04 Oct Ultrasound course – National Maternity Hospital Holles St.
Pelvic Floor Muscles Ultrasound Course
28th July EVB Sport attended The Real Time Ultrasound Course in Holles St National Maternity Hospital run by Absolute Physio and Norso Medical. The course was an introductory course for Physiotherapists using Real Time Ultrasound in pelvic Health.
Pelvic Floor Strength
Over 25 Physiotherapists from all over Ireland and the UK attended and the session was very interactive. We got an opportunity to use the ultrasound in groups .There is nothing like getting hands on training to learn about your own pelvic floor strength, check bladder volume storage/emptying capacity and assess the function of your transverse abdominal muscles. Being able to visualise the pelvic floor contracting and relaxing and checking the width ( and function) of Linea Alba in our view is a game changer in terms of arming yourself with knowledge about your core and what would need to be done if anything to keep it strong.
We learned so much on the day and hungry for more information , we booked a private consultation with Grainne in her office in Enniskillen . I was keen to see the differences between a mid 40’s mum of 3 and a 30 year old athletic woman with no children. So I roped Emma Jane here in the office along with me. As a personal trainer having completed pre and post natal certificates in personal training this was of huge interest to Emma Jane and an extension of her course work to date.
It was brilliant to see that I was contracting and releasing pelvic floor muscles correctly and and that the width of my Linea Alba was only 1.7cm which is completely within normal range. This measurement is relevant if you have a Diastasis recti = a separation or gap between the rectus abdominis muscles of 2 or more finger spaces or a distance of approximately 2.5 cm . To check the grade strength of my pelvic floor Grainne carried out an internal examination and this grade varies from 1 – 5. 5 being the strongest.
Again I was delighted to hear I had a grade 4 strength. In 2019 I plan to join Team Carrie for 10 year reunion of our first marathon so knowing this information, I will book another consultation with Grainne once training begins and then as the miles intensify. I want to maintain this grade during the training and I know working closely with Grainne will help keep me in good shape.
Hyper tonic pelvic floor
Emma Jane had a Linea Alba width of less than 0.8cm. and her pelvic floor contraction was in super shape. I could really see the difference between both our contractions. Emma Jane like so many young athletic women has a hyper tonic pelvic floor and is a holder. Emma Jane’s therapy will include learning to relax the muscles. We learned that being able to relax and let go of a pelvic floor contraction is just as important as being able to tense and contract it.
Emma Jane’s Ultrasound: Hyper tonic
Yvonne’s Ultrasound. Grainne showing how ‘The Knack’ is done.
We are hearing on a regular basis that the prevalence of prolapse and pelvic problems are on the increase especially amongst younger women. We know that approximately 8 out of 10 women are not doing their pelvic floor exercise correctly. Perhaps you are like Emma Jane and you need to learn to relax your pelvic floor muscles or you are like me and need to really work hard to contract (like a workout) to maintain the strength. You won’t know if you don’t ask!
There are many amazing women’s health physiotherapists around the world ready to help. Contact us and we can connect you with some of the best.