Pregnancy
which hormone is used to confirm pregnancy?
Human Chorionic Gonadotropin (HCG)
Pregnancy
pregnancy hormone that increases ligamentous laxity and widens SIJ and pubic symphysis
Relaxin
Pregnancy
Abdominal separation at the linea alba
Diastesis Recti
Pregnancy
what does progesterone do during pregnancy?
- decreases frequenzy of uterine contraction
- increases body temp 1/2 degree
- increases carbs craving
- relaxes smooth muscle in body → varicose veins, constipation
Pregnancy
what does estrogen do during pregnancy?
- enlarges uterus, breast and genitals
- increases blood supply
- increases vaginal PH
Pregnancy
laying supine for long periods of time during the 2nd and 3rd trimester of pregnancy
contraindicated
Pregnancy
Modalities that increase body temp greater than 100.8 deg during pregnancy
contraindicated
Pregnancy
ultrasound over the pelvis of a pregnant woman?
no, contraindicated
Pregnancy
joint erosion caused by staph or strep bacteria nesting in the joint from cherny operation..
osteotitis pubis
Pregnancy
respiratory changes during pregnancy
- ↑ RR
- ↑ rib cage diameter; ribs elevate 2-4 cm (brachial plexus? thoracic outlet syndrome?)
- diaphragm elevate
Pregnancy
PT Treatment for Pubic Symphysis Separation
- MET to help restore normal alignment
- Use of binders & belt
- Stabilization exercises
Pregnancy
Sacroiliac Joint Dysfunction findings
- Standing posture: leg in abduction & ER with c/o pain
- +hip scouring test
- +march, forward bend, slump/sit test
- Tenderness at PSIS, sulcus, piriformis
- Generalized low back/buttock pain
- Pain in leg that can extend to knee or ankle
Pregnancy
PT Treatment for Diastesis Recti
- Use of binder
- Abdominal strengthening
- Pt education on avoiding activities that increase intra-abd pressure; avoiding valsalva maneuver
Pregnancy
PT Treatment for Sacroiliac Joint Treatment
- SI belt, binders
- MET to pelvis & SI joint; teach patient self mobs
- Modification in posture during sitting, sleeping, car, usingcomputer, sexual positions etc.
Pregnancy
PT Treatment for C-section
- TENS for incision pain
- External colon massage (for constipation)
- Proper body mechanics
- Core strengthening
- C-section scar massage
