CHERRY BAKER AND TRACEY GJERTSEN BSC MCSP HCPC INTRODUCTION TO DIAMOND TRAINING REHAB AND PERFORMANCE FOR PELVIC POWER
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1 CHERRY BAKER AND TRACEY GJERTSEN BSC MCSP HCPC INTRODUCTION TO DIAMOND TRAINING REHAB AND PERFORMANCE FOR PELVIC POWER
2 What is it? Where is it? Breathing Graded relaxation
3 Incontinence Stress Incontinence Urge Incontinence Temporary incontinence Functional incontinence Urinary incontinence Rectal incontinence
4 The pelvic "floor" is an appropriate name. It is situated at the bottom of the pelvis, lies in a roughly horizontal orientation, and closes off the opening that would otherwise allow the pelvic and abdominal contents above it to fall through. It is unique in that it is the only horizontal load-bearing muscle group in the body.
5 Symptoms Urinary frequency, urgency, hesitancy, stopping and starting of the urine stream, painful urination, or incomplete emptying Constipation, straining, pain during or after bowel movements Interstitial Cystitis: painful bladder syndrome Unexplained pain in your low back, pelvic region, hips, genital area, or rectum Pain during or after intercourse, orgasm, or sexual stimulation Uncoordinated muscle contractions causing the pelvic floor muscles to spasm
6 This programme is designed for low tone issues Often Urethra lacks tautness and stability Often lack of support for the urethra due to weakened MUSCLES, FASCIA or LIGAMENTS Poor posture fascial lines Poor - trunk stability (discuss) Todays lifestyle
7 THORACIC AREA BREATHING MANUAL THERAPY
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9 Exercise it Superficial perineal layer Bulbospongiosus Ischiocavernosus Superficial Transverse Perineal External Anal Sphincter (EAS) Innervated by the pudendal nerve
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11 Exercise Uretrovaginal sphincter Deep transverse perineal Compressor urethrea Innervated by Pudendal Nerve Compressor Urethrae Deep Transverse Perineal
12 Exercise Coccygeus Iliococcygeus Puborectalis Piriformis, Obturator Internus Innervated by sacral nerve roots S3-S5
13 Exercise O: Obturator foramen & membrane. I: Greater Trochanter. Action: laterally rotates the extended hip joint Abducts the flexed hip joint in standing Innervation: L5, S1, and S2.
14 OI and LA Intact Weak LA OI Intact Weak Ol Weak LA
15 Muscles involved with sexual activity Ischiocavernosus & Bulbospongiousus Premature ejaculation Testicals to spectacles Balls to Brain Nuts to guts
16 Facts Levels The descent of one or more structures into the vagina 10-20% of women seek help Symptoms may be Urinary, Bowel, Sexual Risk factors : Age,Parity, Obesity, Muscle weakness, Posture Management: Dependent on severity, Pessaries, PFMT, Surgical Repair, Hysterectomy How can we help?
17 1 in 3 women 1 in 10 men Costs to NHS 117 million per year 2 nd reason for elderly people being put into residential care Increased risk of falling 27% unwilling to go to places where they were unsure about the availability of toilets 31% dressed differently because of the problem 23% said it affected their sex life 23% avoided physical activity Social Isolation
18 Isolate Compound Functional
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23 KNEE DROP pelvic floor ALL FOURS - external hip rotation BRIDGE- with segmental control
24 In-depth anatomy of male and female pelvic floor function and dysfunction fascial connections Exercise programming and technique Palpation self and client High Tone Pelvic floor Referral net work Marketing and business Equipment and recommendation Prostate cancer and problems /Prolapse Types of gynaecological surgery pelvic floor repair and exercise Diamond Pilates lesson plans, exercise progressions and programming technique and teaching methodology
25 Diamond Pilates Facebook Cherry Baker LunchED Club Facebook and sign up for our you tube videos and newsletter plus future course dates.
26 Tracey Gjertsen - tracey@bodymotioncompany.co.uk james@physology.co.uk MedlinePlus: Enlarged Prostate Continence Foundation: Pelvic Floor Exercises for men The Simon Foundation for Incontinence Sciatic and Piriformis Syndrome DR Aeron Filler Nice Guidelines Heathy Solutions Pelvic Floor and Core Works Hold It Sister Mary O Dwyer Stress No More The Cochrane Collaboration Victoria Dawes V.dawes@plevicfooorplan.com
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