Restoring Pelvic Strength: The Effectiveness of Physiotherapy-Based Pelvic Floor Muscle Training After Childbirth

Registration ID: IJNRD_328376

Published ID: IJNRD2609109

: https://doi.org/10.56975/ijnrd.v11i9.328376

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HARSHADA ASHOK PATIL, Srushti jalekar, DR SHASHWAT JOSHI

Postpartum pelvic floor dysfunction; Physiotherapy; Pelvic floor muscle training; Urinary incontinence; Pelvic rehabilitation; Biofeedback; Pelvic floor strengthening.  

Abstract Background: Postpartum pelvic floor dysfunction is a common concern that may lead to urinary incontinence, pelvic pain, muscle weakness, impaired coordination, and bowel dysfunction. Physiotherapy plays an important role in preventing and managing these problems through pelvic floor muscle training and adjunctive rehabilitation techniques. This narrative review summarizes recent evidence on physiotherapy-based interventions for postpartum pelvic floor dysfunction. Methodology: A narrative review was conducted using seven randomized controlled trials evaluating physiotherapy and rehabilitation interventions for postpartum pelvic floor dysfunction. The included studies investigated pelvic floor muscle training, pelvic girdle and hip muscle strengthening, biofeedback electrical stimulation, virtual reality-assisted rehabilitation, relaxation training, acupoint application, acupuncture, and transcutaneous tibial nerve stimulation. Outcomes included pelvic floor muscle strength and activity, urinary leakage, pelvic pain, bowel symptoms, sexual function, quality of life, and pelvic floor muscle coordination. Results: Overall, the reviewed studies demonstrated beneficial effects of physiotherapy-based interventions on postpartum pelvic floor function. Pelvic floor workout during pregnancy reduced the incidence of postpartum stress urinary incontinence and improved muscle strength. Combined interventions such as pelvic floor muscle training with biofeedback electrical stimulation and hip muscle strengthening produced greater improvements in urinary continence and pelvic floor strength than conventional rehabilitation alone. Multimodal approaches incorporating acupuncture and electrical stimulation showed additional benefits for urinary and sexual function. Relaxation training was particularly effective in women with increased pelvic floor muscle tone, while transcutaneous tibial nerve stimulation improved symptoms associated with pelvic floor dyssynergic defecation. Virtual reality provided some improvement in pelvic floor muscle coordination, although its additional effect on pain and muscle structural characteristics was limited. Conclusion: Physiotherapy is an important component of postpartum pelvic floor rehabilitation, with evidence supporting both preventive and therapeutic approaches. Pelvic floor muscle training remains a key intervention, while strengthening, biofeedback, electrical stimulation, relaxation, and neuromodulation may provide additional benefits according to individual clinical needs. A personalized and multimodal physiotherapy approach may improve functional recovery and quality of life following childbirth.

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HARSHADA ASHOK PATIL, Srushti jalekar, & DR SHASHWAT JOSHI (September-2026). Restoring Pelvic Strength: The Effectiveness of Physiotherapy-Based Pelvic Floor Muscle Training After Childbirth . INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 11(9), b68-b80. https://doi.org/10.56975/ijnrd.v11i9.328376

Volume 11 Issue 9, September-2026

Pages : b68-b80

Paper Reg. ID: IJNRD_328376

Published Paper Id: IJNRD2609109

Research Area: Social Science All

Author Type: Indian Author

Country: PALGHAR, MAHARASTRA, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2609109.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2609109

Crossref DOI: https://doi.org/10.56975/ijnrd.v11i9.328376

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

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