Woman’s Health Flashcards
Pregnancy related back pain
Postural changes
Hormonal influences
Increased ligament laxity
Decreased abdominal muscle function
Pregnancy related back pain - characteristics
Worse with muscle fatigue
Relived with rest or change in position
Fitter woman prior to pregnancy are more lielty to be okay
Postural changes in pregnancy
Creates lower cross syndrome presentation
COG shifts forward due to uterus and breast
Increasaed lumbar and cervical lordosis as well as increased anterior pelvic tilt
Scap protraction an UE IR
Suboccipital tightness
Genu recurvatum at knees
Interventions for preg LBP
TraditionalLBP
Proper body mechanics
Postural instructions (sleeping, sitting, standing)
Modalities
- precautions (heat and laser)
- contraindications (deep heating agents, electrical stim, traction, US)
Diastasis Recti
Seperation of the recuts abdominals at the linea albea
Two fingers width is significant
Diastasis ereti S&S
LBP
Decrease functional activity
Herniation (severe cases)
Rectus erecti test
Rectus erecti interventions
Only a head lift or head lift with pelvic tilt
Once its corrected (<2cm) more advanced abdominal exercises can occur
Head lift procedure
Pelvic floor dysfunction
Inability to control pelvic floor muscles
Pelvic floor dysfunction classification
Prolapse
Urinary or fecal incontinence
Pain and hypertonus
Risk factors of pelvic floor dysfunction
The child birth process
Straingin
Pelvic Floor Dysfunction interventiosn
Patient education
Neuromuscular reeducation
Pelvic floor exercises
Biofeedback
Manual treatment and modalities (Intravaginal/ rectal techniques)
What nerve innervates the pelvic floor
Pudendal nerve (S2-S4) is the main nerve of the perineum providing both motor and sensory function to the pelvic floor.
