28/12/2025
"Stubborn" weak pelvic floor despite endless Kegels?
The problem might not be the muscle strength—it’s the mechanics.
🧐The Posterior Pelvic Tilt (PPT) Connection
Are you stuck in a Posterior Pelvic Tilt (tucking the tailbone under)?
This creates a chain reaction that compromises the pelvic floor:
Poor Positioning: PPT flattens the natural lumbar curve, which reduces the pelvic floor's ability to contract and relax effectively.
Muscle Inhibition: In this "tucked" position, hip flexors and lower back extensors (erector spinae) often become weak or inhibited, while hamstrings and glutes become overactive/tight.
Dysfunctional Synergy: Poor pelvic alignment disrupts the natural coordination between the diaphragm, core, and pelvic floor, leading to instability and potential issues like leakage or pain.
💪Retraining with Pressure Biofeedback
As a Rehab Trainer, we can use Pressure Biofeedback Units (PBU) to objectively retrain these inhibited patterns:
Neutral Baseline: We use the PBU to help our clients find and maintain a neutral lumbopelvic position. This provides the "optimal functional length" for the pelvic floor to fire.
External Focus: PBU provides real-time visual feedback. Seeing the pressure gauge move helps our clients shift from a "micro-choking" internal focus to an automatic, efficient movement pattern.
Retraining Inhibition: By monitoring pressure changes, we can ensure our clients are using their deep stabilizers (like the Multifidus and Transversus Abdominis) rather than compensating with global "tuck" muscles like the hamstrings.
Gradual Loading: We integrate the use of the PBU during specific exercises to challenge lumbopelvic stability. If the pressure deviates, you know the pelvic floor and deep core have lost control.
🏋️♀️The Goal: We aren't just "fixing" a tilt; we are restoring the pelvic floor’s foundation so it can function automatically during movement.
