pelvic floor lecture Flashcards
are the pelvic floor muscles more slow or fast twitch mm
70% are slow
how many layers are there of the pelvic floor mms and where does it span in between
3 layers form pubic bone to coccyx and sacrum anf spans between ischial tiberosities
what 2 mms form walls of the pelvic floor
obturator internus and piriformis
what are the 5 functions of the pelvic floor (5 S’s)
○ Support
○ Sphincteric
○ Sexual
○ Stability
○ Sump pump
what are the mm of the superficial perineal space
-bulbospongiosus
-ischiocaveronosus
- superficial transverse perineal mm
what are the mm of the urogential diaphram ( middle layer)
-external urethral sphincter
-deep transverse perineal mm
what is the normal voding amount from the kidneys
1 mL/min
how many times a day should someone void
4-8 voids a day between every 3-4 hours
not normla to night time void
○ Leakage of urine with increased intra-abdominal
pressure
○ Cough, sneeze laugh, exercise, change in position
what kind of incontinence is this
stress
○ Leakage associated with a strong urge, often on the
way to the bathroom
○ OAB is urgency and frequency without leakage
what kind of incontinence is this
urge
○ Leakage from a full bladder, urge to void missed or blockage to urethra
what kind of incontinence is this
overflow
○ Patient with mobility issues preventing getting to the bathroom in time
what kind of incontinence is this
functional
what is a prolapse
slipping forward or down on one of the parts of the body
● Feeling of heaviness in pelvis, feeling of
something in the vagina
what does this describe
a prolapse
what are the behavioral modifications that pelvic PT does
○ Address poor voiding and defecation mechanics
○ Fluid Management and reduce bladder irritants
○ Bladder Diary
○ Timed Voiding
○ Weight Loss
○ Urge Distraction Techniques
○ Address constipation if present
what are the 3 top bladder irritants
caffeine
alcohol
carbonation
can u strength train an overactive pelvic floor
no
what is the normal bowel movements
3x day to 3x weeks
if ur stool is black or blonde what does that mean
black - blood
blonde - lack of bile
who is constipation more common in
women and elderly
what is dysynergia or outlet constipation? and what kind of issue is it
● Puborectalis unable to relax or is
contracting when attempting to defecate
● Coordination issue
what is diastasis recti
abdominal wall separation between rectus muscle bellies at the linea alba
what are the 4 things that diastasis is associated with
● LBP
● Incontinence
● Prolapse
● Constipation
in pediatrics, _____ is the primary cause of urinary accidents and bedwetting
constipation
