Pelvic Floor Flashcards
(26 cards)
How many layers of muscle does the pelvic floor have?
3 layers of muscle
What are the Six S’s of pelvic floor function?
sexual; spinteric; supportive; stabilizing; pressure; slide out
What are the fiber types of the pelvic floor?
70% slow and 30% fast
What are the 3 layers of the pelvic floor?
1: superficial (sexual)
2: spincteric
3: supportive/stabilizing
What innervates the first muscular layer?
perineal branch of Pudendal N.
What muscles are part of the third layer of the PFM?
pubococcygeus; illiococcygeus; puborectalis; coccygeus
What are the purposes of the third muscle layer?
forms the floor of the pelvis and supports the viscera (organs, bladder, bowel)
What muscle is the tail wagger?
coccygeus
What are the ER’s of the hip?
PGOGOQ
Which direction does a concentric muscle contraction of the pelvic floor move the coccyx?
anterior
What is commonly used to assess the PFM?
real-time US
What is micturition?
excretion of urine
What are common causes of pelvic organ prolapse?
pregnancy/childbirth; constipation; obesity; heavy lifting; chronic cough; organ removal
What are common symptoms of a pelvic organ prolapse?
pelvic heaviness; feeling of descent; LBP; incomplete voiding; urgency; painful intercourse
What is a cystocele?
displacement of the bladder creating a bulge into the anterior vaginal wall
What is a rectocele?
displacement of the rectum creating a bulge into the posterior vaginal wall
What is a uterine prolapse?
displacement of the uterus downward into the vaginal vault
What are the grades of an organ prolapse?
Grade I: mild bulge (25%)
Grade II: moderate bulge (50%)
Grade III: sever bulge; to/beyond vaginal opening
Grade IV: bulge is completely out
What grades of organ prolapse are physical therapy appropriate for?
Grades I and II
What are contraindications for internal PFM exams?
prenant; post-partum (6 weeks); infection; sever pain; sexual abuse; lack of patient consent
What are the steps to teaching pelvic floor exercise?
contract; relax; bulge/elongate; verbal/manual cues
How can we test to ensure a patient is performing a kegel correctly?
stop urine flow mid-stream
What are the benefits of sEMG?
non-invasive; saves and prints data; any position; monitors multiple muscles; times contractions
What are the various pelvic floor muscle disorders?
pelvic floor tension myalgia; vaginismus; vulvodynia; coccydynia; pudendal neuralgia
