PRE & POST NATAL PHYSIOTHERAPY mississauga

Updated: Nov 13, 2019

According to Joint SOGC/CSEP Clinical Practice Guideline:

Physical activity throughout pregnancy enhances physical and mental health and reduces risk of pregnancy complications. Physical activity is now seen as a critical part of a healthy pregnancy. Following the guideline can reduce the risk of pregnancy-related illnesses such as depression by at least 25%, and the risk of developing gestational diabetes, high blood pressure and preeclampsia by 40%.


Pregnant women should accumulate at least 150 minutes of moderate-intensity physical activity each week over a minimum of three days per week; however, being active in a variety of ways every day is encouraged.


Pregnant women should incorporate a variety of aerobic and resistance training activities to achieve greater benefits. Adding yoga and/or gentle stretching may also be beneficial.

Pelvic floor muscle training (e.g., Kegel exercises) may be performed on a daily basis to reduce the risk of urinary incontinence. Instruction in proper technique is recommended to obtain optimal benefits.

Pregnant women who experience light-headedness, nausea or feel unwell when they exercise flat on their back should modify their exercise position to avoid the supine position.

Absolute contraindications to exercise are the following:

Ruptured membranes, premature labor, unexplained persistent vaginal bleeding, placenta previa after 28 weeks gestation, preeclampsia, incompetent cervix, intrauterine growth restriction, high-order multiple pregnancy (e.g., triplets),uncontrolled Type I diabetes, uncontrolled hypertension, uncontrolled thyroid disease, other serious cardiovascular, respiratory or systemic disorder.

 

Relative contraindications to Exercise are the following:

· recurrent pregnancy loss,

· gestational hypertension,

· a history of spontaneous preterm birth,

· mild/moderate cardiovascular or respiratory disease,

· symptomatic anemia,

· malnutrition,

· eating disorder,

· twin pregnancy after the 28th week,

· other significant medical conditions.

For more information check Resource Link

 

Post natal effects of exercise: Dewey and McCrory, in a review of literature on dieting and physical activity in pregnancy and lactation, conclude that the available data indicate that moderate aerobic exercise is safe and beneficial for most women if appropriate guidelines are followed moderate exercise for the child-bearing year. One study conducted in 2012concludes that a physical activity intervention based on pedometer is an effective means to increase physical activity; reducing retention of weight gained during pregnancy and can improve anthropometric measures in postpartum women.

Immediate post- natal problems and exercises

Painful perineum:

Physiotherapy is one of the best ways of solving pelvic health issues post partum and treat painful perineum.

1. Pelvic floor exercise.

2. Positioning.

3. Ice: crushed ice and massage

4. Ultrasound: condom as water bag and pulsed US, 3 MHz, 0.5 W/cm2. (McIntosh).

5. PEME: acute:-40-65 microsecond pulse, rate: 10-220 pulse/s, twice/day, 5-20 min.

6. IR: non-luminous, side or crook-lying, 50-70 cm, 20 min.

 

Back pain

1 .Epidural site pain: hot/ice pack.

2. Lower back pain: prone lying, mobilization.

3. Symphysis pubis: severe:-bed rest, gradual mobilization with crutches.

 

Thoracic pain

Correction of feeding posture, AROM for shoulder, elbow circling, pelvic tilting, back flexion and hyperextension exercises, Hot packs.

 

Coccydynia

US, hot/ice packs, TENS, prone-lying, freq. glutei contraction, rubber ring are different options generally used by the physiotherapist along with various exercises.

 

Circulatory problems

1. Varicose veins: support tights, anti-embolic stockings.

2. Edema: Feeding with leg raised and vigorous half-hourly leg movements

 

Rectus Diastasis

The transversus abdominis muscle is the deepest abdominal muscle, and has strong fascial links with the rectus abdominis muscle. The physiotherapist teaches how to activate and exercise the transversus abdominis muscle draws the bellies of the rectus abdominus muscle together, and increases fascial tension. Potentially, transversus abdominis muscle activation may help to prevent or reduce Diastasis rectus and speed up recovery, allowing women to return to their usual physical and social activities more quickly.

 

How can Physiotherapist Help?

Pelvic Health Physiotherapists are registered physiotherapists who have specialized in the treatment of the pelvic health concerns. Like physiotherapists in other settings, our goal is to assist our patients in resuming their daily or nightly activities as quickly as possible. Exercises for the pelvic floor ,prescribed by a physiotherapist with the training in this area, have numerous benefits including maintaining continence, helping the bladder to hold on after getting the urge to urinate, and increased satisfaction in sexual relationships.

A physiotherapist will design an exercise program for the individuals’ specific problem, involving muscle re education, bladder retraining and strengthening of the pelvic floor muscles. If the muscles are very weak, a physiotherapist may use electrical stimulation of the pelvic floor muscles. The can teach strengthening of the pelvic floor muscles, which can help to reverse the process.

Physiotherapist may also make recommendations for lifestyle changes that will help the bladder be less irritable, such as:

· Bracing the pelvic floor muscles before you cough, laugh or sneeze;

· Avoiding common bladder irritants, such as caffeine, alcohol and cigarettes;

· Lifting and moving correctly

· Dietary management

 

To learn and have more information about it call us now and book an appointment with our pelvic physiotherapist @ 905 997 4333

Sheena John

Registered Physiotherapist

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PRE & POST NATAL PHYSIOTHERAPY mississauga

Updated: Nov 13, 2019

According to Joint SOGC/CSEP Clinical Practice Guideline:

Physical activity throughout pregnancy enhances physical and mental health and reduces risk of pregnancy complications. Physical activity is now seen as a critical part of a healthy pregnancy. Following the guideline can reduce the risk of pregnancy-related illnesses such as depression by at least 25%, and the risk of developing gestational diabetes, high blood pressure and preeclampsia by 40%.


Pregnant women should accumulate at least 150 minutes of moderate-intensity physical activity each week over a minimum of three days per week; however, being active in a variety of ways every day is encouraged.


Pregnant women should incorporate a variety of aerobic and resistance training activities to achieve greater benefits. Adding yoga and/or gentle stretching may also be beneficial.

Pelvic floor muscle training (e.g., Kegel exercises) may be performed on a daily basis to reduce the risk of urinary incontinence. Instruction in proper technique is recommended to obtain optimal benefits.

Pregnant women who experience light-headedness, nausea or feel unwell when they exercise flat on their back should modify their exercise position to avoid the supine position.

Absolute contraindications to exercise are the following:

Ruptured membranes, premature labor, unexplained persistent vaginal bleeding, placenta previa after 28 weeks gestation, preeclampsia, incompetent cervix, intrauterine growth restriction, high-order multiple pregnancy (e.g., triplets),uncontrolled Type I diabetes, uncontrolled hypertension, uncontrolled thyroid disease, other serious cardiovascular, respiratory or systemic disorder.

 

Relative contraindications to Exercise are the following:

· recurrent pregnancy loss,

· gestational hypertension,

· a history of spontaneous preterm birth,

· mild/moderate cardiovascular or respiratory disease,

· symptomatic anemia,

· malnutrition,

· eating disorder,

· twin pregnancy after the 28th week,

· other significant medical conditions.

For more information check Resource Link

 

Post natal effects of exercise: Dewey and McCrory, in a review of literature on dieting and physical activity in pregnancy and lactation, conclude that the available data indicate that moderate aerobic exercise is safe and beneficial for most women if appropriate guidelines are followed moderate exercise for the child-bearing year. One study conducted in 2012concludes that a physical activity intervention based on pedometer is an effective means to increase physical activity; reducing retention of weight gained during pregnancy and can improve anthropometric measures in postpartum women.

Immediate post- natal problems and exercises

Painful perineum:

Physiotherapy is one of the best ways of solving pelvic health issues post partum and treat painful perineum.

1. Pelvic floor exercise.

2. Positioning.

3. Ice: crushed ice and massage

4. Ultrasound: condom as water bag and pulsed US, 3 MHz, 0.5 W/cm2. (McIntosh).

5. PEME: acute:-40-65 microsecond pulse, rate: 10-220 pulse/s, twice/day, 5-20 min.

6. IR: non-luminous, side or crook-lying, 50-70 cm, 20 min.

 

Back pain

1 .Epidural site pain: hot/ice pack.

2. Lower back pain: prone lying, mobilization.

3. Symphysis pubis: severe:-bed rest, gradual mobilization with crutches.

 

Thoracic pain

Correction of feeding posture, AROM for shoulder, elbow circling, pelvic tilting, back flexion and hyperextension exercises, Hot packs.

 

Coccydynia

US, hot/ice packs, TENS, prone-lying, freq. glutei contraction, rubber ring are different options generally used by the physiotherapist along with various exercises.

 

Circulatory problems

1. Varicose veins: support tights, anti-embolic stockings.

2. Edema: Feeding with leg raised and vigorous half-hourly leg movements

 

Rectus Diastasis

The transversus abdominis muscle is the deepest abdominal muscle, and has strong fascial links with the rectus abdominis muscle. The physiotherapist teaches how to activate and exercise the transversus abdominis muscle draws the bellies of the rectus abdominus muscle together, and increases fascial tension. Potentially, transversus abdominis muscle activation may help to prevent or reduce Diastasis rectus and speed up recovery, allowing women to return to their usual physical and social activities more quickly.

 

How can Physiotherapist Help?

Pelvic Health Physiotherapists are registered physiotherapists who have specialized in the treatment of the pelvic health concerns. Like physiotherapists in other settings, our goal is to assist our patients in resuming their daily or nightly activities as quickly as possible. Exercises for the pelvic floor ,prescribed by a physiotherapist with the training in this area, have numerous benefits including maintaining continence, helping the bladder to hold on after getting the urge to urinate, and increased satisfaction in sexual relationships.

A physiotherapist will design an exercise program for the individuals’ specific problem, involving muscle re education, bladder retraining and strengthening of the pelvic floor muscles. If the muscles are very weak, a physiotherapist may use electrical stimulation of the pelvic floor muscles. The can teach strengthening of the pelvic floor muscles, which can help to reverse the process.

Physiotherapist may also make recommendations for lifestyle changes that will help the bladder be less irritable, such as:

· Bracing the pelvic floor muscles before you cough, laugh or sneeze;

· Avoiding common bladder irritants, such as caffeine, alcohol and cigarettes;

· Lifting and moving correctly

· Dietary management

 

To learn and have more information about it call us now and book an appointment with our pelvic physiotherapist @ 905 997 4333

Sheena John

Registered Physiotherapist

Share on facebook
Share on twitter
Share on linkedin

Recent Posts