Traditional Kegel Exercises Are
Not Enough
The traditional kegel exercise is
a muscle squeeze of the pelvic floor muscles. Unfortunately, it is
what most doctors tell their patients to do and it is ineffective and
can even make things worse since many women squeeze the abdominal
muscles instead.
The following is an introduction
from an interesting article by Dr. John Perry. He briefly
describes the original invention of Dr. Arnold Kegel and how today a
"kegel exercise" is a far cry from what Dr. Kegel actually did
to help his patients. The KegelMaster 2000 is a type of biofeedback
device as is mentioned below, since the user can feel and see the device
close during each contraction. Beyond that, the KegelMaster 2000
is the only device that enables you to gradually increase the resistance
over time so that you know your muscles are growing stronger and more
tone.
You can use the following link if you would like
to read the rest of this article and learn more. (http://www.incontinet.com/articles/art_urin/20yearbf.htm).
Historical Perspective - The Work of Arnold
Kegel, MD
The entire field of pelvic muscle rehabilitation in the
treatment of urinary incontinence has its origins in the work of a
single physician, Dr. Arnold Kegel, a Obstetrician/
Gynecologist who practiced in the Los Angeles area starting in the
1940s. But Kegel did NOT invent the idea of using pelvic muscle
exercises to cure urinary incontinence; that had already been suggested
by Dr. Joshua Davies of New York City in 1932. Kegel's contribution was
the invention of the world's first "biofeedback" device, about
1947.
His invention, the Kegel Perineometer
(para-knee-om'-iter), consisted of an vaginal air-pressure cone or
chamber connected by an air tube to an air-pressure gauge whose dial was
calibrated in millimeters of mercury. The device enabled a woman (and
her doctor-guide) to observe the strength and duration of her pelvic
muscle contractions in order to learn truly effective exercise. (For a
picture of the device, see Fig. 2 in the essay "On Sensor
Size".) Over his career Kegel claimed to be successful in
eliminating incontinence in 93% of some 3,000 patients. All of his
patients used his biofeedback device on a twice or thrice-daily basis.
Over the years Kegel's exercises were
described in nursing articles and passed down by word of mouth, but his
perineometer device was never marketed effectively and his widow finally
stopped selling them in 1979. Unfortunately, the success rate without
biofeedback for so-called Kegel Exercises alone (or mere "verbal
instruction alone") is only about 50% reduction in symptoms
(leaks), and only mild and moderate cases can be helped at all without
biofeedback. The history of this appropriation of his method without his
device is described in an essay The Bastardization of Dr. Kegel's
Exercises, by John Perry and Lesley Hullett (now Perry).
![[Patient using guaze to hold Kegel device in place]](kegelf19.gif)
Dr. Kegel's original Kegel Perineometer fron the 1940s.
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