Genital/Reproductive System Flashcards
Female - Estrogen - RED FLAGS
Estrogen dec rate of bone resorption - OP and risk of fx inc dramatically after menopause
Estogen inc production of thyroid and inc high density lipoproteins - heart disease and stroke risk inc after menopause
Normal pregnancy weight gain
20-30 pounds
PTs teaching childbirth education classes - includes what
breathing management
relaxation training
education
Common changes with pregnancy
Postural changes - kyphosis and scap protraction, cervical lordosis/forward head, lumbar lordosis
Balance changes - COG shifts forward
Ligamentous laxity
Mm weakness - pelvic floor and abdominals
Urinary changes - increased freq
Resp = might experience dyspnea
Cardio - inc blood volume, venous pressure, HR, CO, dec BP
Altered thermoregulation - inc heat production and basal metabolic rate
Pregnancy related pathologies - Diastasis Recti abdominis is what
lateral separation or split of the rectus abdominis
separation from midline (linea alba) greater than 2cm is significant - associated with loss of abrominal wall support, inc back pain
Pregnancy related pathologies - Diastasis Recti abdominis - PT interventions
Teach protection of abdominal musculature - avoid abdominal exercises
Resume abdominal exercises once separation is less than 2 cm
Pregnancy related pathologies - Pelvic floor disorders - results from
overstretching during pregnancy and childbirth
Can result in partial or total organ prolapse with further loss of elasticity and mm tone
Pregnancy related pathologies - Pelvic floor disorders - prolapse - Cystocele
Herniation of the bladder into the vagina
Pregnancy related pathologies - Pelvic floor disorders - Rectocele
Herniation of the rectum into the vagina
Pregnancy related pathologies - Pelvic floor disorders - Uterine prolapse
The bulging of he uterus into the vagina
Pregnancy related pathologies - Pelvic floor disorders - RED FLAGS - pain can radiate to where
down posterior thigh
Pregnancy related pathologies - Pelvic floor disorders - PT intervention
Observe urinary frequency and urgency, low back and perineal pain
Strengthen PC muscles
Postural education and muscle re-ed
Pregnancy related pathologies - low back and pelvic pain - PT interventions
Teach proper body mechanics
Balance rest with activity
Emphasize use of a firm mattress
Massage, modalities for pain (no deep heat)
Pregnancy related pathologies - SIJ dysfunction - PT interventions
External stabilization
avoid single limb WB
Pregnancy related pathologies - Varicose veins - PT intervention
Elevate extremeties
Avoid crossing legs
Use of elastic support stockings might help
Pregnancy related pathologies - Preeclampsia is what
pregnancy induced acute hypertension after the 24th wk of gestation