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16 Cards in this Set
- Front
- Back
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What are the goals of OMM during pregnancy?
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1. functionality, not normalcy
2. relief of pain 3. movement of fluids 4. function of pelvic floor |
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What are the primary changes that occur in pregnancy that could make use of treatment with OPP?
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1. /\ lumbosacral curve
2. altered center of gravity 3. duck waddling gait 4. 20 - 30 lb weight gain 5. /\ heaviness/size of breast 6. /\ size, weight of uterus 7. nausea, vomiting 8. chest wall expansion |
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How does the center of gravity change?
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center of gravity changes up to T8-T11 and control changes from ligamentous balance to muscle controlled balance
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What muscle is strained by center of gravity change in pregnancy?
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iliopsoas
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What two muscles act against each other to constantly maintain balance with pregnancy?
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psoas vs. piriformis
both muscles should be evaluated |
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What postural changes occur in pregnancy?
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/\ lumbar lordosis
/\ thoracic kyphosis weight shifts to heels gait changes to waddling as hips widen |
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What happens to proprioception during pregnancy?
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since the body is constantly changing, proprioception is always adapting. women tend to be clumsy.
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What uterus supportive anatomy changes during pregnancy?
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round ligament (pain in 2nd trimester)
abdominal wall uterosacral ligament |
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What relevant hormones play a role in the first trimester?
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relaxin - ligaments of pubic symphysis and SI joints to relax
progesterone |
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What are the major changes in the second trimester?
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round ligament change
center of gravity change proprioception change fluid shift |
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What major changes occur in the third trimester?
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visceral compression
lung compression maximum lumbar spine strain worst edema |
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What is the autonomic innervation of the uterus?
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T10 - L2 Sympathetic
S2 - S4 (pelvic splanchnic) Parasympathetic |
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How can dysfunction during pregnancy be prevented?
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1. exercise
2. antepartum/postpartum balance training 3. healthy weight gain 4. stretching exercise |
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What anatomical regions would most benefit from OPP treatment during pregnancy?
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1. SI joints
2. pubes 3. thoracolumbar spine 4. lymphatics 5. pelvic floor |
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What are the contraindications for OMM during pregnancy?
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1. abruptio placenta
2. placenta previa/undiagnosed vaginal bleeding 3. chorioamnionitis 4. ectopic pregnancy 5. threatened/incomplete AB 6. eclampsia/severe preeclampsia 7. prolapsed umbilical cord 8. preterm labor or premature ruptured membranes |
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When delivery occurs, how does anatomy change?
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1. pelvic inlet/outlet must enlarge
2. sacrum must counternutate for engagement and nutate for delivery |
