physio management

Question 1

what are the most common pregnancy related MSK problems

Answer 1

back pain
pelvic girdle pain
diastasis of rectus abdominis muscle (DRAM)
carpal tunnel syndrome

Question 2

what is included in the MSK assessment

Answer 2

observation (walking, posture, build, bump)
bony landmarks
biomechanics through movement
muscle activity (strength, weakness, wasting, overactivity)
neural Ax (if indicated)

Question 3

how might pelvic floor dysfunction present

Answer 3

incontinence of urine or faeces
difficulty with defaecation
pain (vulvodynia/vaginismus, pelvic pain)
prolapse

Question 4

what is vulvodynia

Answer 4

pain in the vulval area

Question 5

whats vaginismus

Answer 5

painful spasmodic contraction of the vagina in response to pressure or activity

Question 6

assessment of pelvic floor dysfunction

Answer 6

general medical history 
bladder symptoms (including bladder diary)
bowel symptoms 
pain issues (what, where, when)
SCD
quality of life measures 
patient set goals

Question 7

what lifestyle changes can be implemented in addition to physio

Answer 7

weight lose (healthy BMI)
smoking cessation
ADLs/appropriate exercise

Question 8

how to manage bladder symptoms

Answer 8

caffeine reduction
bladder training 
voiding/double voiding techniques 
pelvic floor exercises 
addressing constipation

Question 9

how to manage bowel symptoms

Answer 9

regulate stool to BSC type 3/4
pelvic floor exercises
/awareness (letting go)
urge (holding on)

Question 10

how long and often should pelvic floor exercises be carried out

Answer 10

performed until muscle fatigue several times per day

Question 11

which muscles does a limbo-pelvic cylinder target

Answer 11

pelvic floor
transversus abdominis
diaphragm
lumbar multifidus