I'm always stressing the central role of the nervous system in the functioning of our bladders and pelvic floors.

Eric Franklin, PT: "In the opening stages of training, the building up of strength is almost wholly neurogenic. An actual change in muscle substance is called a myogenic change, and this only happens after a relatively long period of training."

Janet Hulme, PT: "Even muscles you are not aware of being able to control, like the bladder, are affected when you change muscles you can control."

Diane Lee, PT: "Exercises for PFM are not intended to improve strength! Coordination and endurance is key!!!"

Dumoulin & Hay-Smith (2010) found in randomized trials "support for the widespread recommendation that PFMT be included in first-line conservative management programmes for women with stress, urge, or mixed, urinary incontinence." as compared to no treatment, sham treatment and placebo.

Neuromuscular coordination is the goal of pelvic floor or pelvi core rehabilitation.