Core, Spinal Stability & Incontinence Flashcards
(34 cards)
What does the reclusive abdominals provide when there’s extension loads on spine?
Stability
What does the int/ext obliques do?
Control against loads that would cause backward bending of spine Stabilize spine against rotation force Bilat trunk flexion Unilateral trunk rotation Together- ipsil side bending
Does the iliopsoas function as a spinal stabilizer in standing?
No
What’s does the iliacus stabilize?
Pelvis and hip joints
Psoas stabilizes _______ in frontal plane when heavy load is applied on the ______ side.
Lumbar spine, contralateral
What does the QL stabilize during inspiration?
Ribs against the diaphragm
What do the deeper fibers of the QL provide?
Segmental stability to lumbar vertebrae
What are the functions of the inner core muscles during mvmts of extremities and during trunk mvmts?
Stability during mvmt of extremities
Dynamic stability during trunk mvmts
What are the first muscles to be activated in postural disturbance from rapid extremity mvmt?
Multifidi and TA
What muscle appears to be the ONLY muscle active during flex AND ext?
TA
The most effective exercise programs that address long-term back pain relief emphasize what?
Recruitment, awareness, strength, endurance of inner core muscles
What muscles are activated by the “drawing in” maneuver?
TA & multifidi
What kind of info does rotatores, interspinales, intertransversarii give us?
Position and movement more so than torque
What are some global muscles of the cervical spine?
SCM, scalenes, erector spinal, upper trap, levator scap
What are the core muscles of the cervical spine?
Rectus capitals anterior and lateral, Longus colli
What are some interventions for spinal muscle impairments, posture and core stabilization?
Kinesthetic training- teach pts about what is causing their pain and how to find positions of comfort so tissues in pain get relief. Awareness of posture, position of sx relief, effects of mvmt
Stabilization training- strengthen inner core muscles then work on global. Want to teach automatic maintenance of spinal stability.
Functional training- load and endurance demands are greater, speed and multidirectional, body mechanics, home, recreation.
Name the stages of interventions and one exercise associated with each.
Early training (protective)- pelvic tilt
Basic training (controlled motion)- stabilization with loading, environmental adaptations (need extremity loading)
Intermediate/advanced (return to fxn)- move into painful ranges to gain flexibility, dynamic strengthening
What are the functions of the pelvic floor?
Supportive, sphincteric, sexual fxn
Sphincteric:
Quick closure stimulate by ____________fibers.
Closure at rest is provided by ________ fibers.
Phasic fast twitch
Slow twitch
Risk factors of supportive pelvic floor dysfunction?
Pressure on pelvic floor,obesity, chronic cough, vomit, preg, incorrect lifting with valsalva
Hypertonia dysfunction
Trauma, surgery, childbirth, malalignment
External palpating helps with
Myofascial pain syndrome and treating trigger points
What is the gold standard?
Internal exam
What does the jumping jack assess?
Pelvic floor strength under physical stress
