Table of Contents


1.Introduction

2.A good bowel habit

3.Difficult bowel habits

4.How does the bowel function? The journey Bugs in the system Moving Along Different wave patterns Continence Hormonal influences on the bowel

5.Clinical assessment

6.The Pelvic Floor—what is it?

7.The Pelvic Floor---more about the muscles Muscle Tone Pelvic Floor Outlet Muscles Pelvic Platform Muscles

8.The Pelvic Floor, Core Stability and the Abdominal Cylinder The Abdominal Cylinder Restoring Core Stability

9. Pelvic Floor Weakness-The Descent begins

10.Pelvic Floor weakness—Signs and Symptoms Urinary Vaginal Uterine Bowel Clinical evaluation of the Pelvic Floor

11.Pelvic Floor weakness---Who is at Increased Risk?

12. Constipation Simple constipation Slow Transit Obstructed defecation

13. Faecal Incontinence Central control Local control Causes of Faecal Incontinence Clinical Assessment General Management of Faecal Incontinence Specific Management of Faecal Incontinence • TABLE OF CONTENTS

14. Pain around the Back Passage Anal fissure Haemorrhoids Vulval varicosities Proctalgia Fugax Levator Ani syndrome Coccydynia Anismus

15. Pressure in the Bowel Diverticulosis Irritable Bowel Syndrome Flatulence

16. How to improve bowel function Plan a toileting routine Improving the consistency of the stool Specific exercises and evacuation techniques

17. Strengthening the Pelvic Floor Why do we need these exercises? Posture Abdominal muscles Pelvic Floor Muscles Relaxation techniques for the pelvic floor muscles

18. The Pelvic FloorTraining Routine - PAP

19. Technique for emptying the bowel - POP

20. Technique for emptying the bladder - PEP

21. Technique for coping with urgency and incontinence

22. After the exercises-What next? Specialist help Devices and appliances Surgery

23. Contact information Aids and devices Recommended reading or contact Selected References