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Flashcards in Physio of gynae conditions Deck (14):
1

what are the main groups of symptoms related to pelvic floor dysfunction

urinary
pelvic organ prolapse
vulvodynia
faecal symptoms
defaecatory dysfunction

2

what is vulvodynia

cause

pain which is persistent in the vulva - the skin surrounding the entrance to the vagina

usually provoked by sexual intercourse or tampons. if idiopathic then physio does not help much

3

what is defaecatory dysfunction

inability to not a very good technique of emptying bowels

4

assessment of patient with pelvic floor dysfunction

bladder diary
urinalysis
post void residual
vaginal +/- rectal exam
real time USS biofeedback - abdominal or translabial
pelvic organ prolapse
pelvic floor assessment

5

what are the two scales used to grade muscles in the pelvic floor

oxford and ICS

6

lifestyle treatment in physiotherapy

healthy BMI
avoid constipation
smoking cessation
avoid heavy lifting
caffeine reduction

7

how can constipation be avoided

by having pears

8

treatment for bladder symptoms

caffeine reduction
bladder training
voiding/double voiding techniques
pelvic floor exercises
constipation

9

treatment for bowel symptoms

regulate stool to 'goldilocks poo'
pelvic floor exercises
difficulty wiping clean - lepicol
urge: holding on programme
frequency: holding on programme and caffeine reduction

10

pelvic floor exercises performed till what
practiced how many times

individualised
till muscle fatigue several times per day
practiced for 15-20 weeks

11

what is biofeedback training

EMG computer or handheld visual and/or auditory training programme

12

what are some examples of OTC biofeedback

pelvic educator
vaginal cones
kegal exerciser
pelvic floor trainers
muscle stimulators

13

when can electrical stimulation be used

muscle strength 2 or less on modified oxford scale
actively assisted
daily home use

14

what are some core stability exercises

limbo pelvic cylinder - pelvic floor, transverse abdomens, diaphragm, lumbar multifidus

pilates

gym ball