Rehab In Postnatal And Menopose Flashcards
When to start pelvic floor muscles exercises
Immediately after birth
When the best time to breastfeed if intended to do exercises
Before exercises
Exercises for DRA
Transverse abdominis strengthening
Pelvic tilt
Abdominal retraction (hooked position)
Head and shoulder lifted after pelvic tilt
Start with pillow then without
What is the other name for perineal dysfunction and pain
4th stage of labour
Treatments for perineal dysfunction and pain
Cold application
Interrupted ultrasound
Interrupted shortwave diathermy
Tens
Pelvic floor muscle exercises
About postpartum depression
Critical at 6 weeks
Attack can occur at 1st 4 weeks
In the first year of birth, 10-15%
What is menopause
Permanent cessation of menstruation resulting from the loss of ovarian follicular activity or follicle depletion
Symptoms due to decrease in estrogen
Vasomotor symptoms
Sexual symptoms
Anxiety
Depression
Health problems associated with menopause
Osteoporosis
Osteoporotic fracture
Cardiovascular diseases
Urogenital symptoms
Short term symptoms
Vasomotor
Genitourinary changes
Skin and connective tissue damage
Mood and memory
Sleep disorders
Vasomotor symptoms
Hot flashes
Facial flushing
Night sweat
Long term problems with menopause
Cardiovascular symptoms
Bone tissue changes
Cardiovascular symptoms change
Decrease in estrogen
Lead to lipoprotein oxidation
Leading to impairment of lipoprotein metabolism which cause atherosclerosis and risk of cardiovascular diseases
Consequences of osteoporosis
⬇️ QofL
⬆️ Morbidity and mortality
⬆️ loss of functions
Serious economic burden
Treatment in menopausal period
Hormonal therapy
Exercises [aerobic, strengthening, and stretching]
Genitourinary changes in menopose
Change in
Labia major and minor
Clitoris
Vestibulum
Vagina
Urethra
Bladder
Due to insufficiency of estrogen and other sex Steroids
Hump formed in menopause
Dowager’s hump
Considerations in diastasis rect abdominis
Avoid strong rotations and lateral flexion
Avoid crunches and planks
Limit exercises to sagittal plane
Should be continuous exercises until doming in the abdomen
New pregnancy until fully recovery
