KEGEL EXERCISES A NEW BEGINNING
Everyone knows that Dr Arnold Kegel discovered the pelvic floor exercises. Exercises which are to this day, encouraged by medical professionals to prevent conditions such as incontinence, pelvic organ prolapse and in general weak pelvic floor muscles.
Weakness of the pelvic floor can be hereditary or can be caused from a range of factors. Obesity, pregnancy, low oestrogen levels, menopause, Pelvic organ prolapse, laxity of the pelvic floor muscles are to name a few reasons why the pelvic floor needs extra attention.
Dr Arnold was a brilliant gyaneacologist in his time and has opened the path for many to follow his good work in his footsteps.
Dr Bruce Crawford OBYGYN
Founder of Pfilates program
One gynaecologist in Nevada who has excelled in his work not only as a brilliant gyaneacologist but as a compassionate man who understands the needs of women who suffer with pelvic organ dysfunction of any kind. Dr Bruce Crawford MD understands the importance of helping women solve conditions such as incontinence, pelvic organ prolapse etc.
For many women these conditions are demoralising and often have a negative impact on the quality of life. Many women find themselves becoming more and more introverted due to issues such as incontinence and pelvic organ prolapse.
When they do pick up the courage to speak to a doctor, they are kept waiting for months (sometimes in pain) before they get to see a gyaneacologist to find out what the cause of the problem actually is. Many women don’t want to have surgery and are too frightened to seek medical help because they think that is all there is left for them.
Physiotherapy treatment is an excellent way to start the pelvic floor rehabilitation process. We found from a survey of 150 women in the United Kingdom, those who spoke to their physiotherapist felt reassured and completely comfortable with opening up their feelings. The physiotherapist took time to explain everything of the ‘hows and why’s of the pelvic floor. (GPs in the UK often don’t have the time to speak to their patients, and as patients don’t see incontinence or pelvic floor issues as a life threatening problem many don’t seek help as they ‘don’t want to bother the doctor’.
Out of the 150 women who did seek physiotherapy help 78% were found to have not known how to do a kegel exercise correctly before seeing the physiotherapist. Are you doing your pelvic floor exercises correctly?
Dr Bruce Crawford develops Pfilates (the only exercise program with clinical studies)
Pfilates is a program of neuromuscular conditioning based on extensive EMG recordings taken from the pelvic floor. Pfilates was created by an American Urogynecologist to provide a method of home pelvic floor fitness training accessible to a broad population.
Pelvic floor disorders are absolutely epidemic. Stress urinary incontinence, overactive bladder, female sexual dysfunction, pelvic organ prolapse, and fecal incontinence are so commonplace they are often regarded as the inevitable consequences of childbirth and aging. When these conditions are treated they are to often regarded as purely mechanical disorders requiring a surgical solution. Although trained as a surgeon I have come to regard these disorders as principally neuromuscular disorders deserving of a neuromuscular solution.
It is clear that programs of pelvic floor neuromuscular rehabilitation successfully improve pelvic floor symptoms. Such programs typically involve a set schedule of isometric pelvic floor muscle exercises (Kegel exercises) that must be continued long term. It is also clearly established that very few women will continue to perform this type of isometric exercises for an extended period of time.
In creating the Pfilates program we have ventured to provide a plyometric (movement oriented) method of pelvic floor exercise that could be incorporated in to any regular fitness routine. Our neuromuscular research reveals that movements which engage the external hip rotators, adductors of the thigh, transverses abdominals, and gluteal muscles also facilitate, or induce, a pelvic floor contraction. This information has proven especially useful for women unable to perform an isolated voluntary pelvic floor contraction.
The Pfilates program is a simple program consisting of ten movements presented in the same order in three different phases (beginning, intermediate, and advanced). Each of the Pfilates movements includes a series of repetitions followed by a hold phase and a pulse phase at the point of peak engagement of the pelvic floor. As such these movements encourage the development of the three essential elements of neuromuscular performance: strength, endurance, and coordination. The Pfilates DVD includes a detailed “Learn These Movements” that should be reviewed carefully before beginning any of the ten minute routines.
Pfilates is intended to be preventative but also a therapeutic alternative for those already experiencing symptoms of pelvic floor dysfunction. For patients that have already has surgery Pfilates can help protect the investment and reduce the chance for recurrent symptoms
For more information about Pfilates program contact C&G Medicare Ltd. We are offering the full Pfilates kit which includes 64 minute DVD of Pfilates exercises, 1 full colour manual, 20 cm Pfilates ball, plus a free antibacterial cleaning spray plus a free satin bag to store your kit in. Total value £51.48 we are offering this for just £29.99 at our store www.incoshop.co.uk
Created by Dr Bruce Crawford