Fitness for the Pelvic Floor.

Carriere B. New York, NY 10001, Thieme, 2002, paperback, 106 pp, illus, ISBN: 1-58890-090-8, $35.

This book gives practical exercise ideas for the treatment of the pelvic floor muscles. It is written for both the physical therapist and the patient. The text is very straightforward, and uses simple, basic terminology. In addition, references are provided for the physical therapist who wishes to further review the literature on anatomy, function, and treatment ideas; however, these references do not provide evidence of functional outcomes for these exercises.

The book is divided into 12 chapters. The first 5 chapters include a brief overview of anatomy and the important functions of the pelvic floor. Chapters 6 through 9 describe practical ways to teach clients awareness of the pelvic floor and proper performance of a muscle contraction. Chapters 10 and 11 provide specific exercises for functional training. Colorful illustrations provide the reader with a better understanding of the exercises. Examples of patient cases, which describe signs and symptoms and treatment benefits, can be found throughout the text. Chapter 12 concludes with a description of 10 muscles associated with the pelvic floor that may require stretching. Suggestions for stretching techniques also are described. An appendix with sample forms for examination of the patient with pelvic floor dysfunction is included.

This text clearly describes ways to enhance pelvic floor performance. The reference list, however, does not provide evidence for enhanced performance. The book emphasizes key components to training the pelvic floor muscles, and it stresses the importance of breathing exercises and transverse abdominus muscle training in conjunction with pelvic floor training.

Chapter 11 covers the use of the Swiss ball in functional training, which can provide an interesting alternative mode for exercising. The author also discusses treatment ideas and exercises for specific pelvic floor dysfunctions, including prolapsed uterus, prostate surgery, incontinence, and trauma in chapter 10. The author, however, does not cite peer-reviewed research to support the effectiveness of these exercises; in fact, most of the references in these chapters are to unpublished presentations or symposiums.

Despite the lack of evidence provided to support the effectiveness of these exercises, portions of this text could be used as a patient education guide.

Carolyn Galleher, PT, MHS
Gannon University
Erie, Pa

Ms Galleher is Assistant Professor in the
Department of Physical Therapy. She is a
primary instructor in the musculoskeletal
courses.