Pelvic PT Rising

The Pelvic Floor is a Trampoline, Not a Biceps - A Better Analogy


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🚨 Are we still using the biceps analogy for the pelvic floor? It’s time for an upgrade.

When explaining pelvic floor strength, many of us were taught to compare it to a bicep—contracting, strengthening, and controlling movement in a straightforward way. But this analogy doesn’t quite capture the full picture.

This is one of our favorite episodes from the past 500+ we’ve recorded! While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the podcast over the years.

Instead, I teach the trampoline analogy in my Essential Pelvic Strengthening: Not Your Mama’s Kegels course.

Here’s why it works better:
✅ Explains resting tone – The pelvic floor isn’t just about contraction; it has a natural resting position.
✅ Shows how surrounding structures matter – Just like a trampoline depends on its frame, the pelvic floor is influenced by the core, glutes, and breath.
✅ Highlights involuntary movement – The pelvic floor reacts automatically to forces like pressure and movement, just like a trampoline responding to weight.

This analogy helps patients better understand their bodies, making it easier to explain treatment and exercises in a way that actually clicks.

Tune in to hear why I think the trampoline analogy should replace the old-school biceps analogy—for both clinicians and patients!

Essential Pelvic Strengthening

If you're looking for more information on how to strengthen the pelvic floor without relying on Kegel exercises and how to make this more functional for patients, make sure to check out the Not Your Mama's Kegels course!  www.pelvicptrising.com/kegels

About Us


Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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Pelvic PT RisingBy Nicole Cozean, PT, DPT, WCS & Jesse Cozean

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