pelvic health Flashcards
what 3 bones make the pelvis
- ilium
- ischium
- pubis
what is the role of the iliac crest
it’s role is to support the weight of the upper body in sitting, and transfer the weight to the lower limbs in standing
what is the function of the pelvic floor
- support the internal organs
- strength of the sphincters
- sexual function
- posture
what is the pelvic floor compared to
its compared to a hammock
how does the pelvic floor help with defaecation
when knees are elevated the puborectalis relaxes and then it allows easier defaecation
how does the pelvic floor behave in pregnancy
in pregnancy the pelvic floor has to contract to help suspend the baby, but in delivery it relaxes to aid delivery of the baby
the pelvic floor work in a triad with which muscles to help with posture
pelvic floor, abs, glutes
what is the muscle in the bladder that detects when it is full
the detrusor muscles
how much does the avg bladder hold
1.5 - 2 litres
what is it called when a patients holds urine
urinary retension
what are the types of incontinence
- stress incontinence
- urgency incontinence
- mixed incontinence
What is stress urinary incontinence?
Stress urinary incontinence is the involuntary leakage of urine during physical activities that increase abdominal pressure, such as coughing, sneezing, or exercise.
Fill in the blank: Stress urinary incontinence is often associated with weakness in the _______ muscles.
pelvic floor
What is urgency urinary incontinence?
A condition characterised by an involuntary loss of urine associated with a strong desire to urinate.
Fill in the blank: Urgency urinary incontinence can often be a symptom of __________.
overactive bladder
What is overflow urinary incontinence?
Overflow urinary incontinence is a condition characterized by the involuntary leakage of urine due to an overdistended bladder.
what is used to identify the type of stool
the bristol stool chart
when carrying out an internal assessment what factors are included (PERFECT)
P- power, pressure
E- endurance
R- repetitions
F- fast
E- every
C- contraction
T- timed
what’s a negative of using PERFECT as an outcome measure
that the PREFECT score is subjective
what are haemorrhoids
they are swollen veins in the anus and lower rectum that can be located internally or externally, often causing discomfort and, in some cases, bleeding
how long should people be able to hold their pelvic floor for
short twitch fibres - squeeze and release 10x
endurance fibres - hold for 10 seconds x 10
what is a pelvic organ prolapse (POP)
this is a departure from normal sensation, structure or function experienced in relation to the position of her pelvic organs
what aggravates a pelvic organ prolapse
generally aggravated by gravity and an increase in intra-abdominal pressure
how is the feeling of POP described
described like ‘dragging’ or a ‘bulge’ or a ‘used tampon’
what is a pessary
A pessary is a medical device, often made of silicone, used to support the pelvic floor and treat conditions like pelvic organ prolapse and urinary incontinence, offering a non-surgical alternative for symptom management.