P.

T in Women Health
code:PTWH446
Prof. Dr. Ghada Elrefaye
•Course instructors:
Ass. Prof. Ghada Elrefaye &DR. Atef Dewier.

-Teaching Assistant: Abdelrahman raafat.

Office hours:
office hours Thursday 11:30-1:30 (B515)
 Course Aim:
•These courses enable the student
to examine the patient with
gynecological and obstetric
problems by obtaining the history
from the patient and from other
relevant sources,
•The student will be able to
perform physical therapy
evaluation and, design a plan of
treatment, and implement it,
writing progress notes and
change plan of care according to
patient condition.
 Intended Learning Outcomes (ILOS)
•knowledge and understanding:
• a.1- Identify the pelvis, pelvic floor ,perineum, abdominal
muscles, breast, reproductive tract, urinary tract and rectal region
anatomy.
• a.2- Recognize the process of normal labour.
• a.3- Describe medical management of normal labour, recognize
the guidelines for managing the pregnant woman, and
recommendations for fitness.
• a.4- Outline pregnancy back care, and symphysis pubis
dysfunction, classify some of the common disorders during
pregnancy like orthopedic and vascular disorders.
b- Intellectual Skills

• b.1- Apply the mechanics of pelvis and their role during

pregnancy and labor, apply among the reproductive tract,
urinary tract and anorectal tract
• b.2- Discover the normal physiological changes during
pregnancy, and complications of pregnancy, apply among the
different approaches of normal labour management
• b.3- Apply the effects of stress on body and mind during
antenatal period, modify the suitable pelvic floor and pelvic-
tilting exercises to prevent of back pain during antenatal
period.
c- Professional Skills

• c.1- Develops a program of physical therapy that helps to

improve the pelvis mechanics during pregnancy and labor.-
.
• c.2- Develops an individual physical therapy program for
female subjects based on good understanding normal
physiological changes during pregnancy, and the
complications, develop the suitable management and
precautions for high-risk pregnancies
• c.3- Design suitable individual physical therapy program
female subjects according to the approach of labour
management.
 d- General Skills

• d.1- Evaluate the physical and functional status for female

subjects during pregnancy, labour and postnatal period,
• d.2- Compare common gynecological conditions to plain a
suitable effective and individual physical therapy program
aiming to improve overall their quality of life.
• d.3- Assess and evaluate restrictions of fascia and viscera.
• d.4- Contrast different gynecological pains of the pelvis.
• d.5- Assess different pelvic disorders.
Course contents
Week Topic of lecture Students’ Topic of
study Attendance Practical
Faculty Online
1st Study plan, Introduction Gp A,B GpC,D Introduction
2nd Anatomy of the Normal Female Pelvis& GpC,D GpA,B Anatomy of the
Women Health Assessment pelvis
3rd anatomical and physiological changes Gp A,B GpC,D Gynecology
during pregnancy & And Obstetrics
antenatal care Sheet &
Circulatory
Exercises &
Varicose Veins
4th P.T. Management For Normal Labor and GpC,D GpA,B Pelvis Floor
episiotomy Exercises &
Pelvic Rocking
Week study Topic of lecture Topic of Practical
5 role of p.t in post-operative cesarean section& role of p t Postural Correction & Arm Exercises
in post-operative hysterectomy

6 role of p t in risk pregnancy &role of p t in puerperium Positional Education & Relaxation Training

7 treatment of diastasis recti (Divarication recti)&Effect of Abdominal exercises & breathing exercises
antenatal exercise on the mother & acquired hemophilia

8 Midterm exam Midterm exam

9 Dysmenorrhea and pelvic vascular visceral manipulations Pelvic Visceral Vascular Manipulations

10 Menopause K.T for obstetrics and gynecology cases

11 Poly cystic ovarian syndrome Piriformis syndrome(assessment and

treatment)
12 Chronic pelvic pain+ sacroiliac dysfunction Sacroiliac joint dysfunction assessment and
treatment
13 Stress urinary incontinence Kinetic control and lumbosacral slings
& uterine prolapse

14 Practical and clinical exam Final written exam

 Course content
•A- Obstetrics
• 1- Obstetrics & gynecological sheet
• 2-Anatomy of female pelvis
• 3-Physiological changes which occur during pregnancy
• 4- Antenatal care
•3- Role of p.t in normal labor
•4- Role of p.t in episiotomy
•5- Role of p.t in cesarean section
• 6- Role of p.t in hysterectomy
• 7- Role of p.t in risk pregnancy
• 8- Role of p.t in pureperium
• 9- Role of p.t in rectus diastasis
• 10- Effect of antenatal exercise on mother and fetal wellbeing
•B- gynecology
• 11- Role of p.t after R.V.F .
• 12- Role of p.t in genital prolapse
• 13- Role of p.t in stress incontinence
• 14- Role of p.t in dysmenorrhea
• 15-Role of p.t in chronic pelvic pain
• 16- Role of p.t in menopause
• 17- Role of p.t in P.C.O.S
 Exams
•1- periodic quizzes (week 5-12)
•2-midterm exam (week8)
•3-Practical exam (week 15)
•4-oral exam (week 15)
•5-final written exam (week 16,17)
 Weighting of assessment
• Total 100 marks
• Class work (5 marks )
• Mid-term exam (10 marks)
• Final oral exam (15 marks )
• Final practical exam (15 marks )
• Final clinical exam (15 marks )
• Final written exam (40 marks )
• Total 100 marks
Thank you