Lecture 4 PELVIC FLOOR Flashcards
Bc sometimes Dr. Arnold does these questions:
When did the academy of pelvic health begin?
1977
What’s the first step to becoming a Pelvic floor therapist?
Join the APTA academy of pelvic health
Endometriosis is _______________
When endometrial-LIKE tissue grows outside of the uterus
What does an asterisk * sign/concordinant sign mean?
Something with pain associated with it, example: Bending forward
When you exhale, how does the pelvic floor move?
When you inhale how does it move?
Up
Down
What is the MMT scale for the pelvic floor?
MOS- Modified Oxford Scale
What does PERFECT stand for
Power
Endurance
Repetitions
Fast Conractions
What spinal levels are the pudendal nerve?
S2 S3 S4
What % of the pelvic floor is fast twitch vs slow twitch
30% fast
70% slow
What is the normal voiding rate?
1mL per minute input from the kidneys
How does the bladder/detrusor muscle work with the pelvic floor muscles
Opposite contract/relaxation
What does a normal voiding schedule look like
Every 3-4 hours
no night time voids
Leakage of urine w/ increased intra-adominal pressure
coughing,sneezing,exercise
Stress Incontinence
Leakage associated w/ a strong urge
often on the way to the bathroom, not the same as OAB
Urge incontinence
Any combination of stress, urge, mixed, overflow, functional inconinence is called
Mixed Incontinence
Leakage of bladder due to full blader or urge to void missed/ blockage or urethra
Overflow
Incontinence d/t inability to get to bathroom (mobility)
Functional incontinence
At what stage of prolapse will someone usually start seeing symptoms
Stage 2
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
possible Prolapse
Bladder Irritants
Caffine
Alcohol
Carbination
Citrus Juices/foods
Tomatoes
Spicy Food
Chocolate
Normal range of bowel movements?
x3 a day to x3 a week
What does black color mean in stool?
red?
Old blood from further up in the GI system
blood from lower down in the GI system
proper deficiation mechanics
feet elevated and legs abducted
make belly round and hard, exhale on push
dont hold breath or close off glotti s
What muscle is typically tight causing outlet conspitation/dysynergia
Puborectalis
Should a patient do their PT exercises on the toilet?
No dont do them on the toilet
