Pelvic Health

Question 1

when to start potty training?

Answer 1

24 mo

Question 2

coordination of bladder and urinary sphincters occurs around ___

Answer 2

2 yo

Question 3

signs of bladder sensation appear around

Answer 3

18 mo

Question 4

by ___ old they should be able to fully empty bladder

Answer 4

3 yo

Question 5

median age of day dryness

Answer 5

3.5 yo

Question 6

when should night time dryness occur?

Answer 6

~6 months after day dryness

Question 7

infants usually void every ____ which wakes them up

Answer 7

1 hour

Question 8

potty training readiness signs

Answer 8

• B< same time each day
• no BM at night
• dry diaper after nap
• dry diaper for at least 2 hours at a time
• squatting and climbing
• able to pull pants down
• emotional readiness

Question 9

enuresis

Answer 9

night time urine leaks after 5 yo

Question 10

encopresis

Answer 10

impacted stool remains in colon & rectum –> stretches retum

Question 11

overactive bladder is voiding >___ times per day

Answer 11

8

Question 12

underactive bladder is voiding <___ times per day

Answer 12

5-6
or not completely emptying

Question 13

what is the #1 cause of bedwetting?

Answer 13

constipation

Question 14

ROME III criteria for constipation

Answer 14

• straining 25% of time
• lumpy or hard stool <25% of time
• <3 defactions per week
• no loose stool without laxatives
• manual facilitation >/= 25% of time
• sensation of incomplete emptying

Question 15

abnormal BM amout

Answer 15

> 3 in a day or <3 in a week

Question 16

primary incontinence

Answer 16

never completely potty trained

Question 17

secondary incontinence

Answer 17

dry for at least 6 months then regress

Question 18

how does rolling assist with pelvic floor function?

Answer 18

obliques needed to bear down

Question 19

how does crawling assist with pelvic floor function?

Answer 19

build scapular stability for stacking
shapes diaphragm and develops PF

Question 20

how does standing assist with pelvic floor function?

Answer 20

balance reactions
stability
coordination

Question 21

how does walking assist with pelvic floor function?

Answer 21

need mature walking pattern to contract/relax PF

Question 22

heel strike ____ PF, while toe off ____

Answer 22

heel strike - relax
toe off (PF) - contract

Question 23

need ___ pelvic tilt for puborectalis alignment

Answer 23

anterior

Question 24

activating ___ & ___ helps activate the ascending and descending colon

Answer 24

psoas and trunk rotation

Question 25

proper potty posture

Answer 25

feet on stable surface & flat knees above hips elbows on knees (lean forward 35 deg) sit tall & breathe

Question 26

what reflex tells the body if gas or stool?

Answer 26

RAIR reflex (autonomic reflex)

Question 27

bowel routine

Answer 27

sit on potty after meals

Question 28

timed voiding should schedule voids every ____

Answer 28

2-3 hours

Question 29

if only voiding every ____, there is a high risk for UTI

Answer 29

4-6 hours

Question 30

sensory e stim can be done ____ a day for ___ weeks to increase motility

Answer 30

20 mins days for 4 weeks

Question 31

stretching of the PF can be done for ____ after motility exercises

Answer 31

5-10 mins

Question 32

when is PF relaxed in relation to breathing?

Answer 32

inhalation

Question 33

treatments for short, tense, immobile PF

Answer 33

- stretching daily (child pose, frog squat, duck walk) - deep breathing practice - pair with calming activity

Question 34

treatments for weak & lengthened PF

Answer 34

- long sit on wedge - adductor activation - balance

Question 35

when should congenital diastasis recti close?

Answer 35

1-3 yo

Question 36

diastasis recti progression

Answer 36

chin tucks scapular stabilization with no rib mvmt upper abs lower abs obliques *ensure TrA activation throughout*

Question 37

bladder irritants

Answer 37

milk/dairy tomatoes chocolate caffeine citrus carbonation

Question 38

top constipating foods

Answer 38

bananas applesauce cheese milk tapioca

Question 39

bedwetting is defined as nighttime incontinence after age _____

Answer 39

5 yo

Question 40

what should be ruled out for bedwetting causes?

Answer 40

constipation sleep apnea diabetes genetic chronic kidney disease

Question 41

overactive bladder is when full bladder emptying lasts > ____

Answer 41

8 secs

Question 42

diagnoses at increased risk for B&B challenges

Answer 42

autism ADHD neuro deficits sensory processing disorder low tone high tone obesity