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
pelvic floor muscles are innervated by….
sacral nerve roots and pudendal nerve S2-4
What 2 muscles form the walls of the pelvic floor?
obturator internus
pirformis
5 pelvic floor functions
- support
- sphincteric
- sexual
- stability
- sump pump
first layer of the pelvic floor
bulbospongiosis
ischiocavernosis
superficial transverse parineum
2nd layer of the pelvic floor
urogenital diaphragm
-external urethral sphincter
-deep transverse perineal mm
3rd deep layer of pelvic floor
- levator ani (PR, PC, IC and Cocccygeus
What are normal peeing frequencies?
4-8 times a day
(every 3-4 hours)
0-1 night peeing
normal voiding process
1 mL/min from kidneys
pelvic floor relaxes while bladder (detrusor) contracts
feeling heaviness in pelvis/vagina
What could this be? (or back pain getting worse throughout day/with standing…If nothing else found then could be vaginal heaviness)
prolapse!
slip forward or down of part of bladder, rectum, uterus, intestines, vaginal cuff
