Assessment of Pelvic Floor Muscle

1. Assessmentof PelvicFloor
Muscle

2. pelvic floor muscles
• the pelvic floor is a group of muscles that stretch like a
hammock from the pubic bone at the front, to the coccyx
(tailbone) at the back and from one ischial tuberosity (sitting
bone) to the other (side to side).

4. Functions of pelvic floormuscle
 Support bladder, vagina, uterus and rectum.
 Assist in the process of childbirth and rotation of the
presenting part through the mechanism of labour.

5. Implementation
• Ask client to empty bladder .
• Inspect vulva, examining external genitalia for any conditions that might
require further investigation. Observe vulva, vaginal introitus, perineum
and anus for any abnormality ( While looking, ask client to cough, and
check for any bulging or leakage of urine.
• Observe for any abnormalities
• Separate the labia with two fingers of one hand using a small amount of
water-based lubricant.
• gently insert the two fingers of the other hand into the vagina

6. Continue
• Separate the two fingers inside the vagina in a scissor fashion,
side to side and top to bottom.
• With fingers held apart, ask the client to contract her pelvic
floor muscles to try to squeeze your two fingers together and
to hold the contraction.
• Instruct the client to relax and then repeat the exercise
• Grade pelvic floor muscle tone according to the pelvic floor
muscle scoring system( Modified Oxford scale ).
• Remove fingers, remove and dispose of gloves and wash
hands.

9. Post-care & documentation
• Upon completion of your examination, offer the client a tissue to wipe the
vulva.
• Write observationin notes.
• Discuss finding with client when client is dressed and seated.
• Clients whose pelvic floor muscle tone is graded as 4-5 should
be encouraged to continue regular pelvic floor muscle
exercises.
• Clients whose pelvic floor muscle tone is graded as 3 should be given
an exercise regime and an appointment made for reassessment.
• Clients whose pelvic floor muscle tone is graded as 0-2 should be
referred for further assessment.
• Provide clients with appropriate written information on pelvic floor
exercises and healthy bladder habit

10. Pelvic floor muscle exercise:

11. Pelvic floor muscle exercise: