7: Physiotherapy in O&G Flashcards Preview

Reproduction Week 5 2018/19 > 7: Physiotherapy in O&G > Flashcards

Flashcards in 7: Physiotherapy in O&G Deck (17)
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1

What are the four important pelvic floor muscles?

Puborectalis

Pubococcygeus

Iliococcygeus - these three are the levator ani group

Coccygeus - separate to the other three, not hugely important to know

2

Which hormones encourage joint, ligament, fascia and muscle laxity in pregnant women?

Progesterone

Oestrogen?

3

Which structures become looser in pregnant women?

Joints

Ligaments

Fascia

4

What are four common MSK problems seen in pregnancy?

Back pain

Pelvic girdle pain (esp. pubic symphysis)

Diastasis recti

Carpal tunnel syndrome

5

What is diastasis recti?

Widening of the gap between the rectus abdominus muscles

6

What causes carpal tunnel syndrome in pregnant women?

Fluid accumulation compressing median nerve

7

Which delivery position is used to assist in the birth of babies with shoulder dystocia?

Mcroberts position

8

Which obstruction does Mcroberts position remove to help in the birth of babies with shoulder dystocia?

Pubic symphysis

9

Which liver disease, resulting in itch and jaundice, occurs in some pregnant women?

Intrahepatic cholestasis of pregnancy

10

Which bony landmarks are felt for on examination of a woman's pelvis?

ASIS

Iliac crests

PSIS

Pubic symphysis

11

Which muscles make up the pelvic floor?

Levator ani

Coccygeus

12

What are some symptoms caused by pelvic floor dysfunction?

Faecal incontinence

Urinary incontinence

Pain (including on intercourse)

Prolapse

13

What is an increasingly common risk factor for pelvic floor dysfunction among young people?

Gymgoers - lifting heavy weights

14

What lifestyle advice should you give to someone with pelvic floor dysfunction?

Weight - lose weight

Stop smoking

Drink less caffeine - irritates detrusor muscle

Avoid activities which trigger incontinence

15

During their training phase, how many times per day should a patient perform pelvic floor exercises?

6x / day

16

If the pelvic floor muscles don't respond to training, which other muscle group can you target instead?

Core muscles

17

What is vulvodynia?

Chronic vulval pain