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The Paula Method is a proposed alternative to Kegel exercises. [1] The idea is that by strengthening one's sphincter muscles (eye muscle: orbicularis oculi and mouth muscle: orbicularis oris), the contractions would also strengthen the sphincter muscles in the pelvic floor. [1] Evidence to support its use is lacking. [1]
Kegel exercise, also known as pelvic floor exercise, involves repeatedly contracting and relaxing the muscles that form part of the pelvic floor, now sometimes colloquially referred to as the "Kegel muscles". The exercise can be performed many times a day, for several minutes at a time but takes one to three months to begin to have an effect.
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The muscle helps maintain continence of urine along with the internal urethral sphincter which is under control of the autonomic nervous system.The external sphincter muscle prevents urine leakage as the muscle is tonically contracted via somatic fibers that originate in Onuf's nucleus and pass through sacral spinal nerves S2-S4 then the pudendal nerve to synapse on the muscle.
In males, the internal urethral sphincter has the additional function of preventing the flow of semen into the male bladder during ejaculation. [3] Females do have a more elaborate external sphincter muscle than males as it is made up of three parts: the sphincter urethrae, the urethrovaginal muscle, and the compressor urethrae.
The Callanetics exercise programme was created by Callan Pinckney in the early 1980s. It is a system of exercise involving frequent repetition of small muscular movements and squeezes, designed to improve muscle tone. [1] The programme was developed by Pinckney from classical ballet exercises, to help ease a back problem that she was born with.
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