Physical Therapy Assistant Practice Exam

In the treatment of a patient with incontinence, what is the most appropriate position to initiate pelvic floor muscle strengthening?

1. Supine

2. Sitting

3. Standing

4. Prone

The correct answer is: Supine

The most appropriate position to initiate pelvic floor muscle strengthening is supine because this position allows for optimal relaxation and engagement of the pelvic floor muscles. When lying on their back, patients can more easily focus on their breathing and body awareness, which are vital for correctly identifying and activating the pelvic floor muscles. This position also reduces the influence of gravity, making it easier for patients to contract the pelvic floor without the added challenge of maintaining balance or stability, which can be more demanding in other positions. Additionally, when starting pelvic floor exercises, ensuring patient comfort and security is fundamental, and the supine position provides a stable surface that can help to build confidence in their ability to engage these muscles effectively. Once a patient becomes proficient in this position, they can advance to other positions, such as sitting or standing, to further challenge their strength and coordination in different contexts.