Kegel Exercise or Pelvic Floor Muscle Strengthening Exercises

Rehabilitation of the pelvic floor:
Muscles: rehabilitation was done using the Tanzberger exercises, given by german Physical therapist, renate tanzberger. The Participant was made to sit on a swiss ball (approx. 68-70cm in diameter), with the hip And the knee flexed to 90o and the feet Properly placed on the ground. The Participants were explained in detail about The pfm. The landmarks were explained by Making them sit on a firm surface (chair) And by making them feel for the contraction And relaxation of the gluteal, anal and the Vaginal muscles. 

1. Exercise: Rolling the ball Forward: The participant was asked To roll the ball forward towards the Knee without lifting off the feet and Keeping the lumbar spine erect. While rolling, contraction of the Pfm was to be done and while Returning, relaxation.

2. Exercise 2-back to back sitting: The Participant and the therapist sat on The swiss ball back to back. The Participant was asked to pull the ball Towards the knees which do not Move and this activity was restricted Or slowed down by the therapist who Tried to pull the ball in opposite Direction. This brings about the Isometric contraction of the pelvic Floor muscles.  The participant was asked to contract the Pelvic floor muscles (50 contractions for Each exercise) while exhaling and relax While inhaling. Treatment was given for 4 Weeks, 3 sessions per week. Each session Continued for about 20-30 minutes Depending upon the fatigue level of each Individual subject with sufficient rest break In between each exercise.