Redefining Recovery: Integrating Pelvic Health and Neurologic Physical Therapy
As an Asian American woman, I’ve always been aware of how culture, stigma, and representation shape our understanding of healthcare. Growing up, I noticed how sensitive topics, especially those related to pelvic health, were rarely discussed. Conditions like incontinence and pelvic pain were often brushed aside as “normal” parts of life after motherhood or aging. What struck me the most was how many people accepted these challenges in silence, unaware of the solutions available.
This silence is even louder in minority communities, where stigma and cultural taboos discourage conversations about pelvic health. Many individuals feel embarrassed or ashamed to seek care, and even when they do, systemic barriers or a lack of representation in healthcare make them feel unseen. This realization ignited my passion not only to become a skilled physical therapist but also an advocate for underrepresented voices in healthcare.
During my time in physical therapy school, I actively sought opportunities to deepen my knowledge in pelvic health. My first hands-on experience came through volunteering at my university’s pro bono clinic, where I worked with patients experiencing pelvic incontinence and dysfunction. This experience taught me not just the technical aspects of care but the critical importance of empathy, active listening, and communication when addressing sensitive health issues.
To further my training, I completed a Pelvic Health Level 1 course and arranged for my final clinical rotation to be in an outpatient pelvic health setting. These experiences reinforced my belief in the transformative power of pelvic health therapy—not just for physical recovery but for emotional and mental well-being. Watching patients regain confidence and independence deepened my commitment to this field. My academic presentations further explored pelvic health, including topics like vestibulodynia and predicting outcomes for stress incontinence after physical therapy through evidence-based research.
Simultaneously, I developed a strong interest in neurorehabilitation. Through my volunteer work with the Neuro Wellness Group Classes, I had the privilege of supporting patients recovering from stroke, ataxia, cerebral palsy, and Parkinson’s disease. These sessions allowed me to witness firsthand the challenges people face when recovering mobility and independence. My clinical rotation in outpatient neurologic physical therapy extended this learning, where I worked with patients recovering from stroke, spinal cord injuries, and traumatic brain injuries.
What stood out most was the overlap between pelvic health and neurology. Many of my neurologic patients also experienced pelvic dysfunctions like incontinence, but these concerns were rarely addressed in their care plans. Patients often assumed incontinence was just a “normal” part of their condition, something they had to live with. This left me wondering: why aren’t pelvic health issues routinely included in neurologic rehabilitation?
This question led me to explore the intersection of pelvic health and neurorehabilitation. A 2016 study by Shin et al. investigated the effects of pelvic floor muscle training (PFMT) on urinary incontinence in female stroke patients. The findings were clear: PFMT significantly improved urinary incontinence, functional outcomes, and quality of life. These results reinforced what I had seen in my own clinical experience—addressing pelvic health in neurologic patients is not just an optional addition; it’s a critical component of recovery. For stroke survivors, regaining continence can restore a sense of independence and dignity that’s just as important as improving mobility.
This understanding has shaped my vision as a future physical therapist. I am committed to bridging the gap between pelvic health and neurorehabilitation, integrating these two fields to offer more holistic care. By addressing both, we can provide treatment plans that truly focus on the whole person, enhancing both physical recovery and emotional well-being.
As an advocate for minority communities, I am driven to ensure underrepresented populations feel empowered to seek care. Stigma, cultural taboos, and systemic barriers should never prevent someone from accessing treatment that can improve their quality of life. My goal is to break down these barriers and create safe, inclusive spaces for all patients, particularly those whose voices have been historically marginalized.
This scholarship enables me to make a pivotal step toward achieving these goals. With the support of the 2024 Student (SPT) Scholarship from the Academy of Pelvic Health Physical Therapy, I can continue my education through the Academy’s CAPP-Pelvic courses. These courses will equip me with the advanced skills and knowledge I need to address pelvic health conditions in complex patient populations, including those with neurologic impairments.
Looking ahead, I’m determined to continue integrating pelvic health and neurorehabilitation into my practice. I know this approach can make a real difference in the lives of patients, helping them achieve better outcomes and regain their independence. As I move forward in my career, my mission is to treat the whole person and to advocate for patients whose needs often go unaddressed. I’m excited to continue this journey and to be part of a profession that values comprehensive, compassionate care for all.
Author: Kandyce Nguyen, SPT, 2024 CAPP Scholarship Recipient
Author Bio: Kandyce is a third year physical therapy student at the University of Florida. She has a background as a Strength Coach and Performance Enhancement Specialist, training athletes of all ages and tactical athletes. Outside of classes, she enjoys powerlifting, painting, and exploring different ethnic cuisines. She is passionate about advocating for equitable access to healthcare resources, women's health, and gender inclusivity in healthcare.
