Pelvic Health Flashcards
Coordination of bladder and urinary sphincters occurs at
2
Signs of bladder sensation appear around
18 months
By the age of ____ they should be able to fully empty their bladder
3
Median age of having no accidents during the day (daytime dryness)
3.5
When should night time dryness occur?
6 months after daytime dryness
Potty training readiness signs
Have bowel movement same time each day
No bowel movements at night
Dry diaper after nap
Dry diaper for atleast 2 hours at a time
They are squatting and climbing
Able to pull pants down
Emotional readiness
What is the #1 cause of betting
Constipation
What is the ROME criteria for constipation
Straining 25% of the time
Lumpy/hard stool 25% of the time
Fewer than 3 per week
No loose stools without laxative
Sensation of incomplete emptying
(2 or more for over 3 months)
What are clinical signs of constipation
Loose stool- because new stool is just going around the old hard stool
Bed wetting
Can be over 3 bowel movements in a day or under 3 in a week
Withholding
Child will only go in pull-up or in standing.
Red/yellow flags for ped pelvic health
Withholding- scared to go poop
Primary or secondary incontinence
Frequent UTI
Nocturnal enuresis after 5
Straining or infrequent bowel movements
Infrequent or too frequent urinarion
Teens: giggle incontinence, incontinence when playing sports
What’s the difference between primary and secondary incontinence
Primary- never completely potty trained
Secondary- dry for atleast 6 months and now they regress
How does rolling relate to pelvic health development
obliques are needed to bear down
any asymmetries can lead to pelvic floor dysfunction
how does crawling relate to pelvic health development
builds scapular stability, shapes diaphragm and develops pelvic floor
any asymmetries can lead to pelvic floor dysfunction
how does standing relate to pelvic health development
balance reactions, stability, coordination
any asymmetries can lead to pelvic floor dysfunction
how does walking relate to pelvic health development
need mature gait pattern to contract/relax pelvic floor
any asymmetries can lead to pelvic floor dysfunction
how does the frog squat relate to pelvic health development
need hip ROM
any asymmetries can lead to pelvic floor dysfunction
Why is squatting better than sitting for going poop
puborectalis doesn’t “choke” the rectum while squatting, the rectum is more closed when sitting
Activating ________ helps activate the ascending and descending colon
psoas and trunk rotation
You need ______ pelvic tilt for puborectalis alignment
anterior
When _____ are activates, the pelvic floor contracts
plantarflexors
Toe walking is a sign that
they might need to go to the bathroom
How might a child sit if they need to go to the bathroom
with their bottom ontop of their foot
How are kneeling activities important for pelvic development
need to be able to disassociate one side from other in order to have pelvic control
What is a good assessment of pelvic floor coordination in children
assessing global coordination
- do they cross midline
-can they jump and land symmetrically
-can they isolate movements
-can they coordinate jumping jacks
what are the 4 parts to proper potty posture
feet on stable flat surface
knees above hips
elbows on knees (lean 35 degrees)
sit tall and breathe
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