Return to course: Pelvic Floor Physiotherapy
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Pelvic Floor Physiotherapy
Course Overview
Welcome
Pre-course Reading and Reference Documents
Kari Bo Physio Management Of UI
The Pathophysiology of Stress Urinary Incontinence, a Systematic - Hassani et al, 2021
HSE 2023 Assessment And Management Of Stress Urinary Incontinence
Assessment of the Pelvic Floor and Associated Musculoskeletal System: Guide for Medical Practitioners
Professional Issues: Introduction to Urinary Incontinence and Pelvic Floor Assessments
Neurourology and Urodynamics - An international urogynecological association IUGA international - Haylen, 2009
Dumoulin - Cochrane RV, 2018
European Association of Urology Guidelines on the Diagnosis and Management of Female Non neurogenic Lower Urinary Tract Symptoms Part 1
NICE Guideline - Urinary incontinence and pelvic organ prolapse in women: management
Professional Issues (Video Presentation)
National Women's and Infants Health Programme: guideline on assessment and management of stress urinary incontinence
Week 1
Zoom Session Link
Session Presentation
End of Unit Quiz
Week 2
Zoom Session Link
Session Presentation
Session Recording
End of Unit Quiz
Week 3
Zoom Session Link
Session Presentation
Session Recording
End of Unit Quiz
Final Course Feedback
Final feedback link
End of Unit Quiz
What is the knack?
*
Voluntarily contract PFM prior to exertion which increases IAP
A pelvic floor exercise programme consisting of a number of short strong squeezes
What is the strongest factor is predicting who will respond to PFMT?
*
Demographic factors
Levator ani morphology
Bladder neck to levator plate distance
Levator ani strength on MVC
What is an orange flag?
*
Psychiatric symptoms
Work and health
System obstacles
Emotional influences
What is a 3c Perineal tear?
*
Less than 50% of the external anal sphincter torn
More than 50% of the external anal sphincter torn
Both the external anal sphincter and internal anal sphincter torn
How much water is optimal to avoid dehydration?
*
50mls per kg of body weight
30mls per kg of body weight
20mls per kg of body weight
Which of the following is NOT a red flag for the bladder?
*
Frequency of >12 voids per day
Passive incontinence
Haematuria
Recurrent or persistent unexplained UTI
Pelvic masses
Pregnant women are ____% more likely to be subjected to physical domestic violence and abuse than women who are not pregnant
*
80
30
60
When assessing the pelvic floor using the PERFECT scheme what does the E stand for?
*
Elevation
Every
Excursion
What is a grade 4 on the modified oxford grading of the pelvic floor?
*
Increased tension and a good contraction. Capable of elevating the posterior vaginal wall against digital resistance
A flicker felt under your finger
Strong resistance to the elevation of the posterior vaginal wall, your finger is squeezed and drawn into the vagina
Which of the following is not a contraindication for vaginal examination?
*
Active infection or suspected infection e.g. BV
Open wounds, broken skin, fistula
Less than 6/52 post delivery or gynae surgery
Hx abuse/ sexual assault / genital mutilation
The E in Jo Gibson’s communication superpower acronym stands for
*
Expand
Expert
Empower
What is normal bowel frequency?
*
Once a day
From three times a day to once every three days
Twice a week
Which of the following is not a bowel red flag?
*
Unexplained weight loss
Very large stool
Feeling of fullness in rectum after BM
Unexplained rectal bleeding / bloody stools
Which of the following is a sign of avulsion?
*
A distance of >3.5cm widths between the two sides of puborectalis muscle insertion
A distance of >4.5cm widths between the two sides of puborectalis muscle insertion
A distance of >2.5cm widths between the two sides of puborectalis muscle insertion