Pediatric Pelvic Floor Occupational Therapy (PPF OT)

Bowel/bladder dysfunction can often affect various life activities such as school, social/leisure events, and sporting activities in young children to adolescents. These difficulties often times may cause social emotional/psychosocial challenges in the child and with their family members.

The pelvic floor (muscles which span the bottom of the pelvis) provides support for our internal organs and assists in urinary and fecal continence. Dysfunction can arise when the muscles of the pelvic floor do not perform in their optimal fashion. Various forms of dysfunction and physical symptoms can result from pelvic floor muscles that are in spasm, weak, or become uncoordinated. This dysfunction can ultimately persist into adulthood, and thus prompt attention during the childhood years is of great importance.

Introducing our newest online class, Potty Training: The Stress-Free Guide to Success (for 24+ months).

We’ve heard from so many parents that potty training is one of the most stressful and daunting milestones they face. “Overwhelming” and “stressful” were just a few ways parents described the potty training process. We knew there had to be a better way.
Alongside leading Pediatric Occupational Therapist Quiara Smith @alohaintegrativetherapy we’ve developed the first potty training method taught by an expert who actually specializes in the pelvic floor and pediatric potty issues. This method takes into account the latest science, a child’s physical, social & emotional development — AND best of all, it really works.
In this on-demand class, you’ll learn a “do it once,” easy-to-follow, expert-created method for 24+ month olds that is based on your child’s development & proven to avoid the pitfalls that make potty training take longer and not “stick.” Plus, we cover troubleshooting guidance for all common challenges and regressions. So, if you’ve already started potty training and need support, this class is for you too.

How it Benefits Your Child

The PPF OT program at Aloha Integrative Therapy, may benefit children (ages 4 and up) who have any of the following concerns:

Stress urinary incontinence (loss of urine with sneezing/laughing/coughing/physical activity)


Chronic Constipation

Difficulty urinating or fully emptying bowels

Sensory challenges around toileting (i.e. sound of toilet flushing, smell of bathroom, etc.)

Painful elimination (bowel or bladder)

Urinary frequency or urgency/retention

Withholding behaviors of stool and/or urine

Urge incontinence (strong urge to urinate with the inability to make it to the bathroom in time)

Frequent bladder infections/UTIs

Abdominal pain/gas/bloating

Bowel incontinence (encopresis)

Pelvic pain/muscle spasm