Kegel
exercises were developed by Arnold Kegel
MD, a surgeon, in the 1940's as a treatment for
stress urinary incontinence by strengthening the
pelvic muscles. The
muscles which support the pelvic floor are the urethra,
bladder, uterus and rectum.
By 1950 Kegel was reporting a 93% success rate for
incontinence treatment.
The most common way that instruction in Kegel exercises
is carried out is as an isometric contraction in
which the bulbacavernosus muscle is contracted and
held contracted for about 6 seconds. Then it is
relaxed and another contraction is begun. Doing
5 contractions a minute.
The main problem has been that in order to be effective,
the right muscle has to be contracted and about
50% of women cannot identify and isolate the correct
muscle with just verbal instructions, this can be
improved if a doctor gives instruction. In order
to realise the maximum benefit from these exercises,
it is very important that you perform them correctly.
Repeated series of contractions should be performed
every day, but the total number of contractions
varies between studies. High Intencity pelvic floor
exercises can be carried out as well as low intensity.
Attending a weekly instruction group could benefit
the speed at which you respond to the exercises
due to the fact that you are being monitored to
see that you are carrying out the exercises correctly.
Pelvic
floor exercises can help with stress
or mild incontinence.