Pelvic Floor Function
Definition
The coordinated activity of the muscles forming the base of the pelvis (levator ani, coccygeus, associated fascia). The pelvic floor works in concert with the diaphragm, transversus abdominis, and multifidus to create intra-abdominal pressure for trunk stability. Dysfunction can manifest as weakness (incontinence, prolapse) or hypertonic patterns (pelvic pain, constipation).
Clinical Significance
Pelvic floor function is inseparable from respiratory and postural mechanics. When the diaphragm descends during inhalation, the pelvic floor should eccentrically lengthen. When the rib cage is stuck in flare (poor ZOA), the diaphragm cannot descend properly, and pelvic floor coordination is disrupted. This is why postpartum pelvic floor rehabilitation often needs to include rib cage and breathing work. Assessment of pelvic position and breathing pattern gives indirect information about pelvic floor loading.
How AKMI Assesses This
AKMI does not perform direct pelvic floor assessment (that is a clinical specialty). The assessment evaluates the structural factors that influence pelvic floor function: pelvic tilt, rib cage position, breathing pattern, and intra-abdominal pressure strategy during functional movements. When direct pelvic floor evaluation is indicated, referral to a pelvic floor specialist is recommended.
Get your pelvis assessed
A biomechanical assessment measures pelvic floor function and its relationship to the rest of your structural chain. 18 tests, objective data, personalized programming.