvic muscles.

2. Pelvic Tilts

Children lie on their back with knees bent and feet flat on the floor. They gently tilt their pelvis upward, flattening the lower back against the ground, then return to the starting position. This movement improves pelvic alignment and gently engages the muscles.

3. Butterfly Stretch

The child sits on the floor with soles of their feet together and knees bent outward. They gently press their knees toward the ground while keeping their back straight. This stretch increases flexibility and reduces tension in the pelvic area.

4. Toe Tapping

While lying on their back with knees bent and feet flat on the floor, children lift one foot slightly off the ground, tap it gently back down, and repeat with the other foot. This movement helps improve coordination between the pelvic floor and core muscles.

5. Squats

Children stand with feet shoulder-width apart and slowly lower themselves as if sitting on an invisible chair, keeping their back straight. Squats engage the pelvic floor and strengthen the entire lower body. Ensure the child does not bend their knees beyond their toes.

6. Bridge Pose

While lying on their back, children bend their knees, keep feet flat, and lift their hips toward the ceiling. This position strengthens the pelvic floor and gluteal muscles while also improving spinal stability.

7. Squeeze and Release

This exercise involves gentle contractions and relaxations of the pelvic floor muscles. The child imagines stopping the flow of urine and then releasing it. This activity should be done in sets to build control and awareness of the muscles.

8. Seated Marches

While sitting on a chair, children lift one knee toward their chest, then lower it and repeat with the other knee. This exercise strengthens the pelvic floor and improves coordination and balance.

9. Wall Sit

Children stand with their back against a wall and slowly lower themselves into a seated position as if sitting on an invisible chair. Holding this position strengthens the pelvic floor and leg muscles, building endurance.

10. Child’s Pose

In this calming yoga pose, children kneel on the ground, sit back on their heels, and stretch their arms forward while lowering their torso. This position stretches and relaxes the pelvic floor, helping to release tension.

Benefits of Physiotherapy for Pelvic Floor Dysfunction

Paediatric physiotherapy provides a non-invasive, child-friendly approach to managing pelvic floor dysfunctions. Key benefits include:

• Improved muscle strength and coordination.
• Relief from pain and discomfort.
• Prevention of future complications.
• Enhanced confidence in managing bladder and bowel functions.

Take the Next Step Toward Recovery

If your child is experiencing challenges related to pelvic floor dysfunctions, early care can make all the difference. We provide supportive and engaging therapy designed to meet the needs of children. Contact us today to help your child move toward better health and well-being.