TELEREHABILITATION IN PELVIC HEALTH: A MULTIDISCIPLINARY PERSPECTIVE

Abstract

Perimenopause is a transitional phase in a woman’s life marked by hormonal fluctuations and a gradual decline in estrogen levels, leading to significant changes in musculoskeletal and urogenital health. Pelvic floor dysfunction is highly prevalent during this stage and adversely affects physical function, psychosocial well-being, and overall quality of life. Estrogen deficiency contributes to reduced pelvic floor muscle strength, impaired connective tissue integrity, and altered neuromuscular control. Pelvic floor muscle training (PFMT) is an established first-line conservative intervention; however, accessibility and adherence remain major challenges. Telerehabilitation has emerged as a novel physiotherapy delivery model, enabling remote supervision, education, and monitoring of PFMT through digital platforms. This chapter provides a comprehensive overview of telerehabilitation-based PFMT in perimenopausal women, emphasizing the interaction between estrogen status, pelvic floor muscle function, and quality of life. Current evidence is synthesized to highlight clinical effectiveness, feasibility, challenges, and future directions for integrating telerehabilitation into women’s pelvic health physiotherapy practice.