Pregnancy (2) Flashcards
What is the effectiveness of an individualized program compared to a generic program?
Individualized programs significantly reduced pain (generic did not)
What are symptoms during the first trimester of pregnancy?
Morning sickness
Dizziness/lightheadedness
Fatigue
What are symptoms during the second trimester of pregnancy?
Low BP (Orthostatic hypotension)
Easily dehydrated
What are symptoms during the third trimester of pregnancy?
Cramping
Braxton hicks contraction
Stress incontinence
Shortness of breath
Pain/swelling in the feet
What are red flags to watch for in pregnant women?
Blood clot (increased risk due to changes in blood flow)
Blood glucose crisis
Fracture
Preterm labor symptoms
What are the 7 precautions/contraindications for a pregnant woman?
No prolonged supine during 3rd trimester
Cannot tolerate prone position
No heavy lifting
No valsalva
Monitor for lightheadedness and educate for eating prior to exercise to hold off hypoglycemic events
No moist heat on low back or abdomen
No electrical stimulation or therapeutic ultrasound on low back or abdomen
What are some alternatives to lay for spine assessment instead of prone?
Sidelying (lumbar)
Seated and leaning forward (thoracic/rib)
Lower the table and stand behind (cervical)
What can cause sciatica in pregnant women?
The change in posture/joint position can lead to increased pressure on a nerve
What are some interventions to help with LBP and sciatica in pregnant women?
Maternity support belt
Manual therapy
Strengthening of transverse abdominis
Pelvic mobilization exercises
Education (flat shoes, rest, keep moving)
What is meralgia parasthetica caused by?
Compression of lateral femoral cutaneous nerves (resolves on own after delivery)
What are characteristics of meralgia parasthetica?
Weak hip flexors, hip abductors, and glutes
Tight ITB, Piriformis, and hamstrings
Antalgic or trendelenberg gait
What are some treatments for meralgia parasthetica?
Exercise
Manual therapy
Ice
Support belt
What is worst case scenario for meralgia parasthetica?
Surgical excision after delivery
What are 2 rare but serious diagnoses for the hip?
Transient osteoporosis of the hip
Osteonecrosis of femoral head
When does transient osteoporosis occur?
3rd trimester
