Physiotherapy in obs and gyn Flashcards

1
Q

What MSK problems can occur in pregnancy?

A
  • Back pain
  • Pelvic girdle/symphysis pubis pain/dysfunction
  • DRAM (diastasis of rectus abdominus muscle) - the stretching of the abdominal muscles at the midline during pregnancy.
  • Carpal Tunnel
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2
Q

What is pelvic floor dysfunction?

A

Pelvic floor dysfunction is when there is either too much tension on the pelvic floor muscles (high tone) or not enough (low tone).

Can present with:
- Incontinence of bladder/bowel
- Difficulty with bowel emptying
- Pelvic organ prolapse
- Vulvodynia or other male/female pelvic pain

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3
Q

What is vulvodynia?

A

Chronic pain that affects the vulvar area and occurs without an identifiable cause.

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4
Q

What is the modified oxford scale

A

Scale used to quantify pelvic floor muscle strength

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5
Q

How many grades for modified oxford scale?

A

6 grades (grade 0-5)

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6
Q

What do the grades mean for the modified oxford scale?

A

Grade 0 - No detectable contraction

Grade 1 – Flicker

Grade 2 – Weak contraction

Grade 3 – Moderate contraction

Grade 4 – Good contraction

Grade 5 – Strong contraction against maximal resistance

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7
Q

Lifestyle treatment for pelvis floor dysfunction?

A

Healthy BMI
Avoid constipation
Smoking cessation
Avoid heavy lifting
Caffeine reduction

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8
Q

What is biofeedback training?

A

Biofeedback is a tool used for pelvic floor rehabilitation. This technique involves placing a small device in your bottom while doing the exercises.

This device provides visual and auditory stimuli, providing you with feedback as to how well you are doing the exercises.

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