PFPT tx - Class 5

Question 1

specific instructions 1

Answer 1

tighten and lift the muscles around your genital

pull them up and inward

as if to stop the flow of urine

Question 2

specific instructions 2

Answer 2

tighten the muscles that you would use to stop gas from escaping at an embarrassing time

Question 3

specific instructions 3

Answer 3

pull your muscles up and in

as if you had the urge to urinate and could not stop to use the toilet

Question 4

specific instructions 4

Answer 4

gently push out

as if to pass gas

and then quickly pull all the muscles back (up and in)

Question 5

dosage

Answer 5

follows the same principles of overload and specificity

start light and build up

Question 6

start light and build up

Answer 6

3 sec contractions for 5-10 reps –> progress to 8-12 s contractions for increased reps

early on you should rest 50% more than you contract

build to a 1:1 relationship

Question 7

how many contractions should we spread throughout the day

Answer 7

50-80

Question 8

what occurs during pregnancy

Answer 8

anatomical and physiological changes

Question 9

anatomical and physiological changes

Answer 9

MS changes

changes in posture and balance

Question 10

changes in posture and balance

Answer 10

COG

balance

Question 11

MS system

Answer 11

abdominal musculature

subjected to biomechanical changes and get stretched to their limit

effect

Question 12

abdominal musculature

Answer 12

both sides of the rectus

linea alba

Question 13

effect

Answer 13

decreased

-ability to create a strong contraction

-mechanical advantage

Question 14

pelvic floor muscles

Answer 14

antigravity position

forced to go through large change in overall weight

pelvic floor can drop as much as 1 inch as a result of pregnancy

Question 15

connective tissue and joints

Answer 15

systemic decrease in ligamentous tensile strength

significant joint laxity

Question 16

when are joint stability issues noted

Answer 16

as many as 4 months post partum

Question 17

thoracolumbar fascia is

Answer 17

lengthened via its connection to the abdominal wall

Question 18

what does lengthening of the thoracolumbar fascia lead to

Answer 18

decrease in supporting and stabilizing trunk

Question 19

what occurs secondary to ligamentous laxity

Answer 19

joint hypermobility

Question 20

joint hypermobility leads to

Answer 20

more injury of the back, pelvic and lower extremity

Question 21

changes in posture and balance

Answer 21

COG

postural changes

balance

Question 22

COG

Answer 22

upward and forward

secondary to uterus and breast tissue

leads to numerous compensations to maintain balance and stability

Question 23

postural changes

Answer 23

lumbar and cervical lordosis increase

shoulder girdle and upper back become rounded

scapular protraction and upper extremity IR

suboccipital muscles get tighter

genu recurvatum

Question 24

do changes that occur during pregnancy immediately reverse

Answer 24

no

Question 25

changes that occur during pregnancy can

Answer 25

get worse secondary to child care activities

Question 26

balance

Answer 26

ADLs become more difficult

wider BOS and ER

Question 27

any activity that causes rapid changes in direction and fine balance

Answer 27

become near impossible

Question 28

diastasis recti

Answer 28

gap of 2 cm or greater b/w the 2 sides of the rectus abdominis muscle