Optimal Nutrition For Post Natal Recovery and Healing

Transcription

1 Optimal Nutrition For Post Natal Recovery and Healing Module 2: The Post Natal Core Structure, Function,Trauma and Healing The Rectus Abdominus Tutor: Jenny Burrell BSc (Hons), Dip SMRT, Founder of Burrell Education. Internal and External Obliques Anterior Division Transversus Abdominus Origin Inguinal ligament and the anterior iliac crest. Inser)on Crest of the pubis and the linea alba by it s aponeurosis Ac)on - RotaCon of the trunk and lateral flexion. Supports and compresses the abdominal viscera and assists in forced expiracon. Lateral Division Origin Iliac crest and TCF Inser)on Inferior boarders of 10 th 12 th ribs. Ac)on rotacon and flexion of the trunk. Origin 5 th to 12 th ribs. Inser)on - into the Linea Alba via the broad abdominal aponeuros from the ribs to the crest of the pubis, inguinal ligament and the anterior half of the iliac crest along the outer lip. Ac)on - RotaCon and flexion, anterior stabilizacon of the pelvis and increases forced expiracon. Origins Inguinal ligament, iliac crest and TCF and the inner edges of the lower 6 costal carclages. Inser)on The Linea Alba by its aponeurosis. Ac)on: Compression and assiscng forced expiracon.

2 Anatomy of the Abdominal Wall Video ESSENTIAL VIEWING! Defining Diastasis What s happened? The abdominal wall has lost tensegrity TENSION & INTEGRITY - the opcmal synergy between the sox Cssue and the bony structures that allows the transfer of load/force and the mangements of intra- abdominal pressure. SomeCmes this is temporary and some Cme it s not and the woman requires clinical intervencon to create false force closure via tummy tucks etc., Anterior Abdominal Wall A & P Key Diastasis Points A Whole Body & Lifestyle approach is required. Posture, nutrition, breathing strategy, hydration, hormonal balance, stress management all have a vital place in a restorative programme for Core Restore. The inter-recti distance doesn t define function. Capacity to transfer load and withstand IAP, continence under duress are more viable definitions of function. Never judge a book by its cover. What you don t ask, the client is less likely to report screen extensively. The PF, Ab Wall, Breath Triumvirate! The Inner Unit needs to return to synergistic function. The Inner Unit connects to the Outer Unit & ultimately reintegration is required for full functionality to be restored. Some Diastases and Pelvic Floor/Continence issues are corrected via conservative programmes and some require clinical interventions. NEVER GIVE UP ON SOFT TISSUE!

3 The Global / Thomas Myers 12 Line Myofascial Meridian System Key Line For Core Restoration - The Superficial Front Line Extensor Digitorum Longus and Brevis Tibialis Anterior Patellar Tendon Quadriceps (including the Rectus Femoris) Rectus Abdominis Sternalis Sternocleidomastoid Key Line for Core Restoration - Front Functional Line Key Line for Core Restoration - Spiral Line Lower Pectoralis Major Lateral Rectus Abdominis and Abdominal Aponeurosis Adductor Longus Anterior View Splenius capitus Rhomboids Serratus anterior External oblique Rectus sheath Internal oblique Tensor fascia latae ITB Tibialis anterior Posterior View Peroneus longus Biceps femoris S/L head Sacrotuberous ligament Spinae erectors

4 The Triumvirate of the Pelvic Floor, Abdominal Wall & The Respiratory System Are you asking the questions that will give you the answers so that you can provide solutions? Lifestyle, current and past history, major nutrition habits, general health and pelvic health. Pelvic Floor Anatomy & Function ESSENTIAL VIEWING! Post Birth Pelvic Health & Abdominal Wall Issues - Bladder, Prolapse, Levator Avulsion You have a separate presentation which covers these topics. C-Section & Vaginal Birth Videos ESSENTIAL VIEWING Please view the links in your Resources.

5 Trauma to the Pelvic Floor Episiotomy Ventous Forceps Perineal & Pelvic Floor Tears Degrees of Tears During Birthing Tears are described in degrees which indicate their size and effect: 1st degree This involves the skin of the perineum and the back of the vagina. These tears are often so small they don t need stitching, and in fact they heal better naturally. 2nd degree This is when the skin and back of the vagina plus the muscles of the perineum are torn. These tears need to be stitched closed. 3rd degree This involves the skin, back of the vagina, muscles of the perineum and extends partially or completely through the anal sphincter. Stitches are needed to close these tears. 4th degree This is the same as the third degree tear, but extends into the rectum. Stitches are needed to close these tears, too. Occasionally a tear may occur at the top of the vagina. This is known as a periurethral laceration. These tears are often quite small and require only a few stitches, if any. Degrees of Perineal Tear What are muscles, tendons, ligaments, fascia made of? Mostly COLLAGEN! The main constituent of Collagen are Amino Acids which are found in protein foods.

6 The 4 Phases of Wound Healing The 4 Phases Of Wound Healing