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Pelvic Floor Part 1: Mechanism The abdominal wall, diaphragm, and pelvic floor work together as a functional unit. This system operates like a piston, with the diaphragm acting as the top of the piston, the abdominal wall as the sides, and the pelvic floor as the base. During inhalation, the diaphragm contracts and moves downward, increasing intra-abdominal pressure, while the pelvic floor descends. During exhalation, the diaphragm relaxes and moves upward, which allows the pelvic floor to retur
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