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Postpartum rehabilitation assessment process
One: Consultation:

Whether family planning, urinary incontinence, pain history (low back pain, pubic pain, coccygeal pain) and living habits (whether stool is normal)

Reason: there is no way to shoot with a mobile phone, only through negotiation.

Urinary incontinence:

1: Urgency, 1 degree cough, laughing, sneezing and leaking urine.

2. The pressure is high, and the urine leaks after running and jumping for 2 degrees.

3. Mixed urinary incontinence. Resting urine leakage, 3 degrees.

Asking about the degree of urinary incontinence: asking about natural childbirth and family planning.

Secondly, as mentioned just now, it was said that it was a natural delivery and a caesarean section. Because in the postpartum population, we appear the most frequently. People who have caesarean section have more symptoms. Mothers who have caesarean section will have irregular menstruation, including endocrine disorders, frequent urination, urgency or urinary incontinence. Mothers who have caesarean section are more adaptable. The position of the respiratory muscles and pelvis is more related to his internal organs system, because as long as there is a knife edge, he will cause ectopic abdominal, fascia and visceral pelvic organs. It can lead to some postpartum complications, such as urinary incontinence and vaginal relaxation. Sexual dysfunction. Understand whether there will be a postpartum population. Headache, depression, insomnia, such similar phenomena, if there is a state of headache, depression or insomnia, not only the respiratory muscles and internal organs of postpartum people will be adjusted, but also some nervous system problems, such as adjusting his central nervous system. Let him get out of postpartum depression and relieve headache and insomnia. We can use skull base relaxation therapy to adjust the nervous system for rehabilitation.

Two: navel diagnosis: also called abdominal diagnosis.

Above the navel 1, 1.5 cm, see if there is any lump. Above the navel is the heart reflex zone and below is the kidney reflex zone. In the middle of the left liver and right lung is the spleen reflex zone.

2, look at navel tension, abdominal fascia, cecum, tension! First touch the muscle tension fascia around the navel. Sclerosis and hyperplasia. Second, look at the direction and position of navel point to understand the problem of dirty air. Third, look at the phenomenon of shortening the scar fascia of the incision. There must be something wrong with any birth plan. Fascia shortening, visceral fascia adhesion, etc.

Three: rectus abdominis separation test

Bend your hips and knees in the lying position, three horizontal points above the navel and three horizontal points below one point. An inclined internal depression. Use more than one finger to locate the separation of rectus abdominis. Most of the causes of rectus abdominis separation are bilateral rib eversion. Transverse abdominis muscle and internal oblique abdominis muscle are lengthened, while external oblique abdominis muscle and rectus abdominis muscle are passively shortened. Separation of rectus abdominis: costal angle and diaphragm. The probability of bilateral rib valgus is very high, that is, rib angle. Above 90 degrees, there are many such customers, and his pelvis leans forward. Bilateral rib eversion, abdominal relaxation, visceral prolapse.

Four: rib angle evaluation: rib angle is greater than 90 degrees, and rib angle is less than 90 degrees.

1, to find out whether the respiratory function is normal.

2. Is the spine in a normal position?

3. Is the pelvic floor muscle normal?

Breathing rib angle test

Most of us will find the rib angle. If it is normal or less than 90 degrees, we are basically the left rib, which will be higher than the right rib. This reason is mainly due to the asymmetry of our internal organs, nervous structure and respiratory sensation. The American corner appears, high on the left and low on the right.

Bilateral rib eversion

The curvature of thoracic vertebrae increases in people with small rib angle. Bend straight. When it exceeds 120 degrees, the curvature of thoracic vertebra straightens and the curvature of lumbar vertebra increases. Diaphragm inspiratory muscle dislocation, pelvic floor muscle dislocation. ?

Five: pelvic position evaluation and testing

The height of two iliac spines, the evaluation of long and short feet, and the dynamic evaluation of pelvis. See if the pelvis is tilted forward unilaterally or bilaterally. See if it comes from the pelvis. Because the pelvis, cervical vertebrae and muscles will affect the length of the foot.

Six: visceral evaluation and adjustment

Whether the liver is abnormal. Whether internal organs can be evaluated or not, each internal organ will have an evaluation process: two or three evaluation actions will be taken.

1. Whether she can completely lift her right arm forward and upward, 180 degree movement in the shoulder area is limited, then whether the flexion and rotation abduction of her right shoulder is more limited or painful than that of her left shoulder.

2. Is there induration in the right liver area? Will there be such a local reflection phenomenon, which is hard and thick when pressed? In fact, it is necessary to observe whether this customer has this phenomenon of stagnation of liver qi and too small rib angle.

Seven: Evaluation and adjustment of low back pain

The adjustment of pelvic position evaluation should also consider whether low iliac arthritis is needed.

1, which is the pain of this unilateral low iliac joint.

2, it is the pain of bilateral sacroiliac joints.

Four evaluation processes of low iliac osteoarthritis: unilateral low iliac osteoarthritis is common: it appears on both sides. Postpartum mostly appears on the right side. There is traction pain on the right side and tenderness on the left side. Cause: The left pelvis appears forward and forward rotation, accompanied by abduction and publicity, resulting in left squeezing pain. The right side is just the opposite. Low back pain assessment, resting and dynamic assessment.

Eight: Evaluation and adjustment of pubic symphysis

The left and right sides are separated. Bilateral pelvic forward tilt. Separate up and down. The change of pubic position is closely related to hip bone. Seek medical attention in time for pain caused by anterior and posterior separation. See if it will break. More than 23 mm, see a doctor.

Nine: pelvic floor muscle test

Whether the pelvic floor muscles relax and sink unilaterally or bilaterally. Pelvic floor muscle is an important muscle at the outlet of pelvic floor. The problem of pelvic floor muscle is at the entrance, on the diaphragm.

Ten: pelvic stability function training pelvic foramen

The upper hole enters, the lower hole exits, and the two sides are closed.

Pelvic foramen muscles:

1: Medial foramen muscle of obturator gluteus maximus.

2. Middle iliogluteal muscle

3. Inner thigh muscles

Pelvic training, deep muscle outward training. Hip keys are related to physical problems. Right hip joint dysfunction; First, let's talk about it.

1. Right hip joint, if the right hip joint has dysfunction, it is related to the shape of our skull, chest and nose. Is related. If the left hip joint has dysfunction, it will affect the respiratory system, as well as sympathetic nerve and language disorders, which is what we call stuttering.

2. If the hip flexion is abnormal, it is mostly psoas major. It is related to iliopsoas muscle, so it is also related to uterine expenses, cecum, ovary, large intestine and small intestine.

3. If the abnormal extension of the hip joint is limited to our gluteus maximus and hemi-muscles, it is also related to the skills of our visceral lungs, bladder and urethra, as well as the accessory renal cortex of uterus, women and men, and the nose at the back of thighs.

4. If there is dysfunction and abnormality in hip joint propaganda, it is related to gluteus medius. Function, then it is related to the cecum, large intestine, small intestine and genitals of organs.