7: Physiotherapy in O&G Flashcards
What are the four important pelvic floor muscles?
Puborectalis
Pubococcygeus
Iliococcygeus - these three are the levator ani group
Coccygeus - separate to the other three, not hugely important to know
Which hormones encourage joint, ligament, fascia and muscle laxity in pregnant women?
Progesterone
Oestrogen?
Which structures become looser in pregnant women?
Joints
Ligaments
Fascia
What are four common MSK problems seen in pregnancy?
Back pain
Pelvic girdle pain (esp. pubic symphysis)
Diastasis recti
Carpal tunnel syndrome
What is diastasis recti?
Widening of the gap between the rectus abdominus muscles
What causes carpal tunnel syndrome in pregnant women?
Fluid accumulation compressing median nerve
Which delivery position is used to assist in the birth of babies with shoulder dystocia?
Mcroberts position
Which obstruction does Mcroberts position remove to help in the birth of babies with shoulder dystocia?
Pubic symphysis
Which liver disease, resulting in itch and jaundice, occurs in some pregnant women?
Intrahepatic cholestasis of pregnancy
Which bony landmarks are felt for on examination of a woman’s pelvis?
ASIS
Iliac crests
PSIS
Pubic symphysis
Which muscles make up the pelvic floor?
Levator ani
Coccygeus
What are some symptoms caused by pelvic floor dysfunction?
Faecal incontinence
Urinary incontinence
Pain (including on intercourse)
Prolapse
What is an increasingly common risk factor for pelvic floor dysfunction among young people?
Gymgoers - lifting heavy weights
What lifestyle advice should you give to someone with pelvic floor dysfunction?
Weight - lose weight
Stop smoking
Drink less caffeine - irritates detrusor muscle
Avoid activities which trigger incontinence
During their training phase, how many times per day should a patient perform pelvic floor exercises?
6x / day
