Term
| Pregnancy: average weight gain |
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Definition
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Term
|
Definition
| teach childbirth education classes |
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Term
| Pregnancy: types of childbirth education classes PT's teach (8) |
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Definition
Jacobsen's progression (PMR)
mental imagery
yoga
breathing mgmt
diaphragmatic
lamaze
avoidance of val salva
general ed about pregnancy and childbirth |
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Term
| Pregnancy: postural changes (6) |
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Definition
increased kyphosis
scapular protraction
forward head
lumbar/cervical lordosis
hyper extended knees
pronated feet |
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Term
| Pregnancy: balance changes |
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Definition
COG shifts forward and upward
Wider BOS
difficulty with ambulation |
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Term
| Pregnancy: ligamentous laxity d/t what |
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Definition
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Term
| Pregnancy: ligamentous laxity results in what |
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Definition
jt hypermobility
injuries to LE
may last several months post partum |
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Term
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Definition
mm weakness
stretch weakened abdnominals
pelvic floor weakness (stress incontinence 80%) |
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Term
| Pregnancy: urinary changes |
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Definition
pressure on bladder
frequent urination
increased reflux
urinary tract infections |
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Term
| Pregnancy: respiratory changes (4) |
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Definition
elevation of diaphragm
widening thoracic cage
hyperventilation
dyspnea with mild exercise in later stages |
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Term
| Pregnancy: cardiovascular changes (4) |
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Definition
increased blood volume
increase venous pressure in LE's
increased HR and CO
Decreased BP d/t venous distensibility |
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Term
| Pregnancy: thermoregulation changes |
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Definition
altered
increased metabolic rate = increased heat production |
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Term
| Pregnancy: Related Pathologies: what is diastis recti |
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Definition
| lateral separation of rectus abdominus and linea alba (>2 cm significant) |
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Term
| Pregnancy: Related Pathologies: diastasis recti: associated s/s |
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Definition
loss of abdominal support
increased LBP |
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Term
| Pregnancy: Related Pathologies: diastasis recti: PT |
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Definition
| teach safe ab ex with hands across abdomen to support abdominal wall (pelvic tilts, partial sit ups) |
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Term
| Pregnancy: Related Pathologies: diastasis recti: progression |
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Definition
wrap sheet around waist and pull to approximate, can use hands
chin tuck/head lift only
chin tuck/head lift with pelvic tilt
single leg sliding with pelvic tilt
lift head and clear scapula |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: what is it |
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Definition
| weakening of pubococcygeal mm |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: why does it occur |
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Definition
| overstreched during pregnancy and may lose tone and elasticity later in life |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: may result in what |
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Definition
| partial or total prolapse |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: partial/total prolapse examples |
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Definition
cystocele
rectocele
uterine prolapse |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: what is a cystocele |
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Definition
| herniation of bladder into vagina |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: what is a rectocele |
|
Definition
| herniation of rectum into vagina |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: what is a uterine prolapse |
|
Definition
| bulging of uterus into vagina |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: symptoms (4) |
|
Definition
pelvic pain
urinary incontinence
pain with intercourse
may radiate down posterior thigh |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: mgmt |
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Definition
| may be managed surgically |
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Term
| Pregnancy: Related Pathologies: Pelvic Floor disorders: PT mgmt (6) |
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Definition
observe for increased urinary frequency
kegal ex
postural education
mm reeducation
pelvic mobs
stretching of tight LE mm |
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Term
| Pregnancy: Related Pathologies: Low Back and Pelvic pain: % of pregnant women who experience LBP |
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Definition
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Term
| Pregnancy: Related Pathologies: Low Back and Pelvic pain: greater incidence if what |
|
Definition
| pain with previous pregnancy |
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Term
| Pregnancy: Related Pathologies: Low Back and Pelvic pain: % unable to perform ADL's secondary to pain |
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Definition
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Term
| Pregnancy: Related Pathologies: Low Back and Pelvic pain: PT mgmt |
|
Definition
teach proper body mechanics
balance rest with activity
use a firm mattress
massage, modalities ( no deep heat) |
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Term
| Pregnancy: Related Pathologies: Low Back and Pelvic pain: conidtions affected by increased lordosis (5) |
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Definition
stenosis
spondylolithesis
facet jt disease
ligamentous strains
peripheral nerve compression/irritation (lateral femoral cutaneous) |
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Term
| Pregnancy: Related Pathologies: SIJ dysfunction: aka |
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Definition
| PPP (posterior pelvic pain syndrome)-pubic subluxation |
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Term
| Pregnancy: Related Pathologies: SIJ dysfunction: associated with what |
|
Definition
| ligamentous laxity/trauma |
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Term
| Pregnancy: Related Pathologies: SIJ dysfunction: mgmt |
|
Definition
avoid prolonged sitting, standing, walking
SIJ belt
stabilization ex (TrA) |
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Term
| Pregnancy: Related Pathologies: Compression Neuropathies: 3 types |
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Definition
Thoracic Outlet
Carpal Tunnel
Tarsal TUnnel |
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Term
| Pregnancy: Related Pathologies: Compression Neuropathies: Thoracic Outlet mgmt |
|
Definition
mobility ex
manual therapy
postural correction |
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Term
| Pregnancy: Related Pathologies: Compression Neuropathies: carpal tunnel mgmt |
|
Definition
neuromobs
jt mobs
resting/night splint
posture correction |
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Term
| Pregnancy: Related Pathologies: Compression Neuropathies: tarsal tunnel mgmt |
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Definition
orthotics
arch support ex
address mm imbalances/faulty mechanics |
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Term
| Pregnancy: Related Pathologies: Final 3 in notes |
|
Definition
varicose veins
preeclampsia
caesarian child birth |
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Term
| Pregnancy: Related Pathologies: Varicose Veins mgmt |
|
Definition
elevate extremities
avoid crossing legs
elastic stockings |
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Term
| Pregnancy: Related Pathologies: preeclampsia what is it |
|
Definition
| acute HTN after 24th week |
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Term
| Pregnancy: Related Pathologies: preeclampsia mgmt |
|
Definition
evaluate for
HTN
edema
sudden wt gain
headache
visual disturbances
hyperreflexia |
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Term
| Pregnancy: Related Pathologies: caesarean chilbirth, what is it? |
|
Definition
| incision through abdominal and uterine walls. |
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Term
| Pregnancy: Related Pathologies: caesarean chilbirth, why is it indicated |
|
Definition
| pelvic disproportion, failure of birth process, fetal or maternal distress, other complications |
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Term
| Pregnancy: Related Pathologies: caesarean chilbirth, PT mgmt |
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Definition
TENS post-op
assisted breathing
coughing
gentle ab ex (incisional support)
pelvic floor ex
postural ex
no heavy lifting 4-6 weeks
friciton massage to incision to prevent adhesions
ambulation training |
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Term
| Tx contraindications for the pregnant pt: positioning |
|
Definition
no prone lying after 12-16 weeks
no supine lying in 2nd and 3rd trimesters |
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Term
| Tx contraindications for the pregnant pt: modalities |
|
Definition
no modalities that raise body heat >100.8 degrees
no electrotherapy including tens
no US over pelvis
No lumbar mechanical traction |
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Term
| Tx contraindications for the pregnant pt: physical therapy |
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Definition
no high velocity manips
avoid certain accupressure points |
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Term
| ACOG Guideliens for Ex Instruciton: prior to ex program |
|
Definition
| physical exam must be done prior |
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Term
| ACOG Guideliens for Ex Instruciton: warm up considerations |
|
Definition
no ballistic movements
do not over stretch (particularly pelvis) |
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Term
| ACOG Guideliens for Ex Instruciton: Max HR |
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Definition
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Term
| ACOG Guideliens for Ex Instruciton: positioning (3) |
|
Definition
no supine lying >5mins after 5th month
avoi effects of orthostatic hypotension
if prone, avoid hips over chest, d/t risk of air embolism |
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Term
| ACOG Guideliens for Ex Instruciton: fluid ingestion/secretion |
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Definition
drink plenty of fluids
empty bladder fully before ex |
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Term
| ACOG Guideliens for Ex Instruciton: general ex considerations (2) |
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Definition
should not exceed pre-pregnancy levels
d/c an ex that causes pain |
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Term
| Contraindications to ex: vaginally related (2) |
|
Definition
vaginal bleeding
incompetent cervix |
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Term
| Contraindications to ex: baby containment issues (4) |
|
Definition
premature labor (before 37th week)
placenta previa
ruptured membranes
intrauterine growth retardation |
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Term
| Contraindications to ex: what is placenta previa |
|
Definition
| placenta positioned at risk of detaching before birth |
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Term
| Contraindications to ex: what is ruputured membranes |
|
Definition
| loss of fluid before birth |
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Term
| Contraindications to ex: fetus related |
|
Definition
|
|
Term
| Contraindications to ex: pregnancy induced disorders/pre existing conditions (3) |
|
Definition
maternal heart disease
maternal HTN
maternal DM |
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