Pelvic Floor Physio

Question 1

What does Bulbocavernosus and Bulbospongiosos do?

Answer 1

-Empties urethra
-Supports Sphincters
-Clitoral erection

Question 2

5 functional roles of pelvic floor?

Answer 2

Support (fascia/ligament)
Sphincters (urinary/anal)
Stability/Mobility (bones/muscles)
Sexual health
Sub Pump (lymphatic movment)

Question 3

What does superficial transverse perineal muscles do?

Answer 3

Stabilizes perineal body

Question 3

What does Ischiocavernosus do?

Answer 3

-clitoral erection

Question 4

What does external anal sphincter do?

Answer 4

Voluntary sphincter control

Question 5

Approaches for pelvic exam?

Answer 5

• Consent
• Provide Options: positions, cueing, language
• Involve Patient in own Exam: spread own labia, insert own speculum, etc.
• Orient yourself - see the field
• Provide multiple ways to STOP
• Check with words, check with body language

Question 6

What is sensory motor modification / mirroring strategy?

Answer 6

Mirroring by touching another part of body to give them a sense of control

Question 7

What is the leading cause of disability during pregnancy?

Answer 7

Pelvic girdle pain

Question 8

What is pelvic girdle pain not?

Answer 8

Biochemical alone
Dangerous
Something to ignore

Question 9

Can pelvic girdle pain be treated in preg?

Answer 9

Yes

Question 10

Movement options for pelvic girdle pain?

Answer 10

Sit to stand strategies
Walking exercises
Core exercises
Symmetrical movement sequence

Question 10

Symptoms of birth injuries?

Answer 10

Urine urgency
Fecal loss
Urine loss
Gas loss
Heaviness pressure
Sexual pain

Question 11

Risk factors birth injuries?

Answer 11

Multiple pregnancies
Vag birth
2nd stage > 90 mins
Operative vag birth
>35
GDM
Larger babe, larger head