Lifting Techniques and Physiotherapy

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Questions and Answers

What is the primary consideration when lifting an object from the ground?

The weight of the object (correct)

The type of object being lifted

The distance of the object from the body

The height of the object

What is the primary cause of pubic pain during pregnancy?

Diastasis of the rectus abdominis muscles (correct)

Lumbar strain

Cramping in the calf muscles

Poor posture

How can neuromuscular tension be managed during pregnancy?

By practicing relaxation techniques (correct)

Through restricted mobility

Through pelvic floor exercises

With regular massages

What is the primary benefit of teaching breathing awareness during pregnancy?

Enhanced relaxation during labour Signup and view all the answers

What is the primary goal of teaching positions for labour?

To enhance the mother's comfort Signup and view all the answers

What is the primary treatment for cramping in the calf muscles?

Slow, sustained stretching Signup and view all the answers

What is the primary goal of antenatal preparation for parents?

To fulfill the parents' expressed needs Signup and view all the answers

What is the origin of the term 'antenatal'?

From Latin words 'ante' and 'nātālis' Signup and view all the answers

What is the third aim of adequate antenatal care?

To give confidence to the woman in her own abilities Signup and view all the answers

What is the focus of antenatal care during different trimesters of pregnancy?

Designing antenatal classes Signup and view all the answers

What is the role of a physiotherapist during pregnancy?

To solve and treat musculoskeletal problems Signup and view all the answers

What is the period during pregnancy referred to as?

Antenatal period Signup and view all the answers

What is the role of the physiotherapist during the antenatal period?

To identify and prevent musculoskeletal or neuromuscular problems that could be aggravated by pregnancy Signup and view all the answers

Why are postural correction exercises practiced from different positions?

To minimize back strain Signup and view all the answers

What is the purpose of teaching abdominal contractions?

To prevent back pain Signup and view all the answers

Why is it important to teach pregnant women to perform leg exercises?

To prevent varicose veins Signup and view all the answers

When lifting, why is it important to keep the feet apart?

To increase the base of support Signup and view all the answers

What is the purpose of teaching pelvic tilting and postural correction exercises?

To improve posture and reduce back strain Signup and view all the answers

Why is it important for pregnant women to practice pelvic floor contractions?

To strengthen the pelvic floor muscles Signup and view all the answers

What is the purpose of the physiotherapist's sessions during the antenatal period?

To teach pregnant women exercises and techniques to reduce discomfort and improve physical health Signup and view all the answers

What is the primary concern of the earliest antenatal education?

To help couples understand the physiological changes of pregnancy Signup and view all the answers

What is the most common anxiety experienced by primigravidae and multigravidae during pregnancy?

The baby will die in utero Signup and view all the answers

What is the significance of understanding the bony pelvis in antenatal education?

It is essential for the development of certain anatomical structures Signup and view all the answers

What is the primary goal of giving instructions on the physical plane in antenatal education?

To help a young woman through phases of childbearing cycle Signup and view all the answers

What is the significance of the development of muscles, ligaments, and interstitial tissue in antenatal education?

It is crucial for the function of joints during pregnancy Signup and view all the answers

What is the primary concern related to conception after the birth?

The drugs taken in pregnancy will cause birth defects Signup and view all the answers

What is the importance of understanding labour in antenatal education?

It helps the woman cope with physical changes and associated discomfort Signup and view all the answers

What is the significance of the attachment of the muscles of the pelvic floor in antenatal education?

It is essential for the development of certain anatomical structures Signup and view all the answers

What is the benefit of pelvic floor contraction and relaxation exercises during pregnancy?

To get the pelvic floor muscles strong and elastic Signup and view all the answers

What is the purpose of teaching mother panting breathing during the last month of pregnancy?

To relieve labour pain Signup and view all the answers

Which of the following is a relative contraindication to exercise during pregnancy?

Women unused to high level of excursion Signup and view all the answers

What is the recommended daily exercise for pregnant women?

Walking in open fresh air for at least 1 hour daily Signup and view all the answers

What should be avoided during the last month of pregnancy?

Travelling, especially on hard roads and for long distances Signup and view all the answers

What is the purpose of arm exercises during pregnancy?

To prepare for lactation and allow free flow of milk Signup and view all the answers

What is the purpose of relaxation training during the last month of pregnancy?

To divert attention and reduce anxiety Signup and view all the answers

What is the benefit of abdominal exercises during pregnancy?

To strengthen the abdominal muscles and support the back Signup and view all the answers

Study Notes

Antenatal Care

Antenatal period is the period during pregnancy, and antenatal care refers to the medical care given to pregnant women before their babies are born.
Aims of adequate antenatal care:
- Detect and treat any physical or psychological defects
- Prepare the parents for the birth and care of the baby
- Give confidence to the woman in her own abilities through an understanding of how her body functions and the various changes occurring during pregnancy and birth

Role of Physiotherapist during Pregnancy

Physiotherapist sessions during antenatal period should include:
- Pregnancy back care
- Symphysis pubic pain
- Pelvic floor and pelvic tilting exercise
- Exercise for circulation and cramps
- Fatigue
- Effect of stress on body and mind
- Emotional reactions
- Stress and relaxation
Assess physical health and identify any musculoskeletal or neuromuscular problems that could be aggravated by pregnancy
Advise on back care and lifting:
- Back strain is minimized when the spine is held in its normal curves
- Postural correction exercises are practiced from different positions
Lifting advices:
- Hold objects close to the body
- Foot should be apart to increase the base of support
- Leg exercises to improve circulation and maintain tone of the muscles which support foot arches
- Pelvic floor contraction and relaxation to get pelvic floor muscles strong and elastic
- Abdominal exercises
- Arm exercise for preparation of lactation and to allow free flow of milk

Solving Musculoskeletal Problems

Pubic pain is often related to diastasis of the rectus abdominis muscles due to repeated pregnancies and can be treated by pelvic support as a firm elastic corset
Lumbar pain may be eased by soft tissue kneading and mobilization
Cramp can be relieved by slow, sustained stretch on the muscles and by foot exercises

Controlling Tension and Pain

The physiotherapist must teach the pregnant woman how to recognize tension and how to deal with it through relaxation techniques and breathing awareness
Relaxation principles can reduce the severity of pain during labor

Teaching Positions for Labour

The physiotherapist should teach the pregnant woman positions that may be used for labor and explain the different stages of labor

Contraindications to Exercise during Pregnancy

Absolute contraindications:
- Cardiovascular disease
- Acute infection
- Spontaneous abortion
- Vaginal bleeding or rupture of membrane
- Incompetent cervix
- Hypertension
- Fetal distress
- Pulmonary embolism
- Active thyroid
- Uncontrolled type 1 diabetes
Relative contraindications:
- Women unused to high level of excursion
- Blood diseases e.g. anemia
- Thyroid diseases
- Breach presentation in third trimester
- Extreme obesity or underweight

Advices

Exercise and Travelling:
- Avoid vigorous exercises as swimming, tennis and cycling especially in the first part of pregnancy
- The best exercise is walking in open fresh air, at least one hour daily
- Travelling should be avoided, particularly during the last month, especially on hard roads and for a long distances
- If there is a history of habitual abortion or premature labours, travelling should be completely prevented

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Description

This quiz covers proper lifting techniques, including holding objects close to the body and ensuring comfortable weights. It also touches on physiotherapy skills, specifically treating pubic pain related to diastasis of the rectus abdominis muscles.