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JAIPUR NATIONAL

UNIVERSITY
NAME-SONIA GUPTA
Course -BPT Ist Year
Roll No. -128
Submitted to – Dr. PADMJA MAM
TOPIC – PELVIC
FLOOR MUSCLES
CONTENTS
 ORIGIN
 INSERTION
 NERVE SUPPLY
 ACTION
 INDICATIONS(of pelvic floor muscles
stimulation)
 CONTRAINDICATIONS
 PHYSIOLOGICAL BENEFITS
MUSCLES ORIGIN INSERTION NERVE SUPPLY ACTION
LEVATOR Posterior forms Nerve to maintain faecal
surface of 'puborectal levator ani (S4) continence –
ANI bodies of pubic sling' posterior during
(a)Puborec bones to rectum defecation this
talis muscle relaxes.

(b)Puboc Posterior
surface of
Anococcygeal
ligament,
Nerve to
levator ani
Control urine
flow and
occygeus bodies of pubic Coccyx, (S4); branches contract during
bones (lateral Perineal body via inferior orgasm
to puborectalis) and rectal/perineal
musculature of branches of the
prostate/vagina pudendal nerve
(S2-S4)

(c)Iliococcy Tendinous arch Anococcygeal Nerve to elevates the


of the internal ligament, levator ani (S4) pelvic floor and
geus obturator Coccyx the anorectal
fascia, Ischial canal.
spine

Coccygeus Ischial spine Inferior end of Anterior rami pulls forward


Function of
pelvic floor
muscles
ELECTRICAL STIMULATION TO PELVIC FLOOR MUSCLES

• Early case of prolapse of pelvic organs


INDICATIONS

• Stress incontinence
• Incontinence following prostatectomy
• Urinary incontinence
• Pelvic floor dysfunction
• Abdominal pain
• Dysuria
• Lumbosacral pain
CONTRAINDICATIONS
 Severe pelvic pain
 Under 6 week post operation
 Under 6 week post partum
 Savere atrophic vaginities
 Sexual abuse
 Pregnancy
 Children or anyone w/o prior medical
pelvic exam
PHYSIOLOGICAL BENEFITS
• Pelvic floor muscle training exercises (kegel
exercises) can help strengthen the muscles
under the uterus, bladder, and bowel (large
intestine). They can help both men and
women who have problems with urine leakage
or bowel control
• A pelvic floor muscle training exercise is like
pretending that you have to urinate, and then
holding it. You relax and tighten the muscles
that control urine flow. It is important to find
the right muscles to tighten.
THANK YOU

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