epublishing store: Intro

Sexual Health eBook Volume4
Chapter 9

Physical Therapy and Sexual Health, Talli Y. Rosenbaum

Physical therapists are trained to provide treatment to restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of
patients suffering from injuries or disease (Bureau of Labor Statistics, U.S. Dept. of Labor, 2004). As community health professionals, physical therapists are involved in health and fitness education and promoting wellness. Sexual health is an integral component to overall wellness, and sexual activity a valued human activity. Physical therapists in various settings have an important role in promoting sexual health and treating dysfunction, through a specialized area called pelvic floor rehabilitation.

The pelvic floor muscles are the slinglike muscles that span across our bottom area and circle the pelvis. These muscles support the internal organs and promote bowel and bladder continence. Normal function of the pelvic floor musculature is essential in maintaining appropriate function of the pelvic organs, as well as optimal sexual functioning. This muscle group has a lifting action to aid in support and control, and relaxes and releases for voiding and sexual penetration. When the function of the pelvic floor is disrupted, due to weakness, known as hypotonus and/or excessive tightness, known as hypertonus, pain and sexual disorder may result. Physical therapy treatment offers a variety of direct and indirect interventions, utilizing manual techniques, exercises and equipment in the treatment of pelvic floor dysfunction, thereby enhancing sexual functioning. Physical therapists in a variety of rehabilitation settings may be involved in improving sexual health, as the pelvic floor is not the only area in the body that affects sexuality.

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