Lecture 3: Posture-Flexibility-ROM

Question 1

When is the posture assessment done?

Answer 1

Primarily in observation but also in Hx and examination

Question 2

What is correct posture?

Answer 2

A position in which minimum stress is placed upon each joint

Question 3

What is faulty posture?

Answer 3

Any static position that increases the stress to joints

Question 4

What is the COG in a child

Answer 4

12th thoracic

Question 5

What is the COG in an adult

Answer 5

2nd scaral

Question 6

What are the primary and secondary curbes?

Answer 6

Primary- Thoracic kyphosis
Secondary- cervical and lumbar lordosis

Question 7

What re the anatomical factors affecting posture

Answer 7

• Bone contours
• Laxity of ligament
• Fascial/ muscle tightness
• Muscle tonus
• Joint position and mobility
• Neurogenic causes

Question 8

What is klippel-Feil?

Answer 8

The fusion of cervical vertebra in fetal development

Question 9

What is Scheuerman’s disease?

Answer 9

Juvenile kyphosis

Question 10

What are non-structural factors affecting posture

Answer 10

• Repeated positioning
• Muscle
• Pain
• Respiratory issues

Question 11

What is lordosis

Answer 11

Abnormal exaggeration of lumbar curve

Question 11

What type of factors for muscle would affect posture

Answer 11

• weakness
• inflexibility
• inadaptability to environment
• contracture

Question 11

What can cause lordosis?

Answer 11

• Congenital deformities
• Weak abdominal musculature
• Poor posture
• Activities with excessive hyperextension

Question 12

Lordosis has an excessive ____ curve at lumbar

Answer 12

Anterior

Question 13

Lordosis: _____ pelvic tilt, tight _____ _____

Answer 13

Anterior, hip flexors

Question 14

Lordosis is associated with ________

Answer 14

Kyphosis

Question 15

In swayback, the anterior pelvis causes hip ____ (___tilt)

Answer 15

extension; posterior

Question 16

In swayback lordosis is _______

Answer 16

Reduced

Question 17

Swayback: Kyphosis is _____

Answer 17

Increased

Question 18

Swayback: Knees are _______

Answer 18

Hyperextended

Question 19

In swayback the head is ______

Answer 19

Forward

Question 20

T/F Kyphosis isn’t congenital

Answer 20

False, it is congenital

Question 21

What aspect of kyphosis is congenital

Answer 21

Deficits in vertebral bodies

Question 22

Kyphosis is secondary to what?

Answer 22

Osteoperosis

Question 23

Where is the excessive posterior curve located in kyphosis

Answer 23

At the thoracic level

Question 24

What 5 postural indications are related to kyphosis

Answer 24

- Protracted scapula - Posterior pelvis tilt - Hips flexed - Knees hyperextended - Ankle plantar flexed from backward inclination

Question 25

What is the flatback position

Answer 25

Lumbar flex/straight lower thoracic straight hips/knees extended posterior pelvic tilt

Question 26

What does structural scoliosis persist with

Answer 26

Lateral bending

Question 27

Scoliosis is commonly _____

Answer 27

idiopathic

Question 28

Mild scoliosis is _______

Answer 28

<20 degrees

Question 29

What is moderate scoliosis

Answer 29

20-45 degrees

Question 30

What is the cobb angle

Answer 30

The angle from the top of the scoliosis curve to the bottom of the scoliosis curve

Question 31

T/F Functional scoliosis disappears with forward flexion and structural scoliosis stays with forward flexion

Answer 31

True

Question 32

What does the thomas test test

Answer 32

Hip/pelvis contractures

Question 33

How is the thomas test performed

Answer 33

Supine Flex hip bringing thigh up to trunk

Question 34

What are you looking for in the thomas test

Answer 34

hip flexion, knee extension, med/lat rotation, pelvic position