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chronic pelvic pain (cpp)

this is defined as non-menstrual or non cyclic - with a duration of at least 6 months, sufficiently intense to interfere with habitual activities and requiring clinical or surgical treatment


what is the difference between male and female pelvic floor musculature

neuromuscular, orthopedic, myofascial

when treating pelvic pain the therapist focuses on 3 things that contribute to symptoms - what are they

support, sphinteric, sexual, mechanical (trunk/hip mobility)

what are the four functions of the pelvic floor muscles

S 1,2,3,4

What are the inervation levels for the pudendal nerve

sacral spinal nerves

the pudendal nerve branches off the _______ ________ ___________ and branches off to several other nerves

pudendal neuralgia

this is inflammation of the pudendal nerve - painful


this refers to pain in the perineal area - from muscle tear or cut - ex. with birth


this is painful penetration of the vagina


this is prolapse of the rectum - it drops


this is prolapse of the small intestine - drops


this is prolapse of the bladder - drops


this is prolapse of the uterus - drops

interstitial cystitis (ic)

this is long term irritation of the bladder

diastasis recti

this is seperation of the linea alba

ischiopubic ramus, pubic symphisis, coccyx

the urogenital and anal triangles are framed by the ______ _____, _______ ________, and __________

transverse perineal, bulbospongiosus, ischiaocavernosis

what muscle group is in the urogenital triangle - the muscle group

levator anai complex

what muscle group is in the anal triangle


things move to less resistance - must keep the pelvic floor strong to prevent

kagel, plank

_______ and ________ are two safe exercises for pt with a history of prolapse - be sure to maintain core tightening and NO VALSALVA (EVER)

weight lifting

what is a type of exercise that is not safe for pt with history of prolapse

70, 30

theres ___% slow twitch and ___% fas twitch muscle fibers in the pelvic floor muscles

obturator internus

identify the one muscle the levator anai group attaches to outside the pelvic floor

ext, int, rotation

the obturator internus action is _____ and ______ _________ - can strain and will be painful


what are the following instructions for - "i want you to contract your muscles as though you are trying not to urinate/pee but don't use your backside/butt muscles" - use appropriate language when instructing

deep breath in, let it out, bring ribs down and together, navel to back, tilt up

what are the instructions for a true pelvic tilt - pt is supine - buttocks should be relaxed

supine/prone, knees/feet up

what is the position to test hip ext and int rotation for equality - should not tightness, weakness, inequality in measurements - could indicate a problem

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