The 5Fs concept for pelvic floor disfunctions

What Will I Learn?
  • Understand the significance and structure of the 5Fs concept as an innovative and efficient physiotherapeutic training programme for pelvic floor dysfunctions
  • Discuss and understand the level of evidence for the 5Fs concept 3. Discuss and understand the role of clinical practice, based on the 5Fs concept to treat pelvic floor dysfunctions

Curriculum for this course
00:56:18 Hours
  • The 5Fs concept for pelvic floor disfunctions 00:25:00
  • The Knack and Pre contraction in Female Urinary Incontinence 00:10:00
  • Types of female urinary incontinence 00:21:18
  • The 5Fs concept - Webinar pdf
  • Pelvic Floor Muscle Contraction During a Cough and Decreased Vesical Neck Mobility JANIS M. MILLER, PhD, DANIELE PERUCCHINI, MD, LISA T. CARCHIDI, MSN, JOHN O. L. DELANCEY, MD, and JAMES ASHTON-MILLER
  • Pelvic Floor Muscle Training: What is important? A Mini-Review. Bary Berghmans
  • Physiotherapy assessment for female urinary incontinence B. Berghmans, M. R. Seleme and A. T. M. Bernards
  • Physiotherapy Assessment to Identify the ‘5 Fs’: A Concept of Innovative Pelvic Floor Training Bary Berghmans
  • The ‘5 F’s Concept for Pelvic Floor Muscle Training: From Finding the Pelvic Floor to Functional Use. Bary Berghmans, Maura Seleme
  • Suggested level: advanced
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To ensure an adequate sequence in pelvic floor muscle training the concept of the 5 Fs, i.e., Find-Feel-Force-Follow-through-Functional training of pelvic floor muscles was introduced by Bary Berghmans, PhD MSc RPT, associate profesor. Awareness (Find and Feel) of the different muscles involved in maintaining continence is necessary to be sure of avoidance of co-contractions of surrounding muscles (abdominals, buttocks, thighs and back) and activation of the relevant muscles. Sometimes, when patients find and use the relevant muscles at the appropriate time, symptoms can reduce at once. Basic physiological muscle training principles teach us that pelvic floor muscle exercise programs must consist of selective MAXIMAL voluntary contractions with a repetitive character (Force) and sufficient time of relaxation between consecutive pelvic floor muscle contractions. The principles Maintenance and Reversibility (follow-trough) alert the patient to train regularly, sometimes lifelong, but the challenge for the pelvic physiotherapist is to incorporate functional training in such a way that patients will experience progress of their symptoms as soon as possible.

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