lecture 4: exercise for pelvic dysfunction Flashcards

1
Q

the pelvic floor is apart of the ___ core

A

deep

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2
Q

for pelvic floor , bowel and bladder functions are considers ___

A

ADLS

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3
Q

for pelvic floor , sex/intercourse is considered ___

A

ADLS

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4
Q

what is the external anatomy of the pelvic floor for a female from anterior to posterior

A
  • head of clitoris
  • urethra
    -vaginal opening
  • labia
    -perineum
    -anus
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5
Q

what is the external anatomy of the pelvic floor for a male from anterior to posterior

A

-penis/urethra
- scrotum
-prostate
-perineum
-anus

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6
Q

what are considered global mm’s

A

-glutes
-adductors
-abdominals
-multifidi
-paraspinals
- deep hip rotators

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7
Q

what is the external genitalia primary innervated by

A

pudendal nerve (s2,S3, S4)

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8
Q

what nerves are responsible for an anal wink

A

S4-S5

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9
Q

pain in the pelvic floor region could be ___ injury or ___ or ___ tension

A

nerve

neural or dural

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10
Q

what is the sympathetic and parasympathetic nervous system responsible for

A

sympathetic: urine storage

parasympathetic: peeing

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11
Q

what is the function of the sphincteric

A

allows for closing and opening of urethra , vagina , and rectum AKA continence

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12
Q

what are the 5 functions of the pelvic floor

A

-sphincteric
-sexual
-stability
-sump pump
-support

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13
Q

what is the function of the sump pump for the pelvic floor

A

venous and lumpathic fluid flows

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14
Q

when we breath what changed shape and volume adn what only changes shape

A

thoracic cavity changes shape and volume and the abdominal cavity only changed shape

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15
Q

what 3 things move together during breathing

A

pelvic floor , abdomen , and respiratory diaphragm

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16
Q

when in double - ___ breathing is a great intervention

A

deep

17
Q

what are the 5 functions of the pelvic ring/ SIJ

A
  • load transfer from ground to trunk
    -stability
  • form and force closure
  • insertion point for several muscles
  • protect organs
18
Q

how many times shoudl a normal person void

A

4-7 daily voids ever 2-5 hours

19
Q

what is normla bowel movements

A

3x/day to 3x a week

20
Q

what incontinence is when urine leaks when u exert pressure on ur bladder by coughing , sneezing , laughing , exercising or lifting something heavy

A

stress incontinence

21
Q

what incontinence is it if u have a sudden , intense urge to urinate followed by an involuntary loss of urine , u may need to urinate often , including throughout the night

A

urge

22
Q

what incontinence is it if you experience frequent or constant dribbling of urine due to a bladder that doesn’t empty completely

A

overflow

23
Q

when doing PFM exercises what is very important that the mm’s do

A

ful contraction and full relaxation

24
Q

what is the recommended weight gain in pregnancy

A

15-35 lbs

11-20lbs for obese

25
Q

what are exercise precautions during pregnancy

A

avoid heat , prolonged supine exercise , contact sports , scuba diving , activities with risk of falling

26
Q

for pregnant moms … ACOG recommends )___ minutes of ____ intensity aerobic exercise each week

A

150
moderate

27
Q

what is the position modification for pregnant people

A

quadruped , L sidelying , supine no more than 5 minutes , next to wall for balance

28
Q

when during pregnancy do u do perineal stretching and pelvic floor lengthening ?

A

3rd trimester

29
Q

what are teh 6 beenfits of exercise in pregnancy

A
  • helps q pain
  • eases constipation
  • may decrease risk of gestational diabetes , preeclampsia , c section
    -promote healthy weight gain during pregnancy
    -improves general fitness and strengthen heart and blood vessels
  • help to lose weight after baby is born
30
Q

what are modified UE and LE strengthening during pregnancy

A

-wall or counter push up
- quadruped leg raising or bird dog
- modified quitting
-scapular retraction

31
Q

what is normal occurrence with pregnancy especially after 38 weeks of gestation

A

diastasis recti

32
Q

what is the normla width from a diastsis recti

A

0-2 fingers widths

33
Q

what is the best assessment for diastasis recti

A

ultrasound

34
Q

what is pelvic organ prolapse

A

sense of bulge protutruding thru vaginal opening

35
Q

core stability exercise progression should ..

-being training with ____
- learn and hold ___ spine positions
- add ___ motions while maintaining neutral spine
- increase ___ and increase ___
- progress poisiotn

A

awareness
neutral
extremities
reps and loaf

36
Q

in what way would u progress position

A

-supine
-sitting
-quadruped
-stnading
-dynamic rotation

37
Q

what are 3 consideration for core stability exercise progression

A
  • should have soft dooming
  • should not have heaviness in pelvis or vagina
  • should not have leaking
38
Q

what are exercises used to relax/lengthen PFM

A
  • happy baby
    -child’s pose
  • diaphragmatic breathing
  • deep squat
39
Q

what are the functional strength (assessment and treatment) for postnatal

A

-SL balance x 10s
-SL squat 10 reps ea side
- jog on spot for 1 min
-fwd bounds x 10 reps
- hop in place x 10 reps each leg
-SL running man