Physio of gynae conditions Flashcards
what are the main groups of symptoms related to pelvic floor dysfunction
urinary pelvic organ prolapse vulvodynia faecal symptoms defaecatory dysfunction
what is vulvodynia
cause
pain which is persistent in the vulva - the skin surrounding the entrance to the vagina
usually provoked by sexual intercourse or tampons. if idiopathic then physio does not help much
what is defaecatory dysfunction
inability to not a very good technique of emptying bowels
assessment of patient with pelvic floor dysfunction
bladder diary urinalysis post void residual vaginal +/- rectal exam real time USS biofeedback - abdominal or translabial pelvic organ prolapse pelvic floor assessment
what are the two scales used to grade muscles in the pelvic floor
oxford and ICS
lifestyle treatment in physiotherapy
healthy BMI avoid constipation smoking cessation avoid heavy lifting caffeine reduction
how can constipation be avoided
by having pears
treatment for bladder symptoms
caffeine reduction bladder training voiding/double voiding techniques pelvic floor exercises constipation
treatment for bowel symptoms
regulate stool to 'goldilocks poo' pelvic floor exercises difficulty wiping clean - lepicol urge: holding on programme frequency: holding on programme and caffeine reduction
pelvic floor exercises performed till what
practiced how many times
individualised
till muscle fatigue several times per day
practiced for 15-20 weeks
what is biofeedback training
EMG computer or handheld visual and/or auditory training programme
what are some examples of OTC biofeedback
pelvic educator vaginal cones kegal exerciser pelvic floor trainers muscle stimulators
when can electrical stimulation be used
muscle strength 2 or less on modified oxford scale
actively assisted
daily home use
what are some core stability exercises
limbo pelvic cylinder - pelvic floor, transverse abdomens, diaphragm, lumbar multifidus
pilates
gym ball
