EXPLORING THE EXPERIENCES OF PHYSICAL THERAPISTS ON ASSESSMENT AND MANAGEMENT OF PELVIC FLOOR DISORDERS AMONG WOMEN IN REHABILITATION CENTERS IN METRO MANILA: A QUALITATIVE DESCRIPTIVE STUDY

Abstract

Introduction: The study aimed to explore Physical Therapists’ experiences in assessing and managing women with pelvic floor disorders from selected rehabilitation centers in Metro Manila. Methods: This qualitative descriptive study used purposive sampling to recruit Physical Therapists who have managed pelvic floor disorders and have at least two years of working experience in rehabilitation centers in Metro Manila. The researchers conducted in-depth, semi-structured individual interviews using an interview guide approved by a women’s health Physical Therapist. A pilot study, which identifies potential problems before the implementation, included one participant, while five were included in the main study. Finalized transcription underwent coding analysis using the Taguette online software. Results: Pelvic floor disorders are infrequently diagnosed as standalone conditions, often presenting as incidental findings and frequently co-occurring with other health issues, particularly postsurgical cases. Observational assessments, including urinary habits and internal examinations, play a role in diagnosis. Treatment strategies involve individualized exercise programs and interventions addressing pelvic floor weaknesses, including Kegel and core strengthening exercises. However, there are limited direct pelvic floor disorder referrals from physicians. Discussion: Pelvic floor rehabilitation in the Philippines is in its early stages, with ongoing efforts to establish guidelines, training, and seminars. The advancement of the practice will be beneficial in giving patients a thorough assessment and individualized treatment plan. The lack of knowledge about pelvic floor disorders and rehabilitation among patients or even healthcare professionals is one of the primary reasons why the practice is still uncommon. Patient hesitancy and stigma around pelvic floor disorder treatment pose challenges, as patients may not receive the help they need. To enhance the practice, increasing public awareness and professional training are vital. Moreover, the widespread use of social media can be done to obtain information about the practice and to educate the public about pelvic floor disorders.