PELVIC HEALTH Flashcards
what is an asterick sign
pain is associated with it
EVERY PELVIC floor mm has a right and left and work together TRUE OR FALSE
true
levator ani mm may get avulsed with vaginal birth true or false
true
MOS
modified oxford scale (same as MMT 0-5)
stress incontinence is what
leakage of urine with increased IA pressure
urge incontinence is what
leakage associated with strong urge, often on the way to the bathroom
MIXED incontinence is what
mix of urge and stress incontinence, usually one is predominant
overflow incontinence is what?
leakage from full bladder, urge to void missed or there is a blockage to urethra
having knees higher than hips helps what mm to relax when pooping
puborectalis (takes colon out of 90 degree angle)
What should a pelvic floor history look like?
- complaint
- pmhx
- obstretric history
- urinary, bowel symptoms
- pain
- sex dysfunction
- fluid intake, diet
- work/social = GOALS
What are good outcome measures for pelvic floor PT?
UDI-6, PFDI-20, NIH Female Prostatitis; Female Sexual Function Index, Vulvovaginal
Questionnaire; Oswestry; Pelvic Girdle Pain Questionnaire; Pain catastrophizing scale; Fear Avoidance Behavior Questionnaire
diagnoses for men treated by Pelvic floor PT
● Incontinence/OAB
● Post void dribble
● Chronic Pelvic pain syndrome
● Pudendal Neuralgia
● Painful Bladder syndrome
● Proctalgia Fugax
● Erectile Dysfunction
● Pain with ejaculation
● Post-prostatectomy rehabilitation
Pediatric pelvic floor PT diagnoses
constipation
enuresis
encopresis
painful urination/defecation
urinary urgency/frequency
fecal urgency/frequency
pelvic floor muscles attach from ___ to ___ and ____, between ischial tuberosities
pubic bone to coccyx and sacrum, spanning between the isch tubs
pelvic floor is made of ___ fast twitch, ___ slow twitch
30% fast twitch, 70% slow twitch
*MOSTLY SLOW TWITCH
