The use of MSK ultrasound in pelvic floor rehabilitation
Biomechanical models, as well as neurophysiological and epidemiological studies state that the pelvic muscle group plays an important role in postural control of the lumbopelvic region. This commentary provides an overview of the current concepts and evidence related to rehabilitative ultrasound imaging of pelvic floor function.
MSK ultrasound can be used to assess the morphology of the pelvic floor muscles and associated structures. It also provides a means to measure the supporting function of the
pelvic floor muscles through the objective dynamic assessment of a voluntary pelvic
floor muscle contraction that results in elevation of the bladder neck or bladder
base, and the mobility of the bladder base and neck during maneuvers than increase
intra-abdominal pressure. MSK ultrasound has the advantage of provision
of real-time information, thereby providing instantaneous visual feedback to both
the client and therapist, and is more clinically accessible and affordable than MRI.
Literature indicates that the pelvic floor muscles play a role in both the continence mechanism as well as postural control of the lumbopelvic region and that there is an emerging need for physical therapists to have access to tools, such as MSK Ultrasound, capable of accurately evaluating the various aspects of their function.