lecture 4: exercise for pelvic dysfunction Flashcards
the pelvic floor is apart of the ___ core
deep
for pelvic floor , bowel and bladder functions are considers ___
ADLS
for pelvic floor , sex/intercourse is considered ___
ADLS
what is the external anatomy of the pelvic floor for a female from anterior to posterior
- head of clitoris
- urethra
-vaginal opening - labia
-perineum
-anus
what is the external anatomy of the pelvic floor for a male from anterior to posterior
-penis/urethra
- scrotum
-prostate
-perineum
-anus
what are considered global mm’s
-glutes
-adductors
-abdominals
-multifidi
-paraspinals
- deep hip rotators
what is the external genitalia primary innervated by
pudendal nerve (s2,S3, S4)
what nerves are responsible for an anal wink
S4-S5
pain in the pelvic floor region could be ___ injury or ___ or ___ tension
nerve
neural or dural
what is the sympathetic and parasympathetic nervous system responsible for
sympathetic: urine storage
parasympathetic: peeing
what is the function of the sphincteric
allows for closing and opening of urethra , vagina , and rectum AKA continence
what are the 5 functions of the pelvic floor
-sphincteric
-sexual
-stability
-sump pump
-support
what is the function of the sump pump for the pelvic floor
venous and lumpathic fluid flows
when we breath what changed shape and volume adn what only changes shape
thoracic cavity changes shape and volume and the abdominal cavity only changed shape
what 3 things move together during breathing
pelvic floor , abdomen , and respiratory diaphragm
when in double - ___ breathing is a great intervention
deep
what are the 5 functions of the pelvic ring/ SIJ
- load transfer from ground to trunk
-stability - form and force closure
- insertion point for several muscles
- protect organs
how many times shoudl a normal person void
4-7 daily voids ever 2-5 hours
what is normla bowel movements
3x/day to 3x a week
what incontinence is when urine leaks when u exert pressure on ur bladder by coughing , sneezing , laughing , exercising or lifting something heavy
stress incontinence
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
urge
what incontinence is it if you experience frequent or constant dribbling of urine due to a bladder that doesn’t empty completely
overflow
when doing PFM exercises what is very important that the mm’s do
ful contraction and full relaxation
what is the recommended weight gain in pregnancy
15-35 lbs
11-20lbs for obese
what are exercise precautions during pregnancy
avoid heat , prolonged supine exercise , contact sports , scuba diving , activities with risk of falling
for pregnant moms … ACOG recommends )___ minutes of ____ intensity aerobic exercise each week
150
moderate
what is the position modification for pregnant people
quadruped , L sidelying , supine no more than 5 minutes , next to wall for balance
when during pregnancy do u do perineal stretching and pelvic floor lengthening ?
3rd trimester
what are teh 6 beenfits of exercise in pregnancy
- 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
what are modified UE and LE strengthening during pregnancy
-wall or counter push up
- quadruped leg raising or bird dog
- modified quitting
-scapular retraction
what is normal occurrence with pregnancy especially after 38 weeks of gestation
diastasis recti
what is the normla width from a diastsis recti
0-2 fingers widths
what is the best assessment for diastasis recti
ultrasound
what is pelvic organ prolapse
sense of bulge protutruding thru vaginal opening
core stability exercise progression should ..
-being training with ____
- learn and hold ___ spine positions
- add ___ motions while maintaining neutral spine
- increase ___ and increase ___
- progress poisiotn
awareness
neutral
extremities
reps and loaf
in what way would u progress position
-supine
-sitting
-quadruped
-stnading
-dynamic rotation
what are 3 consideration for core stability exercise progression
- should have soft dooming
- should not have heaviness in pelvis or vagina
- should not have leaking
what are exercises used to relax/lengthen PFM
- happy baby
-child’s pose - diaphragmatic breathing
- deep squat
what are the functional strength (assessment and treatment) for postnatal
-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
