2230 Part (newer)

Question 1

Name 5 physiological changes that can cause pain during or after pregnancy?

Answer 1

1. Non-optimal force closure of PS joint
2. Increased pregnancy hormone relaxin (increasing PS mobility)
3. Increase in constipation
4. Increased lumbar lordosis and impact on LBP
5. Reduced collagen = more stiff connective tissue (menopause)

Question 2

Name 3 social factors that can cause pain presentation?

Answer 2

1. Dependant toddler (needs care and doesn’t have the capacity
2. Occupational demands (wanting or needs to return to work)
3. Lack of family to friend to support

Question 3

Name 3 psychological factors that can cause pain presentation?

Answer 3

1. Fear of bowel, bladder motion or fear of sexual intercourse
2. Anxiety around the ability to care for family (single parent)
3. Ongoing mental health state

Question 4

If patient has PFM issues and you did an assessment, what are some things you would see x 2?

Answer 4

1. Superficial abdominal bracing
2. Patient feedback saying they can’t feel any squeeze or lift activation of PFM

Question 5

If you did an assessment for DRAM and bladder diary, what would be your expected outcomes?

Answer 5

1. 4cm width with Doming
2. Incomplete emptying, excessive urination etc

Question 6

Pelvic floor exercise presiption x 5

Answer 6

1. Explain role of pelvic floor in relation to functions of stability, continence and support of pelvic organs
2. Explain sqeeze and lift contraction and relacation and use verbal and visual cues
3. Us parameters for Ax (ERFECT)
4. Monitor and give feedback regarding breath holding (as this increase IAP)
5. Progress from anti gravity positions to more loaded position e.g. sitting or standing from side lie.

Question 7

Name 6 exercises for AN or PN?

Answer 7

1. Side lie plank
2. Side lie leg lift for glutes / abductors
3. Crab walk with theraband for glutes
4. Glute bridges with gym ball
5. Squats / lunges
6. Back against gym ball with weight for UL