National Physical Therapy Examination (NPTE) Practice Exam

What position is considered gravity-assisted for a pelvic floor strengthening program?

1. Trendelenburg

2. Sitting

3. Quadruped

4. Standing

The correct answer is: Trendelenburg

In the context of pelvic floor strengthening, a gravity-assisted position is one where the effects of gravity are minimized, allowing the pelvic floor muscles to engage more effectively without excessive resistance. The Trendelenburg position, where the body is tilted so that the head is lower than the feet, is particularly beneficial as it helps to shift the pelvic organs closer to the diaphragm and allows for a more effective contraction of the pelvic floor muscles. This position encourages better alignment and stabilization of the pelvis and can support proper muscle activation during strengthening exercises. It can also enhance blood flow to the pelvic area, which is advantageous for muscle function and recovery. While other positions like sitting, quadruped, or standing can be useful for pelvic floor exercises, they do not offer the same level of gravity assistance that the Trendelenburg position provides. In sitting and standing, gravity plays a more significant role in resisting movement, potentially making it more challenging to isolate and strengthen the pelvic floor muscles effectively. Quadruped offers some benefits but doesn't facilitate the same advantages in gravitational assistance as Trendelenburg.