7: Physiotherapy in O&G Flashcards Preview

Reproduction Week 5 2018/19 > 7: Physiotherapy in O&G > Flashcards

Flashcards in 7: Physiotherapy in O&G Deck (17)
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1
Q

What are the four important pelvic floor muscles?

A

Puborectalis

Pubococcygeus

Iliococcygeus - these three are the levator ani group

Coccygeus - separate to the other three, not hugely important to know

2
Q

Which hormones encourage joint, ligament, fascia and muscle laxity in pregnant women?

A

Progesterone

Oestrogen?

3
Q

Which structures become looser in pregnant women?

A

Joints

Ligaments

Fascia

4
Q

What are four common MSK problems seen in pregnancy?

A

Back pain

Pelvic girdle pain (esp. pubic symphysis)

Diastasis recti

Carpal tunnel syndrome

5
Q

What is diastasis recti?

A

Widening of the gap between the rectus abdominus muscles

6
Q

What causes carpal tunnel syndrome in pregnant women?

A

Fluid accumulation compressing median nerve

7
Q

Which delivery position is used to assist in the birth of babies with shoulder dystocia?

A

Mcroberts position

8
Q

Which obstruction does Mcroberts position remove to help in the birth of babies with shoulder dystocia?

A

Pubic symphysis

9
Q

Which liver disease, resulting in itch and jaundice, occurs in some pregnant women?

A

Intrahepatic cholestasis of pregnancy

10
Q

Which bony landmarks are felt for on examination of a woman’s pelvis?

A

ASIS

Iliac crests

PSIS

Pubic symphysis

11
Q

Which muscles make up the pelvic floor?

A

Levator ani

Coccygeus

12
Q

What are some symptoms caused by pelvic floor dysfunction?

A

Faecal incontinence

Urinary incontinence

Pain (including on intercourse)

Prolapse

13
Q

What is an increasingly common risk factor for pelvic floor dysfunction among young people?

A

Gymgoers - lifting heavy weights

14
Q

What lifestyle advice should you give to someone with pelvic floor dysfunction?

A

Weight - lose weight

Stop smoking

Drink less caffeine - irritates detrusor muscle

Avoid activities which trigger incontinence

15
Q

During their training phase, how many times per day should a patient perform pelvic floor exercises?

A

6x / day

16
Q

If the pelvic floor muscles don’t respond to training, which other muscle group can you target instead?

A

Core muscles

17
Q

What is vulvodynia?

A

Chronic vulval pain