OMM for the pregnant patient - LECTURE Flashcards
what are the stresses added to the body by pregnancy?
mechanical
physiological
venous / lymphatic
hormonal
what are risk factors for developing LBP during pregnancy?
heavy manual labor
smoking - decreased oxygen
parity, age, previous history of LBP
what happens to the mothers center of gravity during fetal growth?
shifts forward
what are the compensated movements of the spine during the forward shift of center of gravity during pregnancy? what is the result of this?
increased lordotic posture
increased pelvic tilt
increased thoracic kyphosis
hip joint, upper trunk, neck extension rather from just lumbar spine extension
how are radicular symptoms most often caused?
direct pressure on the nerve root or lumbar plexus by the uterus
what happens to the paraspinal muscles during normal pregnancy?
shorten posteriorly
unbalanced by overstretching abdominal muscles anteriorly
what is the most common paraspinal muscle that shortens posteriorly?
iliopsoas
what is the cause of SI pain?
excessive CT stretch and microtrauma
how can posterior pelvic pain be differentiated from SI pain?
in posterior pelvic pain the neuro exam is normal
what is the cause of back pain in pregnant women at night after lying down for a few hours?
changes in osmotic forces
what is the most important thing that can be done for mother and baby?
addressing venous and lymphatics
what is the VVVP? its drainage depends on what?
valveless venous vertebral plexus
depends upon the resting pressure within the thorax and abdomen
what are the primary target tissues of relaxin?
cervix
uterus
ligamentous structures of the pelvis
which hormone promotes fluid retention during pregnancy?
progesterone
viscerosomatics: uterus
T10 - L1
