Lesson 1Work and lifestyle assessment: ergonomic risk at computer, sedentary behavior, exercise habits, daily movement patternsDis section go explain how to check work demands and lifestyle patterns during pregnancy, including computer ergonomics, lifting tasks, sedentary time, exercise habits, and daily movement, so dat you fit guide tailored activity changes and prevention strategies.
Desk and computer ergonomics in pregnancyManual handling and lifting risk analysisAssessing sedentary time and breaksEvaluating exercise history and current activityDaily movement patterns and symptom linksEducation on safe work and home modificationsLesson 2Safety screening and risk stratification: identifying high-risk pregnancy signs, when to liaise with obstetric teamDis section go detail systematic safety screening in pregnancy, focusing on red flags, medical and obstetric risk factors, and clear criteria for when to pause treatment, change interventions, or urgently contact di obstetric team.
Key medical and obstetric red flagsScreening for hypertensive disordersBleeding, fluid loss, and fetal movement changesContraindications to exercise and manual therapyWhen and how to liaise with obstetric providersDocumenting and communicating safety concernsLesson 3Key obstetric history questions: pregnancy timeline, previous pregnancies, complications, medications, obstetrician recommendationsDis section go outline essential obstetric history questions, including pregnancy dating, prior pregnancies, mode of delivery, complications, medications, and current obstetric recommendations, to make sure safe, context-aware physiotherapy planning.
Establishing gestational age and trimestersPrevious pregnancies, births, and outcomesScreening for obstetric and medical complicationsCurrent pregnancy course and investigationsMedication, supplements, and contraindicationsAligning care with obstetric recommendationsLesson 4Breathing and diaphragmatic assessment: assessment of pattern, rib excursion, cough mechanics and its relation to pelvic floorDis section go explain assessment of breathing mechanics in pregnancy, including diaphragmatic excursion, ribcage mobility, accessory muscle use, cough mechanics, and di functional relationship between breathing patterns and pelvic floor behavior.
Observation of resting breathing patternPalpation of ribcage and abdominal excursionIdentifying upper chest and accessory breathingCough, sneeze, and load transfer assessmentBreath–pelvic floor coordination strategiesTeaching basic diaphragmatic breathing drillsLesson 5Physical observation: posture analysis (sitting, standing), pelvic alignment, lumbar mobility, hip and ribcage positionDis section go cover systematic physical observation of pregnant patients, including static and dynamic posture, pelvic alignment, lumbar and hip mobility, ribcage position, and how dis findings go inform load management and individualized treatment planning.
Standing and sitting posture assessmentPelvic alignment and asymmetry checksLumbar mobility and movement patternsHip range, control, and compensation signsRibcage position and thoracic mobilityLinking observation findings to symptomsLesson 6Symptom-focused intake: pain characteristics, urinary symptoms, bowel function, sleep, activity tolerance, fear/psychosocial factorsDis section go focus on structured, symptom-centered intake, exploring pain characteristics, urinary and bowel function, sleep quality, activity tolerance, and psychosocial factors like fear, beliefs, and stress wey dey influence pregnancy-related symptoms.
Pain location, behavior, and aggravating factorsUrinary frequency, urgency, and incontinenceBowel habits, straining, and constipationSleep quality, positions, and nocturnal symptomsActivity tolerance and functional limitationsScreening fear, mood, and catastrophizingLesson 7Clinical reasoning: synthesizing findings into problem list, documenting goals and shared decision-making with pregnant patientDis section go integrate assessment findings into a coherent problem list, prioritize impairments and participation limits, and teach goal setting, documentation, and shared decision-making with pregnant patients and di wider care team.
Synthesizing subjective and objective findingsFormulating a prioritized problem listSetting SMART, pregnancy-specific goalsCollaborative treatment planning with patientsInterprofessional communication and referralsReassessment and adapting the care planLesson 8Functional tests and outcome measures: validated pregnancy-specific pain and function scales, Pelvic Girdle Questionnaire, Oswestry, 6-minute walk or sit-to-stand adaptationsDis section go review functional tests and outcome measures wey dey suitable for pregnancy, including pelvic girdle and low back pain scales, global disability tools, and adapted walking or sit-to-stand tests to monitor progress and guide treatment.
Selecting pregnancy-appropriate questionnairesPelvic Girdle Questionnaire administrationUsing Oswestry and related disability scalesTimed walking and 6-minute walk adaptationsSit-to-stand and transfer test modificationsTracking outcomes and interpreting changeLesson 9Basic pelvic floor assessment: external observation, digital internal assessment principles, contraindications, red flags and when to referDis section go introduce basic pelvic floor assessment for pregnant patients, emphasizing external observation, principles of digital internal assessment, consent, contraindications, red flags, and clear criteria for referral to specialized providers.
Informed consent and trauma-sensitive approachExternal observation and perineal inspectionPrinciples of digital internal assessmentAssessing strength, endurance, and relaxationContraindications and red flag recognitionIndications for referral to specialists
