Kegel exercises (the common term for pelvic floor exercises) help maintain a strong pelvic floor to prevent urinary incontinence.
What is urinary incontinence?
Urinary incontinence is defined by any involuntary leakage of urine. One out of three women tend to get urinary incontinence. "Pregnancy and delivery are the main causes of urinary incontinence in women," according to Caroline Chua, Senior Physiotherapist from the Rehabilitation Department at KK Women's and Children's Hospital (KKH) a member of the SingHealth group.
Causes of urinary incontinence
Urinary incontinence is mainly due to the weakening of the pelvic floor muscles. Pelvic floor stretching and weakness occurs with childbirth and weight gain.
Additionally, it can also be caused by changes in your hormonal system during pregnancy and menopause.
Thus, it is important to maintain a strong pelvic floor to prevent urinary incontinence. This can be achieved by performing pelvic floor exercises, sometimes referred to as Kegel exercises.
What is the pelvic floor?
The pelvic floor is a sling of muscles at the bottom of the pelvic bone. These muscles support the pelvic organs and have a function in controlling the bladder and bowel. The pelvic floor muscles are also involved in enhancing sexual function.
These muscles cannot be seen but you can feel them working, for instance when you hold on to your urine or wind.
How to perform Kegel exercises (pelvic floor exercises)
As with any exercise programme, there is a strength and endurance component.
Imagine that you are trying to stop yourself from passing wind and trying to stop your flow of urine mid-stream, both at the same time. The feeling is one of "squeeze and lift", closing and drawing up the front and back passages. This is what you need to do during Kegel exercises (pelvic floor exercises).
Types of Kegel exercises (pelvic floor exercises)
Important tips for practising Kegel exercises (pelvic floor exercises)
You can start a Kegel exercise (pelvic floor exercise) in a simple position such as lying down or sitting. After practising in these positions for some time, you will be more familiar with the routine.
You can then progress to practising the exercise –while you are standing or walking. When you master the exercise, you can practise it anytime anywhere, even while doing something else!
Do not use the tummy, buttock and inner thigh muscles when performing a Kegel exercise. It is also important to breathe normally when you are exercising the pelvic floor.
During pregnancy, the aim of the exercise is to maintain muscle strength and function.
Therefore, it is alright to just do the strengthening component of the Kegel exercises. If you were already doing the strengthening exercise before pregnancy, you might want to add in an endurance component as well.
After pregnancy, it is time to get back your muscle strength. So, start the Kegel exercise programme with strengthening. Allow yourself to recuperate for three days post-delivery before you start the exercise. This will ensure that you can feel the muscle and therefore do not practise the exercise wrongly.
After practising the strengthening exercise for 4-6 weeks, you can progress to endurance work. It is important to note that you should proceed to the endurance programme only after you have the ability to hold your pelvic floor for 8 counts.
Similarly, after you can hold your pelvic floor for at least a minute during the endurance exercise, you can proceed to coordination work.
For maintaining your pelvic floor after regaining your strength, you might want to continue with the strengthening or the endurance workout at least once a day from then onwards.
Ref: T12
Check out articles on pelvic floor conditions:
What is a Pelvic Floor Disorder?
Urinary Incontinence: Types and Treatment
Pelvic Floor Disorder and Constipation: What's the Link?
Contributed by