The pelvic floor is not only important during pregnancy and in the pre- and postnatal period, but also plays a fundamental role in everyday life for both women and men.
For this reason, it represents a central component in physiotherapy and osteopathy, and many conditions can be alleviated through targeted pelvic floor training.
The pelvic floor is also important in the context of sexual health: targeted training can help improve body awareness, muscle control, and sexual well-being in both men and women. Weakness of the pelvic floor can have various causes.
In women, pregnancy and childbirth in particular play a significant role. However, excess weight, poor posture, or chronic coughing can also contribute to reduced function.
Biofeedback Method
Biofeedback uses electronic devices to make bodily functions such as muscle tension or breathing visible in real time, allowing patients to learn how to control them more consciously.
Based on our clinical experience, we observe that this method helps patients learn targeted muscle activation, proper coordination of contractions, and appropriate use of the musculature, particularly during pregnancy.
In our practice, the pelvic floor is approached holistically, and the selective activation of individual muscle groups can be supported, if desired, through biofeedback.
This helps improve the ability to contract and relax the muscles, contributing to functional strengthening and the prevention of conditions such as urinary incontinence. Many patients also report improved stability and body awareness.
BetterPelvi Pelvic Floor Chair
The BetterPelvi chair has been developed to non-invasively stimulate the pelvic floor muscles using HI-EMT technology (high-intensity electromagnetic stimulation).
This technology activates motor nerves and induces repeated, involuntary muscle contractions, which can help improve neuromuscular activity.
Good pelvic floor function is important, as it can contribute to improved urinary continence and support of the pelvic structures.
Traditionally, exercises such as Kegel exercises are recommended; electromagnetic stimulation represents a possible complement to these approaches.
Treatment Goals
- Improvement of pelvic floor function: May contribute to improved urinary continence and support lumbopelvic stability.
- Support after prostatectomy: May be used as a complementary measure in the rehabilitation process.
- Stimulation of local circulation: Muscle contractions may promote tissue perfusion.
- Sexual well-being: Improved muscle control may have a positive effect on subjective well-being.
- Non-invasive application: Does not require surgical intervention
- Complement to active training: Does not replace exercises but can support them.
- Comfort: Treatment can be performed while wearing normal clothing.
- No downtime: Daily activities can be resumed immediately.
Anatomical and Functional Aspects
The pelvic floor is often functionally divided into three levels:
- the pelvic diaphragm (deep layer)
- the structures of the deep perineal space with the perineal membrane
- the superficial perineal muscles including the external sphincters
The superficial and intermediate components consist predominantly of voluntary, striated muscle and can be actively trained.
The deeper structures are closely involved in regulating urinary and bowel function and interact with smooth muscle, such as the detrusor muscle of the bladder, the muscular layer of the intestine, and the internal anal sphincter.
These structures are primarily regulated by the autonomic nervous system and cannot be voluntarily controlled. Continence results from the interaction between these automatic mechanisms and voluntary muscles, particularly the external sphincters.
Muscles, fasciae, and ligaments work together to support and maintain the position of the pelvic organs.
