Kegel exercises enhanced by biofeedback

New motor learning is dependent on sensory feedback, both visual and kinesthetic. Many factors may function to offset the effectiveness of Kegel exercises. These factors include (1) faulty feedback generated by substituting muscles, (2) insufficient kinesthetic feedback produced by the low intensity contraction of the weakened pelvic floor, and (3) absent or impaired sensation that limits the sensory cues that normally trigger a motor response or reflex that prevents incontinence. Because biofeedback can compensate for the loss of sensation, its comprehensive application can be an invaluable tool in the retraining of bowel and bladder control, especially where function is lost through trauma, neurologic injury or long term disuse/misuse. As such, biofeedback can enhance the many behavioral interventions developed to decrease incontinence, including Kegel exercises.