Women's Health

Question 1

the pelvic floor is comprised predominantly of which kind of mm?

Answer 1

slow-twitch (70%)

Question 2

3 S’s of pelvic floor function

Answer 2

supportive, sphincteric, sex

Question 3

Bladder capacity…

1st sensation to void at…

Answer 3

400-600ml

150-200ml

Question 4

mm of the bladder that stays relaxed during filling

Answer 4

detrusor

Question 5

what are the 4 types of pelvic dysfunction

Answer 5

1. supportive
2. hypertonus
3. incoordination
4. visceral

Question 6

loss of strength, integrity, awareness of the pelvic floor mm and connective tissue. Due to organ prolapse, incontinence, trauma

Answer 6

supportive/disuse dysfunctions

Question 7

shelf formed by the levator ani mm. Weakness causes pelvic organ prolapse

Answer 7

levator plate

Question 8

types of pelvic organ prolapse (5)

Answer 8

1. uterus
2. bladder
3. rectum
4. s intestines
5. urethra

Question 9

pelvic floor exercises or PT is appropriate for ________ prolapse symptoms

Answer 9

mild-moderate

Question 10

loss of urine w/ a rise in intra abdominal pressure; cough, sneeze

Answer 10

stress incontinence

Question 11

loss of urine associated w/ involuntary bladder contractions. Overactive bladder. Inadequate CNS control

Answer 11

urge incontinence

Question 12

urge + stress incontinence

Answer 12

mixed incontinence

Question 13

loss of urine associated w/ overfilling of the bladder

Answer 13

overflow incontinence

Question 14

loss of urine due to a decrease in mobility status; can’t get to a bathroom

Answer 14

functional incontinence

Question 15

exercises for strengthening the levator ani mm

Answer 15

kegel

Question 16

kegel strengthening =

kegel relaxing =

Answer 16

uptraining

downtraining

Question 17

co-contraction w/ transverse abdominus and internal obliques

Answer 17

pelvic brace

Question 18

Pelvic floor MMT grade scale

Answer 18

0-5

Question 19

hold/relax ratio for kegel ex

Answer 19

1:2, 1:1 to progress

Question 20

if MMT is 3/5 or less…

Answer 20

double relaxation time

Question 21

Kegel reps per day

Answer 21

30-50

Question 22

tx of co-existing incoordination dysfunction. Apply pelvic brace prior to cough, sneeze, jumping, lifting, etc

Answer 22

functional training

Question 23

increased mm tension in pelvic floor mm causing pain and/or voiding dysfunctions

Answer 23

hypertonus dysfunctions

Question 24

cause of hypertonus dysfunction (2)

Answer 24

visceral dysfunction

pelvic mm tension

Question 25

diminished muscular control of the pelvic floor w/ abnormal patterns of mm recruitment and timing. Stress incontinence, chronic constipation

Answer 25

incoordination dysfunction

Question 26

tx of incoordination dysfunction (3)

Answer 26

1. address dysfunction
2. biofeedback
3. functional training

Question 27

how is biofeedback used for: supportive, hypertonus, and incoordination

Answer 27

supportive: increase strength. 1:2, quick squeezes
Hypertonus: downtraining
Incoordination: improve coordination, functional

Question 28

how much should biofeedback training be used?

Answer 28

+/- 30 min
1-2x per week
6-8 weeks

Question 29

urge incontinence tx (4)

Answer 29

1. kegel
2. urge suppression techniques
3. no bladder irritants
4. relaxation

Question 30

goal is to re-establish cortical control of bladder and inhibit bladder contractions w/ pelvic floor mm. Relaxation, positive thoughts w/ urge, avoid panic

Answer 30

urge suppression

Question 31

bladder training schedule should be stuck to within…

progress intervals to ____ w/80% success rate

Answer 31

5-10 min

15-30 min

Question 32

UTI of the kidneys…

of the bladder/urethra

Answer 32

upper

lower

Question 33

80% of UTIs result from…

Answer 33

e. coli

Question 34

NMES parameters for pelvic dysfunction

Answer 34

30-50 Hz w/ pelvic mm contraction

Question 35

2 symptoms of UTIs

Answer 35

1. cystitis

2. pyelonephritis

Question 36

modalities used for hypertonus (4)

Answer 36

1. heat/ice
2. US
3. diathermy
4. TENS/ IFC