Rehab In Postnatal And Menopose Flashcards

1
Q

When to start pelvic floor muscles exercises

A

Immediately after birth

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2
Q

When the best time to breastfeed if intended to do exercises

A

Before exercises

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3
Q

Exercises for DRA

A

Transverse abdominis strengthening
Pelvic tilt
Abdominal retraction (hooked position)
Head and shoulder lifted after pelvic tilt
Start with pillow then without

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4
Q

What is the other name for perineal dysfunction and pain

A

4th stage of labour

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5
Q

Treatments for perineal dysfunction and pain

A

Cold application
Interrupted ultrasound
Interrupted shortwave diathermy
Tens
Pelvic floor muscle exercises

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6
Q

About postpartum depression

A

Critical at 6 weeks
Attack can occur at 1st 4 weeks
In the first year of birth, 10-15%

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7
Q

What is menopause

A

Permanent cessation of menstruation resulting from the loss of ovarian follicular activity or follicle depletion

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8
Q

Symptoms due to decrease in estrogen

A

Vasomotor symptoms
Sexual symptoms
Anxiety
Depression

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9
Q

Health problems associated with menopause

A

Osteoporosis
Osteoporotic fracture
Cardiovascular diseases
Urogenital symptoms

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10
Q

Short term symptoms

A

Vasomotor
Genitourinary changes
Skin and connective tissue damage
Mood and memory
Sleep disorders

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11
Q

Vasomotor symptoms

A

Hot flashes
Facial flushing
Night sweat

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12
Q

Long term problems with menopause

A

Cardiovascular symptoms
Bone tissue changes

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13
Q

Cardiovascular symptoms change

A

Decrease in estrogen
Lead to lipoprotein oxidation
Leading to impairment of lipoprotein metabolism which cause atherosclerosis and risk of cardiovascular diseases

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14
Q

Consequences of osteoporosis

A

⬇️ QofL
⬆️ Morbidity and mortality
⬆️ loss of functions
Serious economic burden

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15
Q

Treatment in menopausal period

A

Hormonal therapy
Exercises [aerobic, strengthening, and stretching]

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16
Q

Genitourinary changes in menopose

A

Change in
Labia major and minor
Clitoris
Vestibulum
Vagina
Urethra
Bladder
Due to insufficiency of estrogen and other sex Steroids

17
Q

Hump formed in menopause

A

Dowager’s hump

18
Q

Considerations in diastasis rect abdominis

A

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