Pelvic Floor Flashcards
the PF muscles are ___% fast twitch and ___% slow twitch
30% fast
70% slow
PF is innervated by
pudendal n
sacral nerve roots
what makes the floor of the PF?
piriformis
obturator internus
5 functions of PF
support
sphincteric
sexual
stability
sump pump
what is the most superficial muscle layer?
superficial perineal space
what is the middle muscle layer?
urogenital diaphragm
what is the deepest layer?
pelvic diaphragm
max cap of bladder
600 mL
when do stretch receptors signal an urge?
250 mL
how many voids per day?
4-8
how often is normal urination?
every 3-4 hours
stress incontinence
leakage of urine with increased intra-abdominal pressure
urge incontinence
leakage associated with a strong urge, often otw to bathroom
overflow incontinence
leakage from a full bladder, urge to void is missed or blockage to urethra
functional incontinence
patient with mobility issue preventing getting to the bathroom in time
if a pt reports feeling heaviness in vagina, what is suspected?
prolapse
cystocele prolapse
bladder falling in
what are the main bladder irritants?
caffeine
alcohol
carbonation
artificial sweetners
what is “the knack”?
hold contraction before cough or sneeze
normal BM
3x/day to 3x/week
the knees should be ____ than the hips to relax the ____ muscle
higher
pubrorectalis
1 in ___ American women have pelvic pain
7
vulvodynia and vestibulodynia
- pain in vulva not related to a specific, identifiable disorder
- pt c/o discomfort with sensations of burning, irritation rawness, knife-like pain
what is the dilator program used for?
vaginismus
vulvodynia
pts with high fear levels
which lig is stretched in pregnant women that can cause pain?
round lig
what is diastasis recti?
abdominal wall separation between rectus muscle bellies at the linea alba
T/F: diastasis recti is normal during late stage pregnancy
T
when does diastasis recti become abnormal?
if persists 3 months post-partum
diastasis recti is associated with what other conditions?
LBP
incontinence
prolapse
constipation
which mm can be painful and cause sx that look like a labral tear?
obturator internus
what is the primary cause of urinary accidents and bedwetting in kids?
constipation
_____ is the 2nd most common reason for nursing home admission
incontinence
