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Presentation title (Date) Presentation Title Presentation title (Date) Pelvic floor, abdominal &...

Date post: 30-Dec-2015
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Presentation title (Date) Presentation Title Presentation title (Date) Pelvic floor, abdominal & back training
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List the functions of the Pelvic floor
Originates on pubic bone & inserts onto coccyx
Figure of 8 producing sphincters around: urethra, vagina, anus
Muscle is in 3 layers:
Superficial layer is the figure of 8 perineal muscle
Intermediate fibrous layer which is a triangular ligament allowing 2 openings - urethra & vagina
Deepest layer of the levator ani muscles
Due to effects of relaxin and weight of baby these muscles are stretched during pregnancy & delivery
Baby weighs on the pelvic diaphragm
Excess impact can lead to stress incontinence
Contains both fast and slow twitch muscle fibres
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Support organs of the pelvis (bladder, uterus and bowel)
Resist rises in intra-abdominal pressure caused by coughing, sneezing, lifting or straining
Plays a significant role in the continence mechanism
Co activate with TA to assist pelvic spinal stability
Has an inhibitory effect on bladder activity
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If stress incontinence a problem then high impact activities contra-indicated
Reduced ligament support for the pelvic organs can increase risk of prolapse
Encourage bracing & lifting of pelvic floor throughout CV session
Consider comfort of the perineum
eg. Upright Vs recumbent cycle
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A surgical incision into the perineum between the anus & vagina to widen the exit route!
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Takes 6 weeks for stitches to dissolve
Exercise will:
improve the disposal of waste products from area
likely to reduce pain felt
may assist the cut / tear to close
Start as soon as comfortable
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Pelvic floor exercises
The Elevator
Use gravity where possible
Breath regularly throughout
Suggest 2-3 sets of 20 reps daily
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Transverse abdominus
In pairs list all the functions of the abdominals
What are the benefits and concerns for pregnant clients regarding abdominal and back training
5 minutes task
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Maintains upright posture
Supports lumbar spine
Braces body when under stress (cough)
Aids propulsive movements (‘push’ phase of delivery
Controls the movements of the limbs during exercise
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Benefits and concerns
Potential problems/conerns:
Body position
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joining of the aponeurisis of the transverse & obliques
separation of rectus abdominus at the linea alba is diastasis recti
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Practical group activity
List all the abdominal and back exercises that you currently use with your clients
Consider Rectus Abdominus, Transverse Abdominus, Internal/External Obliques, Erector Spinea & Pelvic Floor.
Suggest adaptations for the various stages of pregnancies to ensure safe exercise selection- prepare to feedback to the group
Task time 45 minutes
Brace and hold standing
superman/sand lizards (all fours)
resisted back extension (seated)
Abdominal training should continue throughout pregnancy although adaptations will be necessary to ensure safe exercise prescription.
Most exercises will focus on TVA and pelvic floor activation, rather than rectus abdominus.
Lower back training is essential throughout pregnancy. Although adaption's may be needed.