Physiotherapy in Obstetrics & Gynaecology By mohd. Javed mpt(ortho)-1st yr. Apollo college, durg c. G

ROM INSTRUCTION

slow active full ROM of all the joints.

Teach movement in gravity eleminated position.

• 3. SUGGESTED EX.

• Lying

• - supine or side lying with alternate knee to chest .

• - ankle pumping .

• - shoulder , elbow , fing. Flex. & extn. , reach to ceiling, arm circle.

• - unilateral SLR in supine & side lying position.

• - bilateral active ROM in diagonal pattern for UL & LL

• -pelvic tilt, bridging, isometrics for pelvic floor muscle.

• Sitting [may not be allowed]

• - all UL joint movement in available ROM.

• -cervical movement in available ROM.

• 4. RELAXATION TECHNIQUE

• 5. BED MOBILITY & TRANSFER ACTIVITIES

• moving up down side to side in bed.

• rolling

• supine to sitting assisted by arms.

• 6.PREPRATION FOR LABOUR

• Relaxation tech.

• Modified squatting supine, sitting or side lying with knee to chest.

• Breathing

• PREGNANCY INDUCED PATHOLOGY

• PHYSIOTHERAPY IN GYNAECOLOGICAL CONDITIONS

INDICATIONS PT MANAGEMENT

• INDICATIONS PT MANAGEMENT

• 1. INFECTIONS 1. in acute phase

• -vulvitis -chemtherapy.

• -vaginitis in chronic phase

• - cervicitis pulsed or cont SWD

• - salphingitis

• - PID

• 2. CYST & NEW GROWTH 2. pulsed SWD /US for

• softning of painful abd.

• adhesion.

• 3..STRESS INCONTINENCE 3. pelvic floor ex.

• 4.GENITAL PROLAPSE 4. pelvic floor strength

• -cystocele, urethrocele, - ening ex.

• -rectocele, enterocele,

• - uterine prolapse

• 5. MENSTRUAL DISORDER 5. primary type

• -primary / spasmodic type pain coping strategies

• sec. /congestive

• dysmennoria relaxation & breathing

• tech. & TENS

• 6. BACKACHE & ABD. 6. TENS

• PAIN

THANKYOU