Occupational Therapy for Pelvic Health, Core Strength, Toileting Function & Maternal Wellness

At Sunny Day Therapy, pelvic floor therapy supports children, teens, and adults through an occupational therapy approach that addresses core strength, bladder and bowel function, body awareness, regulation, sensory processing, and daily life participation.

The pelvic floor is deeply connected to posture, breathing, core stability, toileting, movement, nervous system regulation, and overall physical and emotional wellbeing. When these systems are not working efficiently together, individuals may experience bladder challenges, constipation, toileting accidents, core weakness, pain, postpartum recovery difficulties, or reduced confidence in daily activities.

Our approach is whole-person, sensory-informed, and function-focused—helping individuals feel stronger, more regulated, and more successful in everyday life.


What Is Pelvic Floor Therapy?

Supporting core systems involved in daily function

Pelvic floor therapy focuses on improving the coordination, strength, awareness, and function of the pelvic floor muscles in connection with the entire core system.

These systems include:

  • Pelvic floor muscles
  • Core and abdominal stability system
  • Diaphragm and breathing patterns
  • Posture and alignment
  • Bladder and bowel systems
  • Nervous system regulation

When these systems are not coordinated, it can impact comfort, confidence, and participation in daily routines.

Therapy focuses on restoring functional coordination to support everyday life activities.


Pediatric Pelvic Floor Therapy

Supporting toileting, body awareness & core development

For children, pelvic floor therapy focuses on toileting independence, bladder and bowel regulation, body awareness, sensory processing, and core strength development.

Children may benefit if they experience:

  • Daytime or nighttime accidents
  • Constipation or bowel regulation challenges
  • Bladder urgency or frequency
  • Difficulty with toileting routines
  • Delayed toileting independence
  • Poor posture or core weakness
  • Difficulty recognizing body signals
  • Sensory-related toileting challenges

Through play-based occupational therapy, children build improved body awareness, regulation, coordination, and confidence with daily routines.


Core Strengthening & Toileting Support

Improving coordination for bladder, bowel & daily function

Core strength and pelvic floor coordination are essential for posture, movement control, bladder and bowel regulation, and overall stability.

When these systems are weak or poorly coordinated, children and adults may experience:

  • Toileting difficulties or accidents
  • Constipation
  • Poor posture and endurance
  • Reduced body awareness
  • Fatigue during daily tasks

Therapy may include:

  • Functional core strengthening
  • Breathing coordination
  • Postural control activities
  • Movement-based regulation strategies
  • Sensory-informed body awareness work
  • Functional toileting support strategies

As coordination improves, individuals often experience greater independence, comfort, and confidence in daily life.


Pelvic Floor Therapy for Adults & Postpartum Mothers

Supporting recovery, strength & daily life functioning

Pregnancy, birth, caregiving demands, hormonal changes, and postpartum recovery can significantly impact the pelvic floor, core system, nervous system, and emotional wellbeing.

Pelvic floor therapy for adults and postpartum mothers may support:

  • Core and pelvic floor strengthening
  • Bladder leakage or urgency
  • Pelvic pressure or discomfort
  • Postural changes
  • Recovery after birth
  • Return to movement and activity
  • Energy and fatigue management
  • Nervous system regulation
  • Daily life participation and caregiving demands

Our maternal wellness approach is compassionate, practical, and individualized to each stage of recovery and daily life needs.


Maternal Mental Health & Occupational Therapy

Supporting emotional wellbeing alongside physical recovery

Pelvic health is closely connected to emotional wellbeing, stress, sleep, identity changes, and nervous system regulation—especially during pregnancy and postpartum periods.

Dr. Day’s maternal wellness approach is informed by advanced training in perinatal mental health and corrective exercise, supporting a whole-person model of care.

Therapy may include:

  • Emotional regulation support
  • Nervous system regulation strategies
  • Sensory-informed coping tools
  • Lifestyle and routine support
  • Environmental modifications
  • Energy conservation strategies
  • Core and postural strengthening
  • Functional daily life support during motherhood

The goal is to support both physical recovery and emotional wellbeing during life transitions.


Professional Training & Clinical Expertise

Advanced certification in maternal mental health and pelvic health

Dr. Day’s approach is informed by specialized training in both perinatal mental health and pregnancy/postpartum corrective exercise.

PMH-C (Perinatal Mental Health Certification) is a specialized credential through Postpartum Support International that requires advanced training, clinical education, and successful completion of certification testing focused on maternal mental health during pregnancy and postpartum.

PCES (Pregnancy & Postpartum Corrective Exercise Specialist) training is completed through Core Exercise Solutionsand requires extensive coursework, practical application, and examination focused on core rehabilitation, pelvic floor function, posture, breathing mechanics, and safe movement during pregnancy and postpartum recovery.

These advanced trainings support an integrated occupational therapy approach that combines:

  • Pelvic floor and core rehabilitation
  • Nervous system regulation
  • Maternal mental health support
  • Sensory-informed care
  • Functional movement and posture training
  • Daily life participation support

Sensory Processing, Interoception & Pelvic Health

Understanding body signals for toileting & regulation

Pelvic floor function is closely connected to interoception—the ability to notice and interpret internal body signals such as bladder fullness, bowel urges, hunger, fatigue, and emotional states.

Children and adults with sensory processing differences or nervous system dysregulation may have difficulty recognizing or responding to these signals consistently.

Therapy supports:

  • Body awareness and interoception
  • Sensory regulation
  • Toileting participation
  • Emotional regulation
  • Coordination and confidence in daily routines

Parent & Family Support

Helping families understand toileting & body regulation

Families are an important part of success in pelvic health therapy. We provide education and practical strategies that support:

  • Toileting routines and consistency
  • Constipation support strategies
  • Body awareness development
  • Sensory-informed toileting approaches
  • Core strengthening activities
  • Environmental and routine supports
  • Regulation strategies for daily life

Why Families & Mothers Choose Sunny Day Therapy

Our approach combines:

  • Occupational therapy
  • Pelvic floor and core rehabilitation support
  • Sensory integration principles
  • Nervous system regulation
  • Interoception development
  • Maternal wellness and postpartum support
  • Lifestyle and environmental modification
  • Relationship-centered care
  • Advanced perinatal mental health-informed practice

We focus on helping children and adults feel more regulated, confident, and successful in daily life participation.


Frequently Asked Questions

What is pelvic floor therapy?

Pelvic floor therapy supports the strength, coordination, and function of the pelvic floor and core systems involved in bladder control, bowel function, posture, movement, and daily life participation.


Can pelvic floor therapy help children with toileting issues?

Yes. It may help children experiencing:

  • Toileting accidents
  • Constipation
  • Bladder urgency or frequency
  • Difficulty recognizing body signals
  • Core weakness or poor posture
  • Sensory-related toileting challenges

How does core strength affect bladder and bowel control?

The pelvic floor works together with core muscles, breathing, and posture. When these systems are weak or poorly coordinated, it can impact toileting, posture, and daily functioning.


What is maternal occupational therapy?

Maternal occupational therapy supports physical recovery, emotional wellbeing, nervous system regulation, routines, and daily life participation during pregnancy and postpartum.


What do PMH-C and PCES training mean?

PMH-C is a perinatal mental health certification through Postpartum Support International requiring advanced training and testing in maternal mental health.

PCES training through Core Exercise Solutions involves extensive training and certification focused on core rehabilitation, pelvic floor function, and safe corrective exercise during pregnancy and postpartum recovery.

Email admin@sunnydaytherapy.net to begin your pediatric occupational therapy or maternal health occupational journey towards improving pelvic floor and core strength. Pelvic floor and core strengthening training are another tool that support holistic, whole body health.