In the field of perineal rehabilitation, the traditional approach focused on stabilization and muscle strengthening is well established. However, working on imbalance is increasingly becoming central to rehabilitation. This method, which involves exercises requiring precarious stability, is crucial for improving perineal function and preventing associated disorders. Let's explore together why and how to integrate this approach into our daily practices.
Working in an unbalanced position intensely stimulates the mechanoreceptors in the pelvic floor, thereby increasing proprioception. This stimulation is essential for improving coordination, muscle response, and thus the acquisition of automatic perineal locking.
Unbalance exercises replicate everyday situations where the body must maintain balance despite disturbances. This strengthens the pelvic floor muscles in conditions similar to those encountered during daily activities, thereby increasing the effectiveness of rehabilitation.
Core stability is closely linked to pelvic floor function. Introducing balance exercises helps strengthen the deep stabilizing muscles, such as the transverse abdominis and multifidus muscles, which support the pelvic floor.
The two Eutonie half-footboard are destabilization tools that offer a gradual and personalized approach to strengthening and re-educating the pelvic floor muscles.
The first phase aims to introduce the patient to the eutony method, improving her body awareness and promoting relaxation of the pelvic floor muscles. (Examples: Sitting on the log or rolling the spine while lying on your back with a log placed under the sacrum, etc.).
The stabilization phase aims to strengthen the pelvic floor muscles and improve coordination between the pelvic floor and abdominal muscles. Logs allow this work to be done in different positions, from pelvic bridges to squats on the log.
Then the progression will increase the complexity of the exercises to strengthen the pelvic floor in more unstable situations and integrate functional movements. For example, side planks, walking on logs, carrying loads, standing on one leg, etc.
In addition to its biological, analgesic, and diathermic effects, multifrequency tecar therapy aims to improve the proprioceptive quality of the fasciae, and therefore of the muscles.
Combining exercises on the blocks with a Winback hands-free setup will optimize awareness and recruitment of the muscles in the perineal-pelvic area, while ensuring pain relief and comfort for patients.
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