This document provides information on women's health physical therapy. It discusses pelvic floor muscle disorders including normal, underactive, overactive and non-functioning muscles. It also covers pelvic floor muscle anatomy, associated muscles, organs, support structures and innervation. Types of urinary incontinence and their incidence, neurological control, and physical therapy treatments are summarized. Musculoskeletal dysfunctions in pregnant patients, pelvic pain origins and musculoskeletal causes are also outlined.
This document provides guidance on prescribing wheelchairs. It outlines the parts of a wheelchair, important considerations in evaluating patients, and goals of prescription. A proper evaluation involves medical history, physical exam, and functional assessment. Prescriptions are developed using tools like the SEAT checklist to address safety, comfort, and accommodation of needs over time. The goals of prescription include normalization of tone, improved function and mobility, and increased comfort and skin integrity.
The document discusses pelvic floor rehabilitation, including identifying the pelvic floor muscles, common pelvic floor exercises, proper technique, common errors to avoid, and functional retraining exercises like coughing and sneezing that require coordinated pelvic floor and abdominal muscle activation.
Scapular dyskinesis refers to abnormal static positioning or dynamic motion of the scapula during arm elevation and is associated with shoulder injury. It has multiple potential causes including muscle weakness or imbalance. The document discusses the muscular attachments of the scapula, types of scapular dyskinesis, its effects on dynamic stability and shoulder strength, assessment methods, and rehabilitation treatments focusing on strengthening the lower trapezius and serratus anterior muscles to achieve optimal scapular positioning.
Osteoporosis is a disease characterized by low bone density and deterioration of bone tissue, leading to fragile bones and increased risk of fractures. It is most common in postmenopausal women and older adults. Key signs include loss of height, back pain from compressed fractures, and fractures of the spine, hips and wrists. Treatment focuses on lifestyle changes like exercise and diet to build bone density, as well as medications when needed to prevent further bone loss and reduce fracture risk. Physiotherapy emphasizes posture, balance training, strength exercises and avoiding flexion to help manage symptoms.
This document provides information about antenatal physiotherapy including its aims, guidelines, exercises and common discomforts during pregnancy. The aims are to improve mother and baby's health and ensure they are prepared for labor, lactation and infant care. Guidelines include warming up, avoiding jerky movements, and stopping exercises if pain occurs. The exercise plan progresses from warm up to aerobic to strengthening and relaxation. Common discomforts like nausea, heartburn and backache are discussed with tips for management.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
The document discusses the core and its importance for optimal functioning of the kinetic chain. It defines the core as the lumbo-pelvic-hip complex and describes the muscles involved. Various assessment tests are provided to evaluate core strength, endurance, neuromuscular control and overall functionality. Guidelines are given for developing a comprehensive core stabilization training program with emphasis on progression from stabilization to integrated strength training across multiple planes and functional activities.
This document provides guidance on prescribing wheelchairs. It outlines the parts of a wheelchair, important considerations in evaluating patients, and goals of prescription. A proper evaluation involves medical history, physical exam, and functional assessment. Prescriptions are developed using tools like the SEAT checklist to address safety, comfort, and accommodation of needs over time. The goals of prescription include normalization of tone, improved function and mobility, and increased comfort and skin integrity.
The document discusses pelvic floor rehabilitation, including identifying the pelvic floor muscles, common pelvic floor exercises, proper technique, common errors to avoid, and functional retraining exercises like coughing and sneezing that require coordinated pelvic floor and abdominal muscle activation.
Scapular dyskinesis refers to abnormal static positioning or dynamic motion of the scapula during arm elevation and is associated with shoulder injury. It has multiple potential causes including muscle weakness or imbalance. The document discusses the muscular attachments of the scapula, types of scapular dyskinesis, its effects on dynamic stability and shoulder strength, assessment methods, and rehabilitation treatments focusing on strengthening the lower trapezius and serratus anterior muscles to achieve optimal scapular positioning.
Osteoporosis is a disease characterized by low bone density and deterioration of bone tissue, leading to fragile bones and increased risk of fractures. It is most common in postmenopausal women and older adults. Key signs include loss of height, back pain from compressed fractures, and fractures of the spine, hips and wrists. Treatment focuses on lifestyle changes like exercise and diet to build bone density, as well as medications when needed to prevent further bone loss and reduce fracture risk. Physiotherapy emphasizes posture, balance training, strength exercises and avoiding flexion to help manage symptoms.
This document provides information about antenatal physiotherapy including its aims, guidelines, exercises and common discomforts during pregnancy. The aims are to improve mother and baby's health and ensure they are prepared for labor, lactation and infant care. Guidelines include warming up, avoiding jerky movements, and stopping exercises if pain occurs. The exercise plan progresses from warm up to aerobic to strengthening and relaxation. Common discomforts like nausea, heartburn and backache are discussed with tips for management.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
The document discusses the core and its importance for optimal functioning of the kinetic chain. It defines the core as the lumbo-pelvic-hip complex and describes the muscles involved. Various assessment tests are provided to evaluate core strength, endurance, neuromuscular control and overall functionality. Guidelines are given for developing a comprehensive core stabilization training program with emphasis on progression from stabilization to integrated strength training across multiple planes and functional activities.
Hello everyone here I upload mckenzie exrercise basic details and some of its position.Its technique for use to cervical, Lumabar pain relief via particular position.Thank you.
Evidence based practice in physiotherapy.pptxDrNamrataMane
The document discusses evidence-based practice (EBP) in physical therapy. It defines EBP as integrating the best research evidence, clinical expertise, and patient values and describes the 5 steps of EBP as formulating a question, finding evidence, appraising evidence, implementing evidence, and evaluating outcomes. The document also explores barriers to EBP, such as lack of time and understanding of statistics, and facilitators, like access to online research summaries.
An orthosis is a device that is externally applied to support or improve the function of a body part. This document discusses the principles and types of various orthoses including ankle-foot, knee-ankle-foot, cervical, and halo orthoses. It describes the components, functions, indications, and contraindications of different orthosis designs to stabilize and immobilize areas of the body like the ankle, knee, cervical spine, and head. The document provides details on orthosis fabrication and biomechanical principles to optimize function, comfort, and control of joint movement.
Frozen Shoulder Physiotherapy ManagementVishal Deep
Adhesive capsulitis is characterized by painful restriction of shoulder movement. Management includes corticosteroid injections to reduce inflammation, NSAIDs for pain, and manipulation under anesthesia or mobilization to improve range of motion. Physiotherapy goals are to reduce pain through ultrasound, mobilization, and stretching, improve range of motion through passive, active assisted, and active exercises, and strengthen muscles with isometrics, rotator cuff exercises, and scapular exercises. A home program including pendular exercises and aquatic therapy is also recommended.
THE URINARY INCONTINENCE AND IT'S MANAGEMENT DETAILS WITH APPROPRIATE EXPLANATION
Introduction of urinary incontinence,
Etiology of urinary incontinence,
Risk factors associated with urinary incontinence,
Types of urinary incontinence,
Pathophysiology of Urinary incontinence,
Clinical manifestations of urinary incontinence,
Diagnostic evaluations of urinary incontinence,
Management of urinary incontinence- Behavioural techniques, Drug therapy, surgical management, medical devices and Physiotherapy assessment and management in details with appropriate explanation with the help of the SlideShare .
Telegram channel - https://t.me/bhuneshwarmishra08/4?single
Facebook page - https://m.facebook.com/Bhuneshwarmishra08/
Instagram page - https://www.instagram.com/the_perfect_physio_tutorial/?r=nametag
YouTube channel - https://youtube.com/channel/UCCIEa_xDe3B-6BLfQaJb8PQ
Arthritis is the swelling and tenderness of one or more joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.
Physiotherapy Approaches and various therapies for Ankylosing Spondylitis where fusion of the spine causes restriction in movement. This presentation focuses on aqua therapy for this particular condition.
This document provides a template for conducting a cardio-respiratory assessment of a patient. It includes sections for collecting information on the patient's chief complaints, medical history, subjective examination involving the history of present illness and associated symptoms, as well as an objective examination involving vital signs, physical inspection, palpation, percussion, and auscultation of the chest, neck, and extremities. The assessment aims to gather comprehensive details on the patient's respiratory and cardiovascular health through a structured interview and physical exam.
Physiotherapy plays an important role in managing poliomyelitis through various techniques. It focuses on maintaining joint mobility through active and passive movements. Splinting and bracing help prevent deformities while teaching relatives muscle stretching techniques. As patients recover, physiotherapy aids in teaching walking and exercises. For post-polio syndrome, strength training through isokinetic exercises and progressive resistance training can help improve muscle strength over time.
Physiotherapy management of Multiple sclerosisKeerthi Priya
This document provides an overview of the physical therapy management of multiple sclerosis. It discusses assessing patients through examinations of vital signs, cognition, sensation, motor function, posture, balance, gait, locomotion, aerobic capacity, and functional independence. Short term goals include minimizing progression, preventing complications, and maintaining respiratory and functional abilities while long term goals focus on decreasing spasticity and improving strength, range of motion, balance, and activities of daily living. Management techniques for weaknesses, spasticity, ataxia, fatigue, locomotion, and swallowing are outlined, including exercises, stretches, electrical stimulation, and energy conservation methods.
This document discusses patellofemoral pain syndrome (PFPS). PFPS is characterized by anterior knee pain that is most common in young, active populations. It is typically caused by an imbalance of forces across the patellofemoral joint from issues like increased Q-angle, foot overpronation, and weakness of the vastus medialis obliquus muscle. Symptoms include pain around or behind the kneecap that is aggravated by activities involving knee bending like squatting or going up and down stairs. Treatment focuses on reducing pain/inflammation, addressing contributing biomechanical factors, and strengthening exercises for the quadriceps muscles.
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Scapular dyskinesis refers to abnormal or dysfunctional movement of the scapula. It can impair shoulder function and create issues like decreased subacromial space and rotator cuff weakness. Scapular dyskinesis is often associated with shoulder injuries like labral tears, impingement, and rotator cuff injuries. Rehabilitation focuses on strengthening the scapular stabilizing muscles like the serratus anterior and lower trapezius to improve scapular control and positioning during arm movements.
PPT that made a short and crisp description on physiotherapy role in women's health at a glimpse.
Physical therapist plays a over all role in all stages of a women.Physiotherapist or a pelvicfloor physicall therapist plays a all arounder in childbirth educator, as a labour doula, as lactation expert , as a postpartum doula, as a pelvicrehab practitioner etc.. So all you need to understand is a WOMEN'S HEALTH/ PELVICFLOOR PT is a person who benifits women at all the stages.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Autogenic Drainage (AD) is a breathing technique developed in the 1960s/80s in Europe to clear secretions from the lungs using controlled breathing and minimal coughing. It involves three phases - unsticking secretions with small breaths, collecting secretions in the middle airways with medium breaths, and evacuating secretions into the mouth with deep breaths to be spit out. Each phase takes 2-3 minutes for a total of 6-9 minutes. The technique aims to hear and feel secretions being moved up the airways with exhalation instead of coughing.
A highly structured, goal-oriented, individualized intervention program designed to return the employee to work. Our Work Hardening programs are multidisciplinary in nature and utilize real or simulated work activities designed to restore physical, behavioral and vocational functions.
Ergonomics in Physiotherapy and WorkplaceSusan Jose
We discuss about various risk factors related to causing of cumulative trauma disorders and how to manage each risk factor using bio mechanical principles and physiotherapy knowledge.
This is a lecture focused on pelvic floor dysfunction in elite male sport especially football. It addressed the assessment and management of Pelvic pain in elite sport. Gerard Greene is a men's health physio who works in Birmingham UK ( Birmingham Men's Health Physio Clinic ) and Southampton UK ( Dr Ruth Jones ) .
PT MANAGEMENT OF URINARY INCONTINENCE.pptxdrtabassum4
PFME in supine, sitting, kneeling, and standing positions, which follow by an increase number of contractions and duration of holding.
The exercise regimen of holding went from 4 seconds to 30–40 seconds. The contractions will be increased up to 20 contractions as progression.
CORE MUSCLE Strengthening
The patient will be instructed to work on the transverse abdominis muscle (core muscle). They will be instructed to contract the pelvic floor as above and keep the PFM relaxed.
Hello everyone here I upload mckenzie exrercise basic details and some of its position.Its technique for use to cervical, Lumabar pain relief via particular position.Thank you.
Evidence based practice in physiotherapy.pptxDrNamrataMane
The document discusses evidence-based practice (EBP) in physical therapy. It defines EBP as integrating the best research evidence, clinical expertise, and patient values and describes the 5 steps of EBP as formulating a question, finding evidence, appraising evidence, implementing evidence, and evaluating outcomes. The document also explores barriers to EBP, such as lack of time and understanding of statistics, and facilitators, like access to online research summaries.
An orthosis is a device that is externally applied to support or improve the function of a body part. This document discusses the principles and types of various orthoses including ankle-foot, knee-ankle-foot, cervical, and halo orthoses. It describes the components, functions, indications, and contraindications of different orthosis designs to stabilize and immobilize areas of the body like the ankle, knee, cervical spine, and head. The document provides details on orthosis fabrication and biomechanical principles to optimize function, comfort, and control of joint movement.
Frozen Shoulder Physiotherapy ManagementVishal Deep
Adhesive capsulitis is characterized by painful restriction of shoulder movement. Management includes corticosteroid injections to reduce inflammation, NSAIDs for pain, and manipulation under anesthesia or mobilization to improve range of motion. Physiotherapy goals are to reduce pain through ultrasound, mobilization, and stretching, improve range of motion through passive, active assisted, and active exercises, and strengthen muscles with isometrics, rotator cuff exercises, and scapular exercises. A home program including pendular exercises and aquatic therapy is also recommended.
THE URINARY INCONTINENCE AND IT'S MANAGEMENT DETAILS WITH APPROPRIATE EXPLANATION
Introduction of urinary incontinence,
Etiology of urinary incontinence,
Risk factors associated with urinary incontinence,
Types of urinary incontinence,
Pathophysiology of Urinary incontinence,
Clinical manifestations of urinary incontinence,
Diagnostic evaluations of urinary incontinence,
Management of urinary incontinence- Behavioural techniques, Drug therapy, surgical management, medical devices and Physiotherapy assessment and management in details with appropriate explanation with the help of the SlideShare .
Telegram channel - https://t.me/bhuneshwarmishra08/4?single
Facebook page - https://m.facebook.com/Bhuneshwarmishra08/
Instagram page - https://www.instagram.com/the_perfect_physio_tutorial/?r=nametag
YouTube channel - https://youtube.com/channel/UCCIEa_xDe3B-6BLfQaJb8PQ
Arthritis is the swelling and tenderness of one or more joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.
Physiotherapy Approaches and various therapies for Ankylosing Spondylitis where fusion of the spine causes restriction in movement. This presentation focuses on aqua therapy for this particular condition.
This document provides a template for conducting a cardio-respiratory assessment of a patient. It includes sections for collecting information on the patient's chief complaints, medical history, subjective examination involving the history of present illness and associated symptoms, as well as an objective examination involving vital signs, physical inspection, palpation, percussion, and auscultation of the chest, neck, and extremities. The assessment aims to gather comprehensive details on the patient's respiratory and cardiovascular health through a structured interview and physical exam.
Physiotherapy plays an important role in managing poliomyelitis through various techniques. It focuses on maintaining joint mobility through active and passive movements. Splinting and bracing help prevent deformities while teaching relatives muscle stretching techniques. As patients recover, physiotherapy aids in teaching walking and exercises. For post-polio syndrome, strength training through isokinetic exercises and progressive resistance training can help improve muscle strength over time.
Physiotherapy management of Multiple sclerosisKeerthi Priya
This document provides an overview of the physical therapy management of multiple sclerosis. It discusses assessing patients through examinations of vital signs, cognition, sensation, motor function, posture, balance, gait, locomotion, aerobic capacity, and functional independence. Short term goals include minimizing progression, preventing complications, and maintaining respiratory and functional abilities while long term goals focus on decreasing spasticity and improving strength, range of motion, balance, and activities of daily living. Management techniques for weaknesses, spasticity, ataxia, fatigue, locomotion, and swallowing are outlined, including exercises, stretches, electrical stimulation, and energy conservation methods.
This document discusses patellofemoral pain syndrome (PFPS). PFPS is characterized by anterior knee pain that is most common in young, active populations. It is typically caused by an imbalance of forces across the patellofemoral joint from issues like increased Q-angle, foot overpronation, and weakness of the vastus medialis obliquus muscle. Symptoms include pain around or behind the kneecap that is aggravated by activities involving knee bending like squatting or going up and down stairs. Treatment focuses on reducing pain/inflammation, addressing contributing biomechanical factors, and strengthening exercises for the quadriceps muscles.
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Scapular dyskinesis refers to abnormal or dysfunctional movement of the scapula. It can impair shoulder function and create issues like decreased subacromial space and rotator cuff weakness. Scapular dyskinesis is often associated with shoulder injuries like labral tears, impingement, and rotator cuff injuries. Rehabilitation focuses on strengthening the scapular stabilizing muscles like the serratus anterior and lower trapezius to improve scapular control and positioning during arm movements.
PPT that made a short and crisp description on physiotherapy role in women's health at a glimpse.
Physical therapist plays a over all role in all stages of a women.Physiotherapist or a pelvicfloor physicall therapist plays a all arounder in childbirth educator, as a labour doula, as lactation expert , as a postpartum doula, as a pelvicrehab practitioner etc.. So all you need to understand is a WOMEN'S HEALTH/ PELVICFLOOR PT is a person who benifits women at all the stages.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Autogenic Drainage (AD) is a breathing technique developed in the 1960s/80s in Europe to clear secretions from the lungs using controlled breathing and minimal coughing. It involves three phases - unsticking secretions with small breaths, collecting secretions in the middle airways with medium breaths, and evacuating secretions into the mouth with deep breaths to be spit out. Each phase takes 2-3 minutes for a total of 6-9 minutes. The technique aims to hear and feel secretions being moved up the airways with exhalation instead of coughing.
A highly structured, goal-oriented, individualized intervention program designed to return the employee to work. Our Work Hardening programs are multidisciplinary in nature and utilize real or simulated work activities designed to restore physical, behavioral and vocational functions.
Ergonomics in Physiotherapy and WorkplaceSusan Jose
We discuss about various risk factors related to causing of cumulative trauma disorders and how to manage each risk factor using bio mechanical principles and physiotherapy knowledge.
This is a lecture focused on pelvic floor dysfunction in elite male sport especially football. It addressed the assessment and management of Pelvic pain in elite sport. Gerard Greene is a men's health physio who works in Birmingham UK ( Birmingham Men's Health Physio Clinic ) and Southampton UK ( Dr Ruth Jones ) .
PT MANAGEMENT OF URINARY INCONTINENCE.pptxdrtabassum4
PFME in supine, sitting, kneeling, and standing positions, which follow by an increase number of contractions and duration of holding.
The exercise regimen of holding went from 4 seconds to 30–40 seconds. The contractions will be increased up to 20 contractions as progression.
CORE MUSCLE Strengthening
The patient will be instructed to work on the transverse abdominis muscle (core muscle). They will be instructed to contract the pelvic floor as above and keep the PFM relaxed.
PT MANAGEMENT OF URINARY INCONTINENCE.pptxdrtabassum4
A home-based pelvic floor muscle training and bladder training in women with urinary incontinence showed that combined pelvic floor muscle training and bladder training decreased the symptoms and improved the quality of life
To strengthen your pelvic floor muscles, squeeze the muscles up to 10 times while standing, sitting or lying down.
Do not hold your breath or tighten stomach, bottom or thigh muscles at the same time.
When you get used to doing pelvic floor exercises, you can try holding each squeeze for one second
This document discusses women's health issues related to menopause, osteoporosis, incontinence, and prolapse. It covers the stages of menopause and common symptoms. Treatment options discussed include hormone replacement therapy, lifestyle changes, pelvic floor exercises, pessaries, and medications. The document also discusses osteoporosis risk factors, diagnosis, and management including calcium/vitamin D, bisphosphonates, and PTH. Incontinence types and treatments including bladder retraining, physiotherapy, and surgery are outlined. Prolapse causes, types, surgeries, and postoperative physiotherapy are summarized as well.
Move Over Diamonds, the Pelvic Floor is a Girls' NEW Best FriendDenverNaturalMom
This document discusses the importance of pelvic floor health, especially for women. It provides an overview of common pelvic floor dysfunctions like incontinence, and discusses how pregnancy, childbirth, and exercise can impact the pelvic floor. The document also summarizes how a physical therapist can help treat various pelvic floor issues through techniques like pelvic floor muscle training and dry needling. Maintaining a strong pelvic floor is presented as important for bladder, bowel, sexual health and reducing pain.
This document discusses bowel and anorectal function and dysfunction including prevention, normal bowel function, storage, defecation, positions for defecation, definitions, prevalence, factors contributing to difficulties, consequences of constipation, factors contributing to anal incontinence, physical therapy assessment including history, examinations and investigations, treatments including diet, bowel retraining, medications, and physiotherapy treatments.
1. The document provides information on exercise prescription in the post-natal period, including detailing the post-partum phases, common musculoskeletal and neurological impairments, and appropriate physical therapy interventions.
2. Recommendations include encouraging early mobility to reduce risks, pelvic floor muscle exercises for pain relief and strengthening, and stabilization exercises progressed cautiously based on impairments. Modalities like ice, ultrasound, and electrical stimulation may assist with pain and dysfunction.
3. Physical therapy can effectively treat common post-natal issues like low back pain, pelvic girdle pain, and urinary incontinence when appropriate exercises and modalities are implemented safely based on each woman's individual presentation.
It is important to have basic knowledge of one of the most important and neglected cause of Low Back Ache in Females that is Pelvic Floor Dysfunction.In this presentation it is tried to touch the important aspects related to pelvic floor dysfunction ,its assessment ,types hyper and hypotonus type and its treatment aspects.
Jean, a 74-year-old woman from Plano, Texas, began experiencing symptoms of pelvic floor dysfunction including feeling her internal organs protruding during bowel movements. She was diagnosed by her OBGYN, Dr. Murray Fox, with a vaginal prolapse, a common condition seen at the Women's Specialists of Plano. Pelvic floor dysfunction occurs when the muscles supporting the female reproductive and digestive organs weaken, causing pelvic pressure and organs to fall through the vagina. For Jean, insertion of a vaginal pessary resolved her symptoms. Pelvic floor dysfunction can be treated with physical therapy or surgery such as using a pessary or mesh to support prolapsed organs.
This document discusses back pain from a gynecological perspective. It covers common and rare causes of back pain in women, including pregnancy, gynecological issues, and other musculoskeletal or psychological factors. It provides guidance on diagnosis and explores complementary approaches like exercises, posture correction, acupuncture, and mindfulness techniques that can help address back pain without relying solely on medical interventions.
PELVIC FLOOR STRENGTHENING FOR URINARY INCONTINENCE - DR. JAYASREE (PT) WITH ...DrSunitaPatelPT
Pelvic floor exercises involve contracting and relaxing the pelvic floor muscles to treat urinary incontinence. They work by strengthening the muscles to support the bladder, training muscles to contract before exertion to prevent leakage, and indirectly training the muscles through abdominal contractions. Exercises are recommended multiple times per day. Additional therapies like biofeedback can help teach correct muscle activation. Pelvic floor exercises are considered the first choice treatment due to their effectiveness and lack of side effects.
This document provides information on managing side effects of different family planning (FP) methods. It begins with introductions to female and male anatomy and the menstrual cycle. It then discusses common FP methods used in Tanzania including pills, injections, implants, IUDs, and permanent methods. The main side effects of each method are outlined such as headaches, changes in bleeding patterns, and weight changes. The document describes managing side effects using a SOAP approach and recommendations like pain relievers, hemostatic drugs, iron supplements, and potentially changing methods. It emphasizes the need for counseling and addresses misconceptions about side effects.
Urogenital prolapse and urinary incontinence 22.04.2021Shazia Iqbal
This document discusses urinary incontinence and pelvic organ prolapse. It begins by outlining the objectives and prevalence of these conditions, which commonly affect women. It then describes the different types of urinary incontinence and treatments available, including both surgical and non-surgical options. The document also discusses pelvic organ prolapse, including causes, symptoms, assessment methods, and treatment approaches. Overall, it provides an overview of these common conditions and reviews evaluation and management strategies.
Chronic pelvic pain by dr alka mukherjee dr apurva mukherjee nagpur m.s. indiaalka mukherjee
Chronic pelvic pain in women is defined as persistent, noncyclic pain perceived to be in structures related to the pelvis and lasting more than six months. Often no specific etiology can be identified, and it can be conceptualized as a chronic regional pain syndrome or functional somatic pain syndrome. It is typically associated with other functional somatic pain syndromes (e.g., irritable bowel syndrome, nonspecific chronic fatigue syndrome) and mental health disorders (e.g., posttraumatic stress disorder, depression). Diagnosis is based on findings from the history and physical examination. Pelvic ultrasonography is indicated to rule out anatomic abnormalities. Referral for diagnostic evaluation of endometriosis by laparoscopy is usually indicated in severe cases. Curative treatment is elusive, and evidence-based therapies are limited. Patient engagement in a biopsychosocial approach is recommended, with treatment of any identifiable disease process such as endometriosis, interstitial cystitis/painful bladder syndrome, and comorbid depression. Potentially beneficial medications include depot medroxyprogesterone, gabapentin, nonsteroidal anti-inflammatory drugs, and gonadotropin-releasing hormone agonists with add-back hormone therapy. Pelvic floor physical therapy may be helpful. Behavioral therapy is an integral part of treatment. In select cases, neuromodulation of sacral nerves may be appropriate. Hysterectomy may be considered as a last resort if pain seems to be of uterine origin, although significant improvement occurs in only about one-half of cases. Chronic pelvic pain should be managed with a collaborative, patient-centered approach.
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a baby.
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a newborn.
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a newborn.
Physiotherapy in antenatal & post natal careVenus Pagare
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a baby.
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a baby.
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Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
8. Pelvic organ support
• Peritoneum (minimal)
• Relative negative abdominal pressure due to
respiration (decreases functional weight of
organs up to 50%)
• Pelvic floor muscles and connective tissues
Take home message: If you’re teaching core/trunk stabilization
exercises, you MUST be certain your patient is also contracting
their PFMs, or prolapse and stress incontinence will worsen!!
Kisner book, p803
9. Pelvic anatomy
• Supportive connective tissue/ligaments
– Disrupted with abdominal incision
• Pubovesical ligaments (lower abdomen)
• Peritoneal fascia
• Pelvic and endopelvic fascia
– Disrupted with pregnancy, ablated with hysterectomy
• Cardinal ligament
• Broad ligament
• Round ligaments
• Uterosacral ligaments
10. Pelvic anatomy
• Innervation
– Perineal branch of pudendal n.
– Inferior rectal branch of pudendal n.
– Pudendal n.
– 3rd and 4th sacral nn.
– Ventral rami sacral nn.
– Autonomic nervous system
– Somatic nerves
11.
12. Urinary Incontinence—
Incidence
• UI is often key factor in determining the need for
nursing home placement
• 50% all institutionalized elderly in US suffer from UI
• 46% young female athletes with UI
• 42% girls 15-18 with UI
• 31% women 42-50
• 38% women community-dwelling 60+
Dockter 2007, Dockter 2008, Burgio 1991, Dionko 1986
13. Financial Implications
• Cost to nursing facilities is high, with estimates
as high as $10-20 billion/year
• Supplies
• Caregiver support
• Laundry
14. Neurological control
• Bladder fills>stretch receptors>micturation reflex
• Midbrain inhibits reflex until appropriate social
setting to void
• Sphincter relaxes>detrusor contracts>voiding
occurs
15. Neurological Control
• Sensory nerves
• Parasympathetic S2-4: stretch receptors
• Sympathetic T9-L2: filling sensation to cortex
• Motor nerves
• To detrusor muscle: sympathetic S2-S4
• To bladder neck: sympathetic T11-L1
16. Neurological Control
• Spinal Cord Center
• S2-S4 (vertebral level T12, L2, L3)
• Coordinates the external urethral sphincter with
bladder contraction
17. Types of Incontinence
• Stress (involuntary leakage on effort or
exertion, or on sneezing or coughing)
• Urge (involuntary leakage accompanied by or
immediately preceded by urgency)
• Mixed
• Overflow (loss of urine secondary to over-
distention of the bladder)
• Functional
18. Informed consent
• APTA recommends no additional informed
consent document for assessment and
treatment of the pelvic floor muscles
• Informed consent
– Alternatives
– Prognosis
– Effectiveness of treatment
19. Professional responsibilities
• State practice act
• Terminology
• Referral sources know your procedures
• Specific training
• Ethical and professional behavior
20. Professional responsibilities
• Patient education
– Anatomy and equipment
– Tests to be used
– Verbal consent
– Observing assistant available
– Mirror for observation available
21. PT treatment for UI
• Stress urinary incontinence
– Strengthening
• Vaginal/anal weights
• Biofeedback
• Electrical stimulation
• Progressive resistive exercises
– Coordination
• Isolation
• Co-contraction
• Contraction during body movement
23. PFM functions
• Maintain continence
• Support pelvic contents
• Control and elevate intra-abdominal pressure
(IAP)
• Stabilize the sacroiliac joints
• PFM are activated in a manner consistent with
lumbopelvic control
“Due to their role in modulation of IAP and their mechanical effect on the
pelvis, the PFM are likely to have a role in other functions that involve
control of the abdominal contents” Paul Hodges, PhD, MedDR, BPhty
24. Consequences of
dysfunction
• Respiratory disease and incontinence are
more strongly associated with LBP than are
elevated BMI and physical activity combined
(Smith, Russell, Hodges 2005)
• Women with, or who develop, SUI or
breathing disorders are more likely to have
LBP or develop it (Smith, Russell, Hodges
2005b)
25. Palpation lab
• In side lying
– Adductors
– Pubic ramus
– Ischial tuberosity
– Levator ani
– Ischiococcygeus
– Internal obturator
28. PT treatment for SIJD
(pregnancy)
• Alignment: Muscle Energy Techniques
• Treat muscle and soft tissue
• Therapeutic Exercise
• Education/Self-Care and Comfort measures
• External supports if appropriate
• PLAN: 2-4 visits and then prn till delivery
29. SIJ activity precautions
• Avoid standing with weight on one foot
• Keep weight equal on both feet when getting in/out of vehicle
and moving sit to/from stand
• Avoid stairs; if necessary, take one stair at a time
• Place a pillow between knees when sleeping on your side; a
pillow under your knees and thin pad under low back when
lying on your back
• Avoid sleeping semi-prone (frog-legged)
• ABSOLUTELY avoid combos of: sitting, twisting, bending (such
as reaching into the back seat of the car, lifting small child
from the side of a chair)
30. Treatment for general
LBP/disc
• Exercises to decrease cumulative strain
throughout the day
– Anterior/posterior pelvic tilts
– Lateral pelvic tilts
• Positioning to decrease strain
– Quadruped, change positions frequently
• Activation of TrA and modified pelvic tilts to
“neutral spine”
• Supports
31. Pre-partum guidelines
for positioning and exercise
• ACOG guidelines
– http://www.acog.org/publications/patient_educat
ion/bp119.cfm
• Do not exceed 5 minutes supine after 1st
trimester (tilt pelvis to left to decrease vena
cava compression)
• Limit single-leg stance and postures
• Limit width of stance in asymmetrical yoga
postures
32. Post-partum guidelines
for positioning and exercise
• Avoid buttocks higher than head for 6 weeks
post-partum
• TrA contractions may be initiated immediately
• Rectus abdominus exercise and rotational
exercises MUST be avoided if there is a
diastasis
• Limit single-leg stance and postures
• Limit width of stance in asymmetrical yoga
postures
33. Gestational diabetes
• More than half go on to have Type II diabetes
– Great opportunity for intervention/prevention
– Lifestyle changes
– Exercise
34. Implications for post-partum
physical therapy
• Musculoskeletal pain complaints
• Abdominal muscle
• PFM rehabilitation
• Clogged milk ducts
• UI that persists more than 3 months
35.
36. Pelvic pain statistics…
• PP most common form of chronic pain in women of
childbearing age in U.S.
• Women with pelvic pain report lower QOL than other
types of chronic pain (e.g. back pain)
• Hysterectomy most common surgery in U.S.; C-
section 2nd-most common
• ½ of U.S. women age 30 have had Chlamydia, which
causes PID—a risk factor for CPP and infertility
38. Gynecologic origins
• 24%-86% of cases of pelvic pain
• Endometriosis is diagnosis in 52% of these
• Intra-abdominal adhesions in 10%-51%
• Endometriosis, adhesions and fibroids do not cause
pain in all patients
• 50% of women have no known historical cause for
adhesions
• More than 50% of adhesions have nerve fibers in
them (Tulandi 1998, Kligman 1993)
40. Chronic Pelvic Pain
• Continuous or episodic pain in the area of the pelvis
(true and false) for at least 6 months
• 10-40% of all gynecologic consults
• Multifactorial etiology
– Poor posture
– Decreased flexibility and strength
– Core muscle weakness
– PFM dysfunction
– Pelvic joint pain and dysfunction
42. Pelvic Pain progression
• Painful episiotomy
• Pelvic floor muscle spasm/tension
• Pain referred to abd wall, low back, hips and
thighs
• Pelvic visceral hyperalgesia
• Postural changes
• Adaptive muscle imbalances
• Spine pathology, abd trigger points
43. Indications for physical
therapy
• Initial conservative management of CPP
• PFM dysfunction
• Dyspareunia
• Vaginismus
• Scarring of the abdominal and/or vaginal walls
• History of abdominal or vaginal surgeries