applied anatomy neurodynamics and posture Flashcards

(86 cards)

1
Q

should neurodynamics be assessed bilaterally

A

yes to see if it’s a local or peripheral problem and important to check both sides

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2
Q

median nerve steps to ADD tension on the nerve

A

SCAPULA DEPRESSION, shoulder AB, shoulder ER, elbow extension, wrist extension, digits 1-3 extension, cervical CL flexion

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3
Q

palpation areas for median nerve

A

C5-T1, b/w biceps and brachialis, ligament of struthers, bicepital aponeurosis, pronator teres, carpal tunnel

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4
Q

ulnar nerve steps to ADD tension

A

SCAPULA DEPRESSION, shoulder AB, shoulder ER, elbow flexion, wrist extension, digits 4&5 extension, CL cervical flexion

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5
Q

ulnar nerve palpation areas

A

cubital tunnel, C7-T1, arcade of struthers, flexor carpri ulnaris, tunnel guyon

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6
Q

radial nerve ADD tension

A

SCAPULA DEPRESSION, shoulder AB, shoulder IR, elbow extension, wrist flexion, ulnar deviation, digits 1-3 flexion

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7
Q

radial nerve areas to palpate

A

C5-C7 vertebrae, radial groove humerus, arcade of froshe, supinator, anatomical snuff box

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8
Q

femoral nerve ADD tension

A

lateral CL trunk flexion, cervical flexion, hip extension, knee flexion

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9
Q

femoral nerve palpation

A

L2-L4, femoral triangle, medial or lateral to ASIS, medial tibial condyle

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10
Q

sciatic nerve ADD tension

A

lateral trunk CL flexion, anterior pelvic tilt, hip flexion, hip AD, hip IR, knee extension, cervical flexion

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11
Q

3 branches of sciatic nerve

A

TED, SID, PIP

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12
Q

sciatic nerve palpation

A

L4-S3 segments, piriformis, posterior thigh, neck of fibula, tarsal tunnel

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13
Q

can posture cause pain

A

NO. it can only be a contributing factor

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14
Q

slings

A

cross-body diagonal muscle groups with 2 sides connected

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15
Q

chains

A

linear coordination of muscles that can be on the same or both sides to help maximize production of force

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16
Q

upper crossed syndrome

A

weak deep cervical flexors, rhomboid, lower trap
tight suboccipitals, upper trap, levator scap, pecs, scm

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17
Q

lower crossed

A

weak abs, glutes
tight hip flexors, erector spinae
looks like anterior pelvic tilt

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18
Q

layer syndrome

A

both upper and lower crossed

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19
Q

can we assume strength of a muscle based on posture

A

no

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20
Q

what muscles are more prone to stiffness

A

tonic more than phasic

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21
Q

tonic muscles (usually more axial) only including less likely thought of ones

A

QL, TFL, adductors hip, gastrocnemius, rectus femoris, illiopsoas, levator scap, upper trap

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22
Q

phasic muscles (usually more appendicular) only including less likely thought of

A

middle&lower trap, serratus anterior, rhomboid, neck flexors, tibialis anterior, abs, quads

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23
Q

posterior sling

A

lats, CL glute max

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24
Q

anterior sling

A

pec major, IL external oblique, transverse abdominis, CL internal oblique, CL hip abductors and quads

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25
spiral trunk sling
rhomboid, serratus anterior, external oblique, CL internal oblique, CL adductors and hamstrings
26
pelvic chain
diaphragm, transverse abdominis, pelvic floor, multifidis
27
normal curves of spine
lumbar lordosis, thoracic kyphosis, cervical lordosis
28
lordosis muscle imbalance
weak hamstring, tight erector spinae, tight hip flex, weak abs
29
kyphotic lordotic
forward head, rounded shoulders, anterior pelvic tilt, increased thoracic kyphosis and lumbar lordosis
30
forward head posture
lower cervical spine flexion, upper cervical spine extension, short suboccipitals, SCM, levator scap weak
31
sway back
forward head, decreased lumbar lordosis, increased thoracic kyphosis
32
flatback
forward head, increased upper thoracic kyphosis, decreased lumbar lordosis, posterior pelvic tilt, lengthened hip flexors, strong abs, lengthened lumbar extensors
33
scoliosis is named based on the ____ direction
convex
34
diagnosing scoliosis by degrees for forward bend test <20 20-45 >45
conservative teens should have a brace spinal fusion surgery may be required
35
subtalar inversion/eversion at what part of foot
hindfoot
36
pes cavas/planus at what part of foot
midfoot
37
supination foot=
pes cavus and inversion
38
pronation of foot =
pes planus and eversion
39
genu varum, valgum, recurvatum
bowlegs, knock knees, hyperextended
40
genu varum w/ genu valgum w/
coxa valgum, excessive supination coxa varum, excessive pronation
41
anteversion vs retroversion posture
IR: see 2 toes from posterior midline, stiff AD/IR and long AB/ER ER: see 3 toes from posterior, stiff AB/ER and weak AD, IR
42
normal pelvic tilt (anterior is great, posterior is less)
10-15 deg
43
upslip and downslip means
ASIS, PSIS, iliac crest are higher/lower all together on one side
44
scapular depression observation
superior border of scapula is lower than T2, clavicle may also appear horizontal
45
scapular depression caused by what muscles
tight pecs, lats lengthened upper trap
46
scapular elevation observation
superior angle elevated above T2
47
scapula elevation caused by what muscles
tight upper trap, levator scap, rhomboid
48
abducted scapula observation
vertebral border >3cm from midline
49
abducted scapula muscles that cause
tight pecs, lats, serratus anterior and lengthened rhomboid, middle trap
50
adducted scapula observation
vertebral border <3cm from midline
51
adducted scapula muscles that cause
tight rhomboid and middle trap, weak serratus anterior
52
scapular internal rotation observation
winging= true neuromuscular condition caused by palsy of long thoracic nerve IR: abnormal finding
53
internal rotation scapula muscles that cause
weak serratus anterior
54
scapular anterior tilt observation
inferior angle protrudes away from rib cage
55
scapular anterior tilt caused by what muscles
tight pec minor, biceps, coracobrachialis
56
scapula upward rotation observation
inferior angle is lateral to superior angles
57
scapula upward rotation caused by
tight upper trap and serratus anterior, weak rhomboids
58
scapula downward rotation observation
inferior angle is medial to superior angle
59
scapula downward rotation muscles caused
tight levator scap and rhomboids, weak upper trap and lower trap, serratus anterior
60
humeral alignment normal
<1/3 humeral head protruding in front of acromion with neutral rotation and palm facing the body
61
anterior humeral alignment muscles caused
stiff infraspinatus and teres major, pec major
62
abducted humerus observation
scapula depression or DR causing distal humerus to move away from the body
63
abducted humerus muscles caused
tight supraspinatus and deltoids, weak adductors
64
medially rotated humerus observation
cubital fossa faces medially, olecranon faces laterally
65
medially rotated humerus
stiff teres major, lats, subscapularis, pec major weak teres minor, infraspinatus median or ulnar nerve ND
66
laterally rotated humerus observation
olecranon medial, cubital fossa lateral, palm anterior
67
laterally rotated humerus muscles caused
tight external rotators
68
flexion or extension of humerus observation
distal humerus is anterior/posterior to proximal humerus
69
flexion humerus muscles caused
stiff biceps, anterior deltoid
70
extension humerus muscles caused
stiff lats, posterior deltoid, teres major
71
head rotated observation
tight IL rotators (levator scap), tight CL rotators (upper trap, SCM)
72
lateral flexion head
tight IL flexors (levator scap, upper trap, SCM) weak CL lateral flexors
73
torticolis head
IL lateral flexors tight (SCM)
74
deductive reasoning
broad to specific
75
straw man logical fallicy
misrepresent the point in the first place by overexaggerating the opposite opinion
76
red herring logical facllicy
focus too much on the outlier
77
type 1 processing
expert, more objective, reflection in action
78
type 2 processing
novice, slower and systematic decisions, reflect on action after
79
hypothesis categories
pathobiology, contributing factor, management, precautions/CI, prognosis
80
faulty metacognition def
inability to recognize logical fallacies and cognitive biases
81
dowager's hump
bony deformity of OA that causes a fracture
82
gibbus hump
fatty deposit on the posterior side of cervical neck, common w/ crushing syndrome
83
scoliosis
curve of both frontal and transverse planes= rotated and sidebending
84
cobb angle measured
parallel lines to upper border of upper border of vertebral body and lower border of lowest vertebra of the structural curve
85
how to tell if scoliosis is structural or functional
have pt side bend on x ray, if it's functional you won't see the curve on the sidebending x ray
86
lateral ankle sprain can be the cause of what foot abnormality
hindfoot inversion