Part 5 Flashcards
MIDDLE LAYER IS PROVIDED BY:
UROGENITAL DIAPHRAGM (DEEP LAYER OF THE TRIANGLE)
DEEP LAYER IS PROVIDED BY:
PELVIC DIAPHRAGM
SPHINCTER CONTROL
PELVIC FLOOR INCREASES URETHRAL CLOSING PRESSURE PELVIC FLOOR KEEP THE ANORECTAL ANGLE CLOSED PELVICE FLOOR ASSIST WITH VOIDING THROUGH REFLEX INHIBITION OF THE BLADDER BY BRADLEY LOOP #3.
SEXUAL FUNCTION
PROVIDES TONE FOR VAGINAL WALL MAINTENCE OF CLITORAL ERECTION REFLEXIVE CONTRACTION OF THE PELVIC DIAPHRAGM MUSCLES DURING ORGASM
Hypertonus Dysfunctions
Etiology: from trauma within the region of the pelvis, abdomen, back, dysfunctional use patterns, or psychogenic causes
Hypertonus Dysfunctions Symptoms
Back pain Perivaginal pain Rectal pain Lower abdominal pain Coccyx pain Posterior thigh pain Vulvar or Clitoral pain Incontinence Constipation
Incontinence Causes
Disuse atrophy Childbirth Trauma Hormonal Changes Repetitive Val Salva Post surgical Bacterial infections Stress Incontinence Urge Incontinence Overflow Incontinence
Incontinence Evaluation
Accessory muscle group strength Bladder diary Abdominal Palpation Diastasis
Estrogen
Reduces the adhesions of collagen fibers in connective tissue Increases water retention Relaxing effect on pelvic ligaments Lengthens ducts in the breasts Increases the epithelium in the vagina Enlarges the uterus Increases the pH of the cervix along with increased mucous production
Progesterone
Reduces smooth muscle elasticity in the fallopian tubes, ureters, stomach and gut Raises body temperature
Thyroid Hormones
Increases basal metabolism rate
Prolactin
Production of Milk
Oxytocin
Important for beginning of birth
Relaxin
Helps to change the reproductive tract for pregnancy/delivery Increases ligament laxity by producing estrogen Softens cartilage
Musculoskeletal Changes
Joint strains Diastasis Recti Feet pronation Tendonitis Nerve compression Postural changes
Contraindications to Exercise
HTN Anemia Thyroid Diabetes Cardiac Arrythmias History of intrauterine growth retardation History of bleeding Breech presentation Excessive obesity Extreme underweight/malnutrition Extreme fatigue Sedentary lifestyle Multiple gestation Active myocardial disease CHF Rheumatic heart Disease Thrombophlebitis Recent PE Acute infectious disease At risk for premature labor Severe HTN Incompetent cervix Triplets or more Uterine bleeding
Symptoms to Watch During Exercise
Uterine Contractions at 20 minutes intervals or closer Vaginal bleeding Leaking amniotic fluid
Benefits of Prenatal Exercises
Increased energy Improved muscle tone and strength Improved posture Decreased back pain Prevention of injuries Improve sleep Maintain efficiency of circulatory and respiratory systems Decreased leg cramps Avoiding excessive weight gain Build body confidence, coordination and balance Increased endurance for labor and recovery Decreased constipation and heartburn
PT Interventions
Soft tissue mobilization (Internal and External) Myofascial and trigger point release Visceral manipulation Biofeedback E stim Heat and Cold
