Complex Patients Case 2 Si Dysfunction And Lbp - 5175 Words

Complex Patients Case 2 – SI Dysfunction and LBP Further Research David Bellisario, Konrad Koczwara, Erin Lee, Crystal Liang, Mary Richardson, Dimitri Simeakis and Andy Wayda Postpartum Depression Postpartum depression (PPD) is a common and serious illness that affects 14% of women post childbirth.1 PPD is thought to evolve from neuroendocrine changes, such as pregnancy stress and personality predisposition.2 Women with PPD are likely to report symptoms that affect their physical functionality such as tiredness, headache, musculoskeletal problems, mastitis, perineal pain and dysuria.3 These symptoms make them prime candidates for Physical Therapy. There are also many psychosocial issues that coincide with PPD that can negatively impact†¦show more content†¦Recent literature has shown that Physical Therapy may be utilized in a group exercise program to assist in the management of PPD through a mixture of social support and the effects of exercise.2 C-Sections The Pfannenstiel incision is most typically used for cesarean dissection. This is a transverse incision typically carried out two fingers width above the pubic symphysis. The incision is made through the subcutaneous fat, then through the underlying fascia.6 The fascia is then separated from the abdominal muscle bellies, and the abdominal muscles are separated by finger dissection or sharp dissection if necessary.6 The periosteum is then opened with either finger or sharp dissection, and the intraperitoneal cavity is revealed.6 Operations that allow for finger dissection tend to have better outcomes than operations that use sharp dissection of muscle bellies and connective tissue. In the end, surgeons will separate all four layers of the abdominal muscles at the linea alba.6 The separation of abdominal muscles is likely to cause inhibition of the muscles immediately after surgery. Without proper rehabilitation, this inhibition may last for a prolonged period of time. There seems to be a strong association between abdominal musculature and pelvic floor musculature (PFM) in the ability to maintain urinary continence.7 While it is common for physiotherapists to train patients to activate