Quiz 1d Flashcards
4 S functions of pelvic floor
- Supportive
- Sphincteric
- Sexual
- Stabilization
Anterior and posterior borders of pelvic floor
Pubic symphysis and coccyx
2 triangles
Urogenital and anal
Anal triangle includes the ______________
External anal sphincter
Largest muscle group in pelvic floor
Levator ani & coccygeus
Muscle group responsible for most function/dysfunction
Levator ani & coccygeus
Innervation of pelvic floor
S3-5 (pudendal segments)
Impairments in (2 muscles) contribute to PFM issues & vice versa
Obturator internus and piriformis
______ fibers interdigitate with the OI
Pubococcygeus
Hip probs may be related to
Bladder/bowel issues
This muscle pads the posterior wall of the pelvis, forming a bed for the sacral plexus
Piriformis
Tonic muscle fibers
Type 1 - slow twitch
Phasic muscle fibers
Type 2 - fast twitch
PFM are mostly type ____
1
_______________ can facilitate action of levator muscles
Hip adductors
Frequently tightened with levator muscles
Gluteals
Describe anticipatory core
Activation prior to UE task
________ is recruited to perform a full pelvic floor contraction
TA
PFM activity _________ with increased IAP
Increases
People who have bashful bladder syndrome have trouble with
Involuntary relaxation
Why is obesity a risk factor for PFM dysfunction?
Increase in IAP because everything is sitting on the pelvic floor
2 pelvic floor dysfunctions caused by child birth
Nerve compression, traction
Urinary incontinence is caused by ______ tone of the PFM
Low
Constipation is caused by _____ tone of PFM
High
Urethral resistance pressure > bladder pressure
Continence principle
During storage phase of voiding, bladder is ________ and PFM are _________
Relaxed, contracted
During the emptying phase of adult voiding, PFM ______ and the bladder _________
Relax; contracts
Decreasing fluids does not decrease ______________
Incontinence
3 most common irritants of the bladder
Caffeine, alcohol, carbonated beverages
Loss of small amount of urine associated with physical exertion
Stress incontinence
Inability to get to bathroom in time
Functional incontinence
Urinary incontinence in men is common after
Postatectomy
3 types of prolapse
- Cystocele - bladder pushes backward
- Rectocele
- Uterine prolapse
PFM weakness changes ________ angle
Anorectal
Typical cause for fecal incontinence
Obstetric trauma
Vaginal or rectal pain with spasm and trigger points in deep layer of PFM
Levator ani syndrome
Painful penetration
Dyspareunia
Pain in external genitalia and vestibule
Vulvodynia
Caused by childbirth, sports injury, fall
Coccydynia
First muscles to react to threatening visual images? What is this response called?
PFM: pelvic pain-protective response
Elevated baseline and delay returning to baseline after contraction
Hypertonus dysfunction (pain)
Poor proprioception, trouble initiating contraction
Supportive dysfunction
2 movements at hip that help PFM contract
Adduction, external rotation
4 modalities for PFM exercise
- Biofeedback
- E stim
- Vaginal cone weights
- Home units
5 contraindications for PT
- Infection
- Tumor
- Active bleeding
- Poor cognition
- Unmotivated
