Pelvic floor therapy focuses on addressing the muscles of the pelvic floor, which are responsible for supporting the bladder, bowels, and reproductive organs. In children, pelvic floor therapy may be used to help with issues such as incontinence (both daytime and nighttime), difficulty with toileting, or constipation. In pelvic floor OT, we work on improving awareness and control of the pelvic floor muscles through exercises that help strengthen these muscles, improve coordination, and enhance the child’s ability to recognize and respond to the body’s signals. The therapist may also incorporate strategies to improve posture, breathing, and coordination between the pelvic floor and other muscles in the body. This therapy often involves exercises such as diaphragmatic breathing, pelvic floor contractions, and using sensory cues to support proper muscle function. We may also make recommendations about water intake or dietary changes, and we might consult with other members of the child’s team (such as their pediatrician or GI doctor) to ensure a high level of care. The goal of pelvic floor therapy is to help children gain better control over their bodies to improve toileting habits and overall physical well-being. 

*Please note that this intervention requires advanced training, therefore may only be provided by specific therapists.  Pelvic Floor Therapy involves having a Pelvic Floor Therapy evaluation, which is separate from a standard occupational therapy evaluation.  Some of our clients get only Pelvic Floor Therapy, while others also do separate standard OT to work on other goal areas.