Physiotherapy management of gynae disorders Flashcards
Name 4 types of Pelvic floor dysfunction?
Urinary symptoms Pelvic organ prolapse Vulvodynia Faecal symtpoms Defaecatory dysfunction
What is SIGN 79?
Management of urinary incontinence in primary care
What should be asked about in assessment?
PMHx Lifestyle Dx O&Gx Social history Bladder symptoms Bowel symptoms Quality of life measures Patient set goals
What investigations should be done?
Urinalysis Post void residual Vaginal +/- rectal exam Real time US biofeedback - abdo or translabial Pelvic organ prolapse Pelvic floor assessment
What lifestyle changes can help?
Healthy BMI Avoid constipation Smocking cessation Avoid heavy lifting Caffeine reduction
What can reduce bladder symptoms?
Caffeine reduction Bladder training Voiding/double voiding techniques Pelvic floor exercises Constipation avoidance
What can help with bowel symptoms?
regulate stool to golidilocks poo
Pelvic floor exercises
Difficulty wiping clean - lepicol or similar
Urge - Holding on programme
Frequency - Holding on programme and caffeine reduction
What can OTC biofeedback be used to help with?
Pelvic educator Vaginal cones Kegel exerciser Pelvic floor trainers Muscle stimulators
What muscles can a Lumbo-pelvic cylinder help?
Pelvic floor
Transverse abdominis
Diaphragm
Lumber multifidus
Name 2 other things that can help increase core stability?
Pilates
Gym ball
What would be Oxford scale Grade 0?
No discernible contraction
ICS - absent
What would be Oxford scale Grade 1?
Flicker
ICS - weak
What would be Oxford scale Grade 2?
Weak contraction
ICS - weak
What would be Oxford scale Grade 3?
Moderate contraction
ICS - Normal
What would be Oxford scale Grade 4?
Good contraction
ICS - Normal
