Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
55 Cards in this Set
- Front
- Back
|
somatic dysfunction in normal pregnancy
contrainds to OMT in preg Complications OMT and fertility "Window of opportunity" |
objectives
|
|
|
percent of mothers who reported SD during pregnancy
|
50%
|
|
|
When does SD develop?
|
after 20 weeks
(Fairman Denlinger) |
|
|
most common complication of pregnancy
|
low back pain
|
|
|
risk factors for LBP during pregnancy
|
heavy manual labor
smoking parity age there is a long list of other things that would seem related to LBP, but are not |
|
|
liine to measure pelvic tilt: how do you draw it?
|
for ASIS to PSIS
avg change 1.9 degrees |
|
|
avg change of thoraic kyphosis in pregnancy
|
avg change 6.6 degrees
|
|
|
mechanics of pregnancy that affect lumbar spine
|
Incr pressure on the lumbar facet joints
incr shear force aross the discs paraspinal muscle shorten posteriorly ab muscles are stretched anteriorly and unbalance the lumbar spine |
|
|
sacroiliac pain = lumbar backache that radiates down to where?
|
posterior thighs
occasionally, into groin and anterior thigh |
|
|
herniated disc during pregnancy causing neuralgia?
|
rare to have herniated disc -
more likely that baby is pressing parietal bones on nerves = "parietal neuralgia of pregnancy" |
|
|
How can parietal neuralgia of pregnancy be caused while trying to breathe easier?
|
lightening
fetal part settles into the pelvis and exerts less pressure against the diaphragm. |
|
|
pregnancy may cause a preexisting idiopathic scoliosis to progress during pregnancy
scoliosis must be worse than __ degrees |
25
One study says this while another does not find any change* |
|
|
pregnancy may cause a preexisting idiopathic scoliosis to progress during pregnancy
assoc with the release of hormone _____ |
Relaxin
|
|
|
one study suggests that pts with idiopath scoli had more ______ births than expected
|
premature
|
|
|
prior f______ of an idiopath scoli did not result in an increased incidence of back pain during pregnancy
|
fusion
|
|
|
Pregnancy's affect on RA
|
ameliorating from onset until 6 weeks post-partum
cortisol increase during preg |
|
|
if anky spondy is present, can you have vaginal birth?
|
yes
|
|
|
In pregnancy, how may pelvic congestion and edema be caused?
|
insuff return to heart
|
|
|
total body fluid increases by how many liters over course of preg?
|
6.5L
|
|
|
consequences of abdominal congestion
|
hemorrhoids
vulvar varicosities noctrnal back pain for 1-2 hours after lying down dependent edema |
|
|
consequences of abdominal congestion during preg
|
hepatomegaly
pancreatomegaly incr intra-ab pressure reversal o fvenous flow into the batson venous plexus in spinal canal --> H/A, Nausea, light-head |
|
|
hormonal changes of preg due to Relaxin
|
widening of SI joint and pubic symph (10-12th week of preg)
chest circumf increase 5-7 cm subcostal angle incr form 68 to 103 degerees diaphragm pushed up by 4 cm diaphragm excursion increased by 1-2 cm tidal vol and minute ventilation incr by 30-40% no change on RR |
|
|
Where does Relaxin come from ?
|
corpus luteum
(not increased with twins) |
|
|
maybe a link between back pain and Relaxin?
|
maybe
|
|
|
what about your bone mechanics causes infertility and increased fetal wastage
|
leg length inequality
|
|
|
how do you correct infertility caused by leg length inequality?
|
sacral base leveling
|
|
|
when should you give OMT during preg?
|
SD
scoli edema past-dates (cranial, HVLA, ME to thoraco-lumbar jx) |
|
|
exercise recommendations for pregnancy
|
< 15mins
< 140 bpm |
|
|
Who has a shorter 2nd stage of labor, athletes or non-athletes?
|
athletes
|
|
|
describe OMT prophylactic care during pregnancy
|
0-28 wk: q month
28-36 wk: q 3weeks 36 wks+ : q week |
|
|
what spinal level of SD may mave impact on circualation to developing fetus?
in 1st trimester |
T10 - L2
|
|
|
what spinal level of SD may mave impact on morning sickness?
in 1st trimester |
Occiput to C2
T5-T9 |
|
|
how may you evaluate the degree of success of your treatment over time?
in 1st trimester |
resolution of Chapman's points
|
|
|
what may provide relief of pain of abdominal wall stretching (scars from prior surgeries) during 2nd trimester?
|
Myofacial release
|
|
|
How do you treat round ligament pain during 2nd trimester?
|
anterior counterstrain points L3-L5
|
|
|
What technique can be used to treat pelvis (innom and sacral) dysfunctions during 2nd trimester?
|
any technique, any comfortable position
|
|
|
second most frequent M/S symptom of pregnancy in 2nd trimester?
|
hand and wrist pain caused by Carpal tunnel syndrome
|
|
|
incidence of CTS is increased by what?
|
edema in fingers
HTN preeclampsia |
|
|
if CTS onsets during pregnancy, when does it go away?
|
after pregnancy
|
|
|
how do you treat CTS during preg?
|
open thoracic inlet
upper thoracics and ribs direct mofacial release technique of Sucher on transverse carpal ligament also bougie technique |
|
|
what is the congestive phase of pregnancy?
|
third trimester
|
|
|
why is it the congestive phase?
|
edema
hemorrhoids constipation GERD LBP loss of balance changes in gait |
|
|
treatment for constipation
|
autonomics for colon
pelvic diaphragm |
|
|
treatment for uterine contractility
|
T10-L2 - sympathetic levels
|
|
|
cranial techniques and provocation of labor.
|
small study
|
|
|
uterine muscle contraction:
a) sympathetics b) parasympathetics |
a) sympathetics
|
|
|
sensation from uterine cervix
a) sympathetics b) parasympathetics |
b) parasympathetics
|
|
|
Sensation from fundus of uterus
a) sympathetics b) parasympathetics |
a) sympathetics
|
|
|
vasodilation
a) sympathetics b) parasympathetics |
para
|
|
|
OMT during labor should focus where?
|
lumbosacral spine, esp. mobility of sacrum
|
|
|
treatment of _______junction may assist in regulating uterine contractions?
|
thoraco-lumbar
|
|
|
treatment of ________ dysfunction influences cervical dilation
|
sacral base
|
|
|
bilaterally extended sacrum
AKA a _____________sacral base a) anterior b) posterior c) superior d) inferior |
b) posterior
|
|
|
What sacral dysfunc is assoc with an occiput anterior posititon during labor
|
sacral base anterior
(bilaterally flexed sacrum) |
|
|
normal physiologic separation of the pubic symph
|
no more than 10 mm
|
