This was a long time ago now. We assessed this boy in terms of pelvic floor strength, general TA strength with the boy doing the palpating and talking him through what he was feeling. Luckily he was quite mature here. We went onto Kegel type exercises with modifications for a 10 year old boy with somewhat poor body awareness. We talked about his triggers, type of laughing and practiced being very stupid during therapy to work harder on the actual triggers. We were successful with 7 treatments and I am happy to report the boy continues to do very well.