Physiotherapy in obs and gyn

Question 1

What MSK problems can occur in pregnancy?

Answer 1

• Back pain
• Pelvic girdle/symphysis pubis pain/dysfunction
• DRAM (diastasis of rectus abdominus muscle) - the stretching of the abdominal muscles at the midline during pregnancy.
• Carpal Tunnel

Question 2

What is pelvic floor dysfunction?

Answer 2

Pelvic floor dysfunction is when there is either too much tension on the pelvic floor muscles (high tone) or not enough (low tone).

Can present with:
- Incontinence of bladder/bowel
- Difficulty with bowel emptying
- Pelvic organ prolapse
- Vulvodynia or other male/female pelvic pain

Question 3

What is vulvodynia?

Answer 3

Chronic pain that affects the vulvar area and occurs without an identifiable cause.

Question 4

What is the modified oxford scale

Answer 4

Scale used to quantify pelvic floor muscle strength

Question 5

How many grades for modified oxford scale?

Answer 5

6 grades (grade 0-5)

Question 6

What do the grades mean for the modified oxford scale?

Answer 6

Grade 0 - No detectable contraction

Grade 1 – Flicker

Grade 2 – Weak contraction

Grade 3 – Moderate contraction

Grade 4 – Good contraction

Grade 5 – Strong contraction against maximal resistance

Question 7

Lifestyle treatment for pelvis floor dysfunction?

Answer 7

Healthy BMI
Avoid constipation
Smoking cessation
Avoid heavy lifting
Caffeine reduction

Question 8

What is biofeedback training?

Answer 8

Biofeedback is a tool used for pelvic floor rehabilitation. This technique involves placing a small device in your bottom while doing the exercises.

This device provides visual and auditory stimuli, providing you with feedback as to how well you are doing the exercises.