PHTY306 Lecture Notes - Lecture 8: Pelvic Floor, Nocturia, Stress Incontinence
Document Summary
Week 8 lecture 1: objective assessment of the pelvic floor patient. 50% of women perform a pfc incorrectly if only given verbal instruction. Need to check technique and give instruction: pelvic floor strength / co-ordination assessment. How strong is the pelvic floor already. Inward movement of perineum: minimal accessory muscle use (some ta will occur) 3: ability to maintain a pfc during increases in iap. Attempt by patient to contract pf and maintain contraction during a cough: ax ability to maintain contraction, ax ability to reduce descent of prolapse. 4: anatomy during a cough: increased descent of vaginal walls / prolapse on increased iap, ?reflexive pre-contraction of pf with coughing (cid:498)the knack(cid:499) 5: anatomy during valsalva: prolapse increased descent of vaginal walls / uterus ask patient to (cid:498)bear down(cid:499) and hold pressure for 6-8seconds. Documenting pelvic floor strength (cid:498)p. e. r. f. ect. (cid:499) syste , as per laycock 2001: p = power.
