lecture 4: exercise for pelvic dysfunction

Question 1

the pelvic floor is apart of the ___ core

Answer 1

deep

Question 2

for pelvic floor , bowel and bladder functions are considers ___

Answer 2

ADLS

Question 3

for pelvic floor , sex/intercourse is considered ___

Answer 3

ADLS

Question 4

what is the external anatomy of the pelvic floor for a female from anterior to posterior

Answer 4

• head of clitoris
• urethra
  -vaginal opening
• labia
  -perineum
  -anus

Question 5

what is the external anatomy of the pelvic floor for a male from anterior to posterior

Answer 5

-penis/urethra
- scrotum
-prostate
-perineum
-anus

Question 6

what are considered global mm’s

Answer 6

-glutes
-adductors
-abdominals
-multifidi
-paraspinals
- deep hip rotators

Question 7

what is the external genitalia primary innervated by

Answer 7

pudendal nerve (s2,S3, S4)

Question 8

what nerves are responsible for an anal wink

Answer 8

S4-S5

Question 9

pain in the pelvic floor region could be ___ injury or ___ or ___ tension

Answer 9

nerve

neural or dural

Question 10

what is the sympathetic and parasympathetic nervous system responsible for

Answer 10

sympathetic: urine storage

parasympathetic: peeing

Question 11

what is the function of the sphincteric

Answer 11

allows for closing and opening of urethra , vagina , and rectum AKA continence

Question 12

what are the 5 functions of the pelvic floor

Answer 12

-sphincteric
-sexual
-stability
-sump pump
-support

Question 13

what is the function of the sump pump for the pelvic floor

Answer 13

venous and lumpathic fluid flows

Question 14

when we breath what changed shape and volume adn what only changes shape

Answer 14

thoracic cavity changes shape and volume and the abdominal cavity only changed shape

Question 15

what 3 things move together during breathing

Answer 15

pelvic floor , abdomen , and respiratory diaphragm

Question 16

when in double - ___ breathing is a great intervention

Answer 16

deep

Question 17

what are the 5 functions of the pelvic ring/ SIJ

Answer 17

• load transfer from ground to trunk
  -stability
• form and force closure
• insertion point for several muscles
• protect organs

Question 18

how many times shoudl a normal person void

Answer 18

4-7 daily voids ever 2-5 hours

Question 19

what is normla bowel movements

Answer 19

3x/day to 3x a week

Question 20

what incontinence is when urine leaks when u exert pressure on ur bladder by coughing , sneezing , laughing , exercising or lifting something heavy

Answer 20

stress incontinence

Question 21

what incontinence is it if u have a sudden , intense urge to urinate followed by an involuntary loss of urine , u may need to urinate often , including throughout the night

Answer 21

urge

Question 22

what incontinence is it if you experience frequent or constant dribbling of urine due to a bladder that doesn’t empty completely

Answer 22

overflow

Question 23

when doing PFM exercises what is very important that the mm’s do

Answer 23

ful contraction and full relaxation

Question 24

what is the recommended weight gain in pregnancy

Answer 24

15-35 lbs

11-20lbs for obese

Question 25

what are exercise precautions during pregnancy

Answer 25

avoid heat , prolonged supine exercise , contact sports , scuba diving , activities with risk of falling

Question 26

for pregnant moms … ACOG recommends )___ minutes of ____ intensity aerobic exercise each week

Answer 26

150 moderate

Question 27

what is the position modification for pregnant people

Answer 27

quadruped , L sidelying , supine no more than 5 minutes , next to wall for balance

Question 28

when during pregnancy do u do perineal stretching and pelvic floor lengthening ?

Answer 28

3rd trimester

Question 29

what are teh 6 beenfits of exercise in pregnancy

Answer 29

- helps q pain - eases constipation - may decrease risk of gestational diabetes , preeclampsia , c section -promote healthy weight gain during pregnancy -improves general fitness and strengthen heart and blood vessels - help to lose weight after baby is born

Question 30

what are modified UE and LE strengthening during pregnancy

Answer 30

-wall or counter push up - quadruped leg raising or bird dog - modified quitting -scapular retraction

Question 31

what is normal occurrence with pregnancy especially after 38 weeks of gestation

Answer 31

diastasis recti

Question 32

what is the normla width from a diastsis recti

Answer 32

0-2 fingers widths

Question 33

what is the best assessment for diastasis recti

Answer 33

ultrasound

Question 34

what is pelvic organ prolapse

Answer 34

sense of bulge protutruding thru vaginal opening

Question 35

core stability exercise progression should .. -being training with ____ - learn and hold ___ spine positions - add ___ motions while maintaining neutral spine - increase ___ and increase ___ - progress poisiotn

Answer 35

awareness neutral extremities reps and loaf

Question 36

in what way would u progress position

Answer 36

-supine -sitting -quadruped -stnading -dynamic rotation

Question 37

what are 3 consideration for core stability exercise progression

Answer 37

- should have soft dooming - should not have heaviness in pelvis or vagina - should not have leaking

Question 38

what are exercises used to relax/lengthen PFM

Answer 38

- happy baby -child’s pose - diaphragmatic breathing - deep squat

Question 39

what are the functional strength (assessment and treatment) for postnatal

Answer 39

-SL balance x 10s -SL squat 10 reps ea side - jog on spot for 1 min -fwd bounds x 10 reps - hop in place x 10 reps each leg -SL running man