Case ReviewCueingPerineal scarRelaxation

Verbal Cues for Pelvic Floor Relaxation : What Clinicians Actually Use

Journal of Women's Health
Dated 18-02-2026
Author: Dr. Amanda Olson, DPT, PRPC President & Chief Clinical Officer
Verbal Cues for Pelvic Floor Relaxation: What Clinicians Actually Use
A qualitative study in the Journal of Women's & Pelvic Health Physical Therapy examined verbal cues clinicians use to promote pelvic floor relaxation in patients with urinary incontinence and non-neurogenic hypertonicity.

What the Research Shows

One hundred five licensed therapists with pelvic health training completed a survey identifying their most used and effective relaxation cues during PFMT.

Four primary cueing themes emerged:
• Imaginative or metaphorical language
• Breathing-based cues
• Directional instructions
• Direct commands to relax or lengthen


💡 What This Means for Clinical Care

Effective verbal cueing is essential for addressing non-neurogenic pelvic floor hypertonicity.

• Clinicians use multimodal cueing rather than single strategies.

• Individualized cueing may optimize rehabilitation outcomes.

• Future research should incorporate patient perspectives on cue effectiveness.


The Power of Language

This study validates diverse cueing strategies in practice and supports developing best practices for verbal instruction. The right cue can unlock neuromuscular change.

 

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About Dr. Amanda Olson, DPT, PRPC

Dr. Amanda Olson brings both clinical expertise and lived experience to pelvic health. Following a significant coccyx and pelvic floor injury, her recovery through comprehensive pelvic physical therapy shaped her clinical approach. She subsequently transitioned from pediatrics to specialize in pelvic health. Her work now informs the development and education behind Intimate Rose.

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