Improving the benefit of Kegel exercises
The FPT Feminine Personal Trainer and MPT Maximum Pelvic Trainer represent cutting edge technology for strengthening the muscle tone of the urogenital diaphragm. It provides a practical, less invasive and cost effective option for patients who need a reliable means for reconditioning the pelvic floor. The FPT and MPT are the ONLY products in the market that actually force pelvic floor muscles to “lift weight.” They provide both biofeedback and a reliable means of measuring progress.
For years gynecologist, urologist and other medical health professionals have prescribed gynetic exercise for overall better health. This type of isometric exercise – often referred to as the Kegel exercise – strengthens the pelvic floor muscles. But Kegel exercises take so long to see results it hardly seems they are working and most often a patient quits before seeing the results he or she desires. The Feminine Personal Trainer (FPT) and the Maximum Pelvic Trainer (MPT) enable patients to shorten this time frame for relief by improving the benefit of Kegel exercises.
Use of Kegel exercises to treat dysfunction
One of the key principles of therapeutic exercise for any muscle group is the overload principle. In order to see strength changes, a muscle group must be exercised at a level higher than its normal function. Muscles that are exercised under no load, even if they are exercised for hours upon end, increase little in strength. Conversely, muscles that contract at more than a 50% maximal contraction will develop strength rapidly, even if the contractions are performed only a few times every other day.
Strength improvements are generally governed by the intensity of the overload, the fundamental concept behind progressive resistive training. Simply put, progressive weight training results in strength increases with the addition of weight. Failure to incorporate progressive resistive training is the major drawback to using Kegel exercises to strengthen the pelvic floor. Kegel exercises are performed under no load, therefore requiring relatively long exercise sessions several times each day.
Another important exercise principle is specificity. Specificity refers to adaptations in the metabolic and physiologic systems of muscular tissue depending on the type of overload imposed. Specific exercises elicit specific adaptations creating specific training effects. Two very important requisites for an effective exercise program, then, is that it must target the correct muscles and that the targeted muscles are trained in a fashion consistent with their normal functional use.
The overload and specificity principles form the basic foundation for effective treatment through the use of the Feminine Personal Trainer (FPT) and the Maximum Pelvic Trainer (MPT).
Improve Kegel Exercises for Women with the FPT
The Feminine Personal Trainer (FPT) is designed specifically for women for their use in strengthening pelvic floor musculature and is the first product to apply the principles of resistive exercise for the pelvic floor muscles of women.
The FPT is an hourglass-shaped device made from surgical stainless steel that weighs 16 ounces. After insertion into the vagina, it is held in place by contracting the pelvic floor muscles, and the hourglass shape ensures automatic positioning so that the appropriate muscles are targeted. The weight of the FPT provides resistance as it is gently lifted with each contraction of the pelvic floor muscles, composed predominately of slow twitch fibers (type I). Sustained lifts will target these fibers, while quick flicks will target fast twitch fibers (type II) found predominately surrounding the sphincter.
The level of resistance is controlled by the subject’s body angle while exercising. By leaning backward while sitting, the resistance is reduced. As the patient’s sitting angle approaches 90 degrees, resistance is increased. By altering the sitting angle, progressive resistive exercises can be performed.
Unlike strengthening programs that use only traditional Kegel exercises, the FPT provides an overload to the pelvic floor muscles. It is only necessary to perform one-to-three sets with six-to-eight contraction repetitions every other day, as one would do with any weight lifting program. In addition, the FPT provides biofeedback for patients. As they feel the product move up and inward (as much as 1 ½ inches), they receive feedback that they are doing the exercises correctly. Strength gains can be monitored by assessing the increase in the time of a single sustained contraction and additionally by the increase in repetitions.
The FPT comes in three sizes. The Standard FPT weighs 450 grams; the diameter of the head is 1 5/8”. Patients may prefer the Small FPT or the Petite FPT, each weighing 340 grams. The Small FPT has a head diameter of 1 ½”, while the Petite FPT has a head diameter 1 1/8”.
Improve Kegel Exercises for men with the MPT
The Maximum Pelvic Trainer (MPT) is a groundbreaking product for strengthening the pelvic floor muscles for men. To receive the benefits of weight training, upward movement of the pelvic floor must be resisted by the weight. The upper end of the MPT is inserted into the anal canal. This is the only way to strengthen pelvic floor muscles of men with resistive exercises, whereas women may use eight the MPT or the FPT.
The MPT is used in a standing position and the resistance is increased by adding a series of weights to the end of the device. The progressive resistive program is begun by using the main unit without additional weight. This provides eight ounces of resistance. A patent-pending method of adding a series of weighted disks to the base of the MPT allows the patient four different weight levels. When a patient’s strength allows, weights are added up to a total unit weight of 16 ounces. Each level increases the weight by 25%.
Adding weight as strength progresses is the foundation for rapid strength gains and offers a customized program for each user. Patients are able to train and progress at their own pace and to reach maximal potential in minimal time.
Patients receive important biofeedback
The MPT offers vital biofeedback that involves sensory stimulation. When a contraction is performed, the MPT will move upward and inward as little as one-half inch and up to 2.5 inches. Movement of the MPT can be sensed by receptors in the anal mucosa as well as the surrounding muscle fibers. In addition, the patient can assess movement by hand contact. All of these sensory inputs provide much needed and important biofeedback for the user.
The exercise routine is designed to both strengthen and retrain. The combination of quick flicks and longer and sustained contractions should recruit all parts of the pelvic diaphragm. As with any resistive exercise program, the reversibility principle of exercise dictates that strength gains made will be quickly lost if the individual discontinues the exercise. However, once significant strength gains have been made, maintaining these gains should be accomplished with one or two exercise sessions per week provided that the intensity of the sessions remains constant.
Strength training for the pelvic floor is widely accepted by the medical professionals for treatment of:
- Urinary Incontinence
- Stress Incontinence
- Urge Incontinence
- Fecal Incontinence
- Overflow Incontinence
- Overactive bladder
- frequent urination
- Female Sexual Arousal Disorder
- Chronic Pelvic Pain
- Pre and Post Natal Care
- Pelvic Floor Rehabilitation
- Premature Ejaculation
- Male Menopause
- Erectile Dysfunction
- Colon, blader and prostate surgery recovery
- Post urinary drip
- Prostate Surgery Recovery
- Bladder Surgery Recovery
- Improving Pelvic Muscle Control
- Preparing for Pelvic Surgery
- Chronic Pelvic Pain
- Diabetic side effects
- Pelvic Trauma Recovery
- Childbirth Recovery
- Strength training could also be efficacious for low back pain.
The FPT and MPT may be used in conjunction with:
- Pelvic Surgery
- Electrical Stimulation
- Pharmaceutical Treatments
- Clinical Biofeedback
- Heat Therapy
- Soft Tissue Mobilization
- Relaxation Therapy
There’s a reason physicians and physical therapists are recommending resistive exercises with the FPT and MPT for thousands of patients with pelvic floor dysfunction–symptoms are relieved through non-surgical means and in a shorter time frame than traditional methods of treatment.
Would your patients benefit from Progressive Resistance training for their Pelvic Floor?
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