Physiotherapy Management of Obstetric and Pelvic Floor Disorders Flashcards Preview

3 Reproduction and Sexual Health > Physiotherapy Management of Obstetric and Pelvic Floor Disorders > Flashcards

Flashcards in Physiotherapy Management of Obstetric and Pelvic Floor Disorders Deck (15)
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1
Q

what happens to collagen in pregnancy?

A

is loosened by hormones which in turn loosens joints

2
Q

what physiological muscle problem is common in pregnant women and is a source of pain?

A

diastasis of rectus abdominus muscle (stretch out and fascial tissue pops through)

3
Q

what nerve problem in the arm is common in pregnant women? why is this?

A

carpal tunnel

more fluid from pregnancy increases fluid in the wrist

4
Q

when is the carpal tunnel worse?

A

on flexion of the wrist

5
Q

Tx carpal tunnel

A

splint to hold wrist in extension

6
Q

what aspects of the muscles are assessed in a physio exam?

A

strength
weakness
wasting
overactivity

7
Q

what bony landmarks are palpated in a physio exam of the pelvis?

A

ASIS
PSIS
iliac crest
symphysis pubis

8
Q

how may pelvic floor dysfunction present?

A

fecal/urine incontinence
defecation issues
pain - vulval/pelvic
prolapse

9
Q

what features of the PMH are relevant for pelvic floor dysfunction?

A
lung disease
surgery
diabetes
neurological
obstetric history
10
Q

what should be explored in the history of someone with PFD?

A

bladder symptoms
bowel symptoms
pain issues- what where when
feeling something coming down?

11
Q

Ix PFD?

A

urinalysis
post void residual volume
vaginal +/- rectal examination
real time ultrasound biofeedback (checks if pelvic floor is contracting)

12
Q

how is real time USS biofeedback taken?

A

abdominally or translabially

13
Q

Tx bladder symptoms conservatively?

A
caffeine reduction
bladder training/drill
voiding techniques
PF exercises 6x pd
addressing constipation
diet - eat pears!!
14
Q

stool should be what type on the BSC?

A

type 3/4

15
Q

1st, 2nd and 3rd line Tx for pelvic floor exercises?

A
  1. natural pelvic floor exercises
  2. OTC biofeedback equipment eg slendertone
  3. core stability exercises eg lumbopelvic cylinder, pilates