Lecture 4 PELVIC FLOOR Flashcards

1
Q

Bc sometimes Dr. Arnold does these questions:

When did the academy of pelvic health begin?

A

1977

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2
Q

What’s the first step to becoming a Pelvic floor therapist?

A

Join the APTA academy of pelvic health

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3
Q

Endometriosis is _______________

A

When endometrial-LIKE tissue grows outside of the uterus

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4
Q

What does an asterisk * sign/concordinant sign mean?

A

Something with pain associated with it, example: Bending forward

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5
Q

When you exhale, how does the pelvic floor move?

When you inhale how does it move?

A

Up

Down

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6
Q

What is the MMT scale for the pelvic floor?

A

MOS- Modified Oxford Scale

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7
Q

What does PERFECT stand for

A

Power

Endurance

Repetitions

Fast Conractions

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8
Q

What spinal levels are the pudendal nerve?

A

S2 S3 S4

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9
Q

What % of the pelvic floor is fast twitch vs slow twitch

A

30% fast

70% slow

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10
Q

What is the normal voiding rate?

A

1mL per minute input from the kidneys

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11
Q

How does the bladder/detrusor muscle work with the pelvic floor muscles

A

Opposite contract/relaxation

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12
Q

What does a normal voiding schedule look like

A

Every 3-4 hours

no night time voids

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13
Q

Leakage of urine w/ increased intra-adominal pressure

coughing,sneezing,exercise

A

Stress Incontinence

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14
Q

Leakage associated w/ a strong urge

often on the way to the bathroom, not the same as OAB

A

Urge incontinence

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15
Q

Any combination of stress, urge, mixed, overflow, functional inconinence is called

A

Mixed Incontinence

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16
Q

Leakage of bladder due to full blader or urge to void missed/ blockage or urethra

A

Overflow

17
Q

Incontinence d/t inability to get to bathroom (mobility)

A

Functional incontinence

18
Q

At what stage of prolapse will someone usually start seeing symptoms

A

Stage 2

19
Q

Pt complains of heaviness in pelvis, something in vagina. Able to push tissue back in manually

tissue laxity assessed anterior, apical, and posterior

possible levator ani avulsion

A

possible Prolapse

20
Q

Bladder Irritants

A

Caffine
Alcohol
Carbination
Citrus Juices/foods
Tomatoes
Spicy Food
Chocolate

21
Q

Normal range of bowel movements?

A

x3 a day to x3 a week

22
Q

What does black color mean in stool?

red?

A

Old blood from further up in the GI system

blood from lower down in the GI system

23
Q

proper deficiation mechanics

A

feet elevated and legs abducted

make belly round and hard, exhale on push

dont hold breath or close off glotti s

24
Q

What muscle is typically tight causing outlet conspitation/dysynergia

A

Puborectalis

25
Q

Should a patient do their PT exercises on the toilet?

A

No dont do them on the toilet