Abstract
Background: Until today, pelvic floor training protocols are focused on the mm. levator ani, although most dysfunctions are of superficial or urethral muscles. Aims:To present the theoretical and empirical bases of the Triple Junction Theory and introduce the Triple Junction Maneuver to strenght the ischiocavernosus (ICs), bulbocavernosus (BCs) and rhabdosphincter (RE) muscles. Method: Theoretical essay based on anatomical, kinesiological and biomechanical findings and exercise physiology. Results: The ICs, BCs and RE muscles are joined in the region adjacent to the glans of the clitoris and the external urethral meatus, in a Triple Junction. It was possible to develop a maneuver to strengthen these three muscles, the Triple Junction Maneuver, superficial and non-invasive, for women, men and children. Most urinary and sexual dysfunctions are caused by one of these three muscles, so such a maneuver can increase the efficiency of pelvic floor training in general. Conclusion: The Triple Junction between mm. ICs, BCs and RE allowed the creation of a strenght maneuver that, however, still lacks new evidence.
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