Copyright © 2019 Section on Women’s Health, American Physical Therapy Association. Unauthorized reproduction of this article is prohibited. 44 © 2019 Section on Women’s Health, American Physical Therapy Association Volume฀43฀•฀Number฀1฀•฀January/March฀2019 Case Report ABSTRACT Background:฀฀ Pelvic฀fl฀oor฀dysfunctions฀(PFD)฀affect฀women,฀ men,฀ and฀ children฀ globally.฀ While฀ physical฀ therapy฀ (PT)฀ has฀ been฀ shown฀ to฀ improve฀ PFDs,฀ overall฀ access฀ to฀ PT฀ is฀limited฀because฀of฀provider฀shortage฀and฀expertise.฀We฀ hypothesize฀ telerehabilitation฀ (TR)฀ is฀ a฀ novel฀ approach฀ to฀ address฀access฀and฀expertise฀care฀for฀PFD.฀ Study Design:฀฀ Case฀series.฀ Case Descriptions:฀฀ Three฀ pelvic฀ health฀ patients฀ (1฀ male฀ and฀2฀females)฀volunteered฀to฀receive฀initial฀and฀follow-up฀ care฀ via฀ TR.฀ The฀ male฀ patient฀ was฀ treated฀ for฀ premature฀ ejaculation,฀ and฀ the฀ female฀ patients฀ were฀ seen฀ for฀ post- partum฀recovery,฀stress฀urinary฀incontinence,฀and฀diastasis฀ recti.฀A฀total฀of฀9฀visits฀were฀completed.฀ Outcomes:฀฀ Using฀ a฀ HIPAA-compliant,฀ cloud-based,฀ syn- chronous฀ mobile฀ app,฀ a฀ 14-question฀ survey,฀ and฀ the฀ Premature฀Ejaculation฀Diagnostic฀Tool฀(for฀the฀male฀health฀ participant),฀ participants฀ rated฀ their฀ experience฀ with฀ TR.฀ INTRODUCTION Pelvic floor dysfunctions (PFDs) affect women, men, and children globally. Urinary incontinence alone affects 200 million people worldwide. 1 Almost 25% of women in the United States have at least one kind of PFD, includ- ing urinary incontinence, fecal incontinence, and pelvic organ prolapse. 2 Evidence indicates that the growth of PFD will significantly outpace the growth of the American population. 3 According to the US National Health and Nutrition Examination Survey (NHANES), the proportion of women experiencing at least one PFD increases with age, from 39% of women aged 60 to 79 years to 50% of women 80 years or older. 4 Men demonstrate similar age-related trends, with 4.4% prevalence of urinary incontinence between 19 and 44 years of age, increasing to 11.2% at 45 to 64 years of age, and peaking at 21.2% to 32.2% at older than 65 years. 5 By school age, 10% of children are unable to con- trol urination during the day and at night. Furthermore, children of parents with a history of nocturnal enuresis (bed-wetting) have a 70% chance of bed-wetting. 6 Physical therapy (PT) is a successful treatment option for PFDs and is considered a mainstay in the care for incontinence and other lower urinary tract symptoms. 7–9 Whether combined or used alone, pel- vic floor muscle training (PFMT) has been shown to 1 Notre Dame de Namur University, Belmont, California. 2 University of Pacific, Stockton, California. 3 Mount Saint Mary’s University, Los Angeles, California. Conflict of Interest: Jennifer Kinder, PT, DPTSc, MS, is a member of the Women’s Health Section and of the Frontiers in Rehabilitation Science and Technology (FiRST) Council at American Physical Therapy Association. Dr Kinder is the Chief Pelvic Health Advisor for BlueJay Health. Todd Davenport, PT, DPT, MPH, OCS, is a member of the Frontiers in Rehabilitation Science and Technology (FiRST) Council at American Physical Therapy Association. Dr Davenport is the Chief Research and Academic Advisor for BlueJay Health. Alan Chong W. Lee, PT, PhD, DPT, CWS, GCS, serves as the lead telehealth coordinator for Frontiers in Rehabilitation Science and Technology (FiRST) Council at American Physical Therapy Association and Vice Chair of Technology Special Interest Group for Health Policy and Administration. Dr Lee is a telehealth consultant for BlueJay Health. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are pro- vided in the HTML and PDF versions of this article on the journal’s Web site (http://journals.lww.com/jwhpt). DOI: 10.1097/JWH.0000000000000120 Telerehabilitation for Treating Pelvic Floor Dysfunction: A Case Series of 3 Patients’ Experiences Jennifer Kinder, PT, DPTSc, MS 1 Todd Davenport, PT, DPT, MPH, OCS 2 Alan Chong W. Lee, PT, PhD, DPT, CWS, GCS 3 The฀ 3฀ participants฀ rated฀ the฀ TR฀ system฀ as฀ high฀ quality฀ (2/3)฀ and฀ very฀ high฀ quality฀ (1/3).฀ Using฀ a฀ mobile฀ phone฀ was฀the฀preferred฀digital฀device฀(2/3)฀compared฀with฀laptop฀ use.฀ All฀ 3฀ participants฀ felt฀ their฀ needs฀ were฀ met฀ and฀ that฀ they฀received฀good฀care฀during฀the฀session.฀ Summary:฀฀ Telerehabilitation฀ has฀ the฀ potential฀ to฀ deliver฀ quality฀care฀with฀improved฀access฀for฀patients฀with฀PFD฀for฀ both฀initial฀and฀follow-up฀visits.฀This฀case฀series฀presents฀3฀ patients’฀perceptions฀of฀using฀TR฀for฀pelvic฀health฀PT฀care.฀ Key Words: ฀ men’s฀health฀ ,฀฀ pelvic฀health฀ ,฀฀ postpartum฀physi- cal฀ therapy฀ ,฀ ฀ premature฀ ejaculation฀ ,฀ ฀ telehealth฀ ,฀ ฀ women’s฀ health฀