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#PTonICE Daily Show

Episode 1871 - To cue or not cue the pelvic floor under load

Dec 16, 2024
Dr. April Dominick, a faculty member specializing in pelvic floor rehabilitation and strength training, explores the nuances of cueing the pelvic floor during loaded activities. She discusses whether intentional cueing is beneficial and shares the A-frame analogy to illustrate balance in pelvic floor function. April also highlights the importance of recognizing client symptoms and the challenges they face, like leaking. Her insights aim to enhance care for patients and athletes alike, making pelvic health more integrated into strength training.
20:09

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Maintaining the pelvic floor's optimal position during lifting is crucial for preventing dysfunction and ensuring support during loaded activities.
  • Intentional cueing should be tailored to individual client needs, gradually shifting from tactile aids to verbal cues to enhance awareness without cognitive overload.

Deep dives

Understanding Pelvic Floor Strategies Under Load

The pelvic floor should ideally maintain a specific position during weightlifting activities to prevent unwanted leakage or discomfort. The concept of the 'A-frame' analogy is introduced, where the pelvic floor's position can be likened to three levels: the basement (relaxed), the first floor (tense), and the attic (squeezed). The desired outcome during lifting is for the pelvic floor to be positioned at either the first floor or the attic, which signals readiness and support. Maintaining this position is crucial in ensuring that pelvic floor dysfunctions do not occur while engaging in loaded movement.

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