Physiotherapy management of gynae disorders

Question 1

give 5 complications of pelvic floor dysfunction?

Answer 1

urinary symptoms
pelvic organ prolapse
Vulvodynia
Faecal symptoms 
Defamatory dysfunction

Question 2

how is PFD assessed? (9)

-investigations?

Answer 2

PMH (lung disease, surgery, DM, neurological)
Lifestyle (smoking 7 weight)
Drug hx 
Obstetric & Gynaecological hx
Social hx 
Bladder symptoms (bladder diary)
bowel symptoms 
QOL & patient goals

-urinalysis
Post ovoidal residue
Vaginal & rectal examination?
Real time US
pelvic organ prolapse and pelvic floor assessment

Question 3

What does the oxford scale measure?

-catagories? (5)

Answer 3

-muscle strength of the pelvic floor :

-Grade 0 - No discernible contraction
Grade 1 – Flicker Grade 2 – Weak contraction
Grade 3 – Moderate contraction
Grade 4 – Good contraction
Grade 5 – Strong contraction against maximal resistance

Question 4

what should be included in lifestyle management of PFD?

Answer 4

Healthy BMI
avoid constipation
smoking cessation
avoid heavy lifting
caffeine reduction

Question 5

give 5 methods for dealing with bladder symptoms?

Answer 5

caffeine reduction 
bladder training
Voiding/double voiding techniques
Pelvic floor exercises
Constipation

Question 6

Give ? methods for dealing with bowel symptoms?

Answer 6

regulate stool to goldilocks poo
pelvic floor exercises
Difficulty Wiping clean- lexical
Urge: holding on programme 
Frequency: ^^ + caffeine reduction

Question 7

What exercises can help improve pelvic floor strength?

Answer 7

Pelvic floor exercises (good during preg)
Lumbo-pelvic cylinder
pilates
gymball