Therapist Review: PelvicTool in Pediatric Therapy

What is the Alonea PelvicTool and how does it work?

The PelvicTool by Alonea is a non-invasive biofeedback training device for the pelvic floor. It consists of a seat cushion with a soft sensor tube and an app with playful exercises. Training is performed while seated and fully clothed. The PelvicTool app provides real-time feedback on whether the pelvic floor muscles are being correctly contracted or relaxed. This immediate visual feedback can be particularly valuable for children, as the pelvic floor is not visible from the outside.

As the training is non-invasive and performed fully clothed, the PelvicTool is suitable for all age groups and genders – therapists use it with both children and adult women and men.

Review on the use of the PelvicTool in clinical practice

In the following report, Ms. Baunach-Schicker, MA Physiotherapist and managing director of the Physio Praxis Baunach-Schicker, describes the use of the Alonea PelvicTool in daily clinical practice:
“In our daily work with children, the Alonea PelvicTool supports us as a valuable tool for promoting body awareness and supporting pelvic floor function. The option of neuromuscular training using biofeedback is particularly helpful, as it shows children in a simple and playful way whether they are correctly activating their muscles.

Example from practice 1: seven-year-old child with incontinence

An example from our practice involves a seven-year-old child with incontinence who initially had very little conscious awareness of their pelvic floor. Despite being motivated and cooperative, it was difficult for the child to specifically activate the correct muscle groups, as compensation through the abdomen and gluteal muscles was predominant.

By using the PelvicTool, these patterns could be made visible and gradually addressed. The biofeedback provided immediate feedback to the child on whether the correct muscles were being activated, which supported the learning process.

After a few weeks, episodes of involuntary urinary leakage occurred less frequently. The child gained more confidence in everyday life, and self-confidence improved noticeably. Motivation to continue therapy was supported by the PelvicTool’s visual and playful elements, as well as the child’s desire to achieve higher scores in the games.

Example from practice 2: three-year-old child with muscle hypotonia

Another example is a three-year-old child with pronounced muscle hypotonia who had difficulty stabilizing their core. Sitting on the PelvicTool provided the child, the therapist, and the parents with clear and easy-to-understand feedback on the center of gravity and pelvic floor activity.

Through short and varied training sessions, it was possible to improve body awareness and introduce the child in a playful way to the targeted activation of the deep muscles. The exercises were later transferred into everyday life, contributing to improved posture and more stable movement patterns.