pregnancy

Question 1

12 weeks
Uterus/baby/hormone

Answer 1

baby size of grapefruit
uterus rises above pelvic rim
peak production of relaxin = lig laxity = joint instability and irritation

Question 2

12 weeks
A. muscular

Answer 2

shortening of rectus abd and A. hip muscles on stretch

Question 3

12 weeks
TSP

Answer 3

breast increase = increase tsp kyphosis
= flexion = irritates discs
TSP kyphosis increase = reduced rib expansion and circumferenced increases by 5-7cm
compromised thoracic outlet = compressed on A disc which stretches P. disc and compression on brachial plexus

Question 4

12 weeks
pelvis

Answer 4

ASIS, AIIS, pelvic P. tilt = hip flexes on stretch eg rectus femoris = strain/tightness

decrease lordosis LSP = more in flexion which increases the pressure on discs and irritates them and potential annular strain or herniation

increase sacral count nutation

Question 5

24 weeks
A. muscular / visera

Answer 5

uterus outside pelvic bowl and into diaphragm
this causes diaphragm to elevate = tsp to extend and open, which also affects breathing mechanics

Question 6

24 weeks
TSP

Answer 6

lower ribs expand out

distal sternum elevate to make more room

csp lordosis increase = increased extension = will approximate the facets and lead to facet irritation

TOS and 1st rib dysfunction due tp being pushed up

centre of gravity moves more posteriorly

Lower ribs displace as need to expand laterally = rib head irritation

Question 7

24 weeks
pelvis

Answer 7

can start to A. rotate = increase lumbar lordosis = facet irritation
this stretches hamstrings = strain
Flexors and adductor muscles work to stabilise = strain

Question 8

30 weeks
TSP

Answer 8

increase kyphosis @ CT junction = strain
And disc irritation

Thoracis inlet compromise = heart burn
increased posterior centre of gravity to balance out anterior weight

Question 9

30 weeks
Pelvic

Answer 9

Pubic strain due to baby posture / pressure
A. rotation = stretch through abdominal wall
increase sacral nutation
coccyx needs to flex
80% develop lordotic posture

Question 10

30 weeks
legs

Answer 10

hips Laterally rotate = foot turned out = altered gait to make room for baby

Question 11

40 weeks
pelvis

Answer 11

P. rotates and flatterns lumbar causing hamstrings to be more on stretch and potential annular strain and disc irritation and herniation

more weight bearing through pelvic floor rather than abdomen muscles

Question 12

40 weeks
ribs / sternum

Answer 12

rib circumference increases by 5-7cm
sternal angle elevates
rib head irritation due to rib expansion of rib cage due to baby moving abdominal organs superiorly

Question 13

40 weeks
venous pressure

Answer 13

increase venous pressure and congestion on loading = haemorrhoids and varicose veins