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THEREX LQ > Lecture 4 > Flashcards

Lecture 4 Flashcards

1
Q

T/F pelvic floor is part of the deep core

A

T (fundamenal 6 pack)

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2
Q

T/F intercourse, bowel and bladder function are all ADLs

A

True

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3
Q

Global Muscles

A

gludes
adductiors
abdominals
multifidi
paraspinals
deep hip rotators

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4
Q

sympathetic vs parasympathetic

A

S- urine Storage
P - Peeing

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5
Q

5 “S” Functions of the pelvic floor

A

sphincteric (allow continence)
sexual
stability
sump pump
support

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6
Q

funcitons of pelvic ring/SIJ

A
  • loads transfer from ground to trunk
  • stability
  • form and force closrue (jont and mm)
  • insertion point of several mm
  • protects organs
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7
Q

stretching this group of mm in the legs promotes relaxation of PFM

A

ADDuctors

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8
Q

how many daily voids are considered healthy

A

4-7 daily

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9
Q

urinating every ____ hours is considered healthy

A

2-5 hours

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10
Q

nocturia

A

0-1x/night is normal

anything more is not

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11
Q

we want a ____ urine stream

A

steady
(avoid power peeing)

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12
Q

bowl movements normal amount

A

3x/day - 3x/week

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13
Q

avoid bladder irritatants like

A

caffeine, soda, sugar, alcohol

drink still water 1st thing in the AM

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14
Q

interventions to resume healthy bladder

A
  • urge distraction
  • no “power peeing”
  • avoid “just in case” peeing
  • manage constipation
  • fluid consumption
  • avoid OR dilute the bladder irritants
  • timed voids as needed
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15
Q

urine leads when you exert pressure onyour bladder by cough, sneeze, laugh, exercise, lifting something heavy

A

stress incontinence

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16
Q

a sudden, intense urge to urinate followed by involuntary loss of urine. may need to urinate often including throughout the night. may be caused by aminor condition like infection or more severe like neuro or diabetes

A

urge incontinence

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17
Q

frequent/constant dribbling of urine d/t bladder that doesn’t empty completely

A

overflow incontinence

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18
Q

physical/mental impairment keeps you from making it to the toilet in time.

i.e. severe arthritis can make you not be able to unbutton pants fast enough

A

funcitonal incontinence

19
Q

experiencing more than 1 type of incontinence

A

mixed

20
Q

feces or gas leaking unexpectedly from recutm

A

fecal/anal incontinence

21
Q

begin with gravity reduced positions for PFM exercises if pt is weak

A

supine
prone
QP

22
Q

The mobility, stability and global strength of this structure is important so pelvic floor mm can focus on their primary function

A

spine

23
Q

how to “overflow” a PFM contraction

A

adductor squeeze (involuntary contraction of PFM)

24
Q

PFM contraction goal

A

goal is to hold for 5-10 secons with rest as long or twice as long as hold

25
Q

contract-relax

A

hold 3-5 seconds repeating up to 10 times

26
Q

quick contractions

A

2 seconds on, 2 seconds off (quick)

27
Q

elevator

A

to increase concentric and eccentric

28
Q

physiological changes in pregnancy

A

▪ Inc. blood volume
▪ Inc. heart rate
▪ Inc. respiratory rate
▪ Hematocrit levels decrease (anemia)
▪ Inferior vena cava compression
▪ Difficulty with core temperature
management
▪ Swelling
▪ General discomfort
▪ Evolving changing center of mass
▪ Hyperemesis
▪ Decreased bone density
▪ Ligament laxity

29
Q

recommended weight gain for pregnant women

A

15-35 Ibs

11-20 Ibs if obese

30
Q

blood volume increased ____ pounds during pregnancy

fluid volume increased ____ pounds during pregnancy

A

blood: 3-4 pounds

fluid: 2-4 pounds

31
Q

exercise percautions for pregnant women

A

avoid heat, prolonged supine exercise, contact sports, scuba diving, risk of fall activity (skiing, surfing, off-road cycling)

32
Q

ACOG recommends how many mins of moderate intensity aerobic exercise each week?

A

150 minutes

GOAL: maintain or increase strength as body mass increases

33
Q

Exercise considerations in pregnancy

A

▪ Generally maintaining previous level of intensity is okay
▪ Avoid heat, prolonged supine exercise, contact sports, scuba diving, activities
with risk of falling (skiing, surfing, off-road cycling)
▪ Perineal stretching, pelvic floor lengthening in 3rd trimester
▪ Position modification- quadruped, L sidelying, supine no more than 5
minutes, next to wall for balance
▪ Functional training to prepare for new baby
▪ Activity modification
▪ Lifting mechanics with current children
▪ Thoracic mobility
▪ Posture and postural strength
▪ Use knowledge from previous weeks for exercise management

34
Q

benefits of exercise

A

may decrease risk of gestational diabetes, preeclampsia
c-section

35
Q

warning signs to stop exercise

A

▪ Bleeding from the vagina
▪ Feeling dizzy or faint
▪ Shortness of breath before starting exercise
▪ Chest pain
▪ Headache
▪ Muscle weakness
▪ Calf pain or swelling
▪ Regular, painful contractions of the uterus
▪ Fluid gushing or leaking from the vagina

36
Q

Absolute contraindications to exercise in pregnancy

A

▪ Hemodynamically significant heart disease
▪ Restrictive lung disease
▪ Incompetent cervix/cerclage
▪ Multiple gestation at risk for premature labor
▪ Persistent 2nd or 3rd trimester bleeding
▪ Placenta previa after 26w
▪ Premature labor during current pregnancy
▪ Rupture of membranes
▪ Pregnancy induced hypertension

37
Q

Relative contraindicaitons to exericse in pregnancy

A

▪ Severe anemia
▪ Unevaluated maternal cardiac arrhythmia
▪ Chronic bronchitis
▪ Poorly controlled hypertension, pre-eclampsia, seizure, DM1, thyroid disease
▪ Extreme morbid obesity or BMI less than 12
▪ Current IUGR (intrauterine growth restriction)
▪ Heavy smoker
▪ History of extreme sedentary lifestyle

38
Q

modified UE and LE strengthening

A

Wall or counter push up
▪ Quadruped leg raising or bird dog (opposite arm and leg)
▪ Modified squatting- depth or sit to stand
▪ Scapular retraction (standing, sitting, supine)

39
Q

modified funcitnoal movement for ease and pain mgmt

A
  • Log rolling
  • Exhale on effort or blow as you go
  • Cross train functional movement with exercise
40
Q

distasis recti is normal occurenc with pregnany esp after ____ week of gestation

A

38

41
Q

DR may resolve around

A

6-8 week time frame

42
Q

normal width of DR

A

0-2 Fingerwidth

43
Q

return to run has special protocols for women post natal

A

slide 40

THEREX LQ (5 decks)

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