PFPT tx - Class 5 Flashcards
specific instructions 1
tighten and lift the muscles around your genital
pull them up and inward
as if to stop the flow of urine
specific instructions 2
tighten the muscles that you would use to stop gas from escaping at an embarrassing time
specific instructions 3
pull your muscles up and in
as if you had the urge to urinate and could not stop to use the toilet
specific instructions 4
gently push out
as if to pass gas
and then quickly pull all the muscles back (up and in)
dosage
follows the same principles of overload and specificity
start light and build up
start light and build up
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
how many contractions should we spread throughout the day
50-80
what occurs during pregnancy
anatomical and physiological changes
anatomical and physiological changes
MS changes
changes in posture and balance
changes in posture and balance
COG
balance
MS system
abdominal musculature
subjected to biomechanical changes and get stretched to their limit
effect
abdominal musculature
both sides of the rectus
linea alba
effect
decreased
-ability to create a strong contraction
-mechanical advantage
pelvic floor muscles
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
connective tissue and joints
systemic decrease in ligamentous tensile strength
significant joint laxity
when are joint stability issues noted
as many as 4 months post partum
thoracolumbar fascia is
lengthened via its connection to the abdominal wall
what does lengthening of the thoracolumbar fascia lead to
decrease in supporting and stabilizing trunk
what occurs secondary to ligamentous laxity
joint hypermobility
joint hypermobility leads to
more injury of the back, pelvic and lower extremity
changes in posture and balance
COG
postural changes
balance
COG
upward and forward
secondary to uterus and breast tissue
leads to numerous compensations to maintain balance and stability
postural changes
lumbar and cervical lordosis increase
shoulder girdle and upper back become rounded
scapular protraction and upper extremity IR
suboccipital muscles get tighter
genu recurvatum
do changes that occur during pregnancy immediately reverse
no
changes that occur during pregnancy can
get worse secondary to child care activities
balance
ADLs become more difficult
wider BOS and ER
any activity that causes rapid changes in direction and fine balance
become near impossible
diastasis recti
gap of 2 cm or greater b/w the 2 sides of the rectus abdominis muscle
