Sit to Stand Flashcards
(22 cards)
Sit to stand
Phases
Anterior weight shift: initial position to max trunk lean
Weight acceptance: max trunk lean to lift off
Extension: lift off to fully upright
Sit to stand Ant Wt Shift
OBJECTIVES
COM forward
Sit to stand Ant Wt Shift
CRIT EVENTS
Fwd trunk lean (neutral spine)
sit to stand Ant Wt Shift
MUSCLE
Back EXT (ecc) no LE muscle
Sit to stand Wt Acceptance
OBJECTIVES
Transfer wt from chair to feet
WB Stabil: hip and trunk
Sit to stand Wt Acceptance
CRIT EVENTS
Lift butt off chair- hip/knee extension
Neutral hip-frontal plane
Ankle DF
Maintain fwd trunk- neutral spine
Sit to stand Wt Acceptance
MUSCLE
Hip:
EXT (con)
ABD (iso)
Knee:
EXT (con)
Ankle:
PF (eccen)
Trunk:
EXT (iso)
Sit to Stand Extension
OBJECTIVES
WB Stabil: hip/trunk
Elevate COM
Sit to stand Extension
CRIT EVENTS
Simultaneous hip/knee extension
Neutral hip: frontal
Ankle DF-> neutral
Maintain trunk w/ neutral spin: from fwd to upright
Sit to stand Extension
MUSCLE
Hip:
EXT (con)
ABD (iso)
Knee:
EXT (con)
Ankle:
Neutral via knee extension
Low PF activity (con)
Trunk:
EXT (iso)
Stand to sit
Phases
Folding: fully upright to max trunk lean
WT transfer: max trunk lean to chair contact
Post wt shift: chair contact to sitting upright
Stand to sit Folding
OBJECTIVES
WB Stabil trunk/hip
Lower COM
Stand to sit Folding
CRIT EVENT
Simultanous hip/knee flexion
Neutral hip- frontal
Ankle DF
Fwd trunk w/ neutral spine
Stand to sit Folding
MUSCLE
Hip:
EXT (ecc)
ABD (iso)
Knee:
EXT (ecc)
Ankle:
PF (ecc)
Trunk:
EXT (iso)
Stand to sit WT Transfer
OBJECTIVES
Transfer wt from feet to chair
WB Stability: hip/trunk
Stand to sit Wt Transfer
CRIT EVENTS
Reach butt to chair through hip flexion Knee flexion Ankle Df to less DF Neutral hip- frontal plane Maintain fwd trunk w/ neutral spine
Stand to sit Wt Transfer
MUSCLE
Hip:
EXT (eccen)
ABD (iso)
Knee:
EXT (eccen)
Ankle:
DF (eccen)
Trunk: Back EXT (iso)
Stand to sit Post Wt Shift
OBJECTIVES
Transfer COM back from feet to pelvis
Stand to sit Post Wt Shift
CRIT EVENTS
Backward trunk lean- neutral spine
Stand to sit Post Wt Shift
MUSCLE
Trunk: Back EXT (con)
What accounts for diff in amount of lean?
How much ant weight shift- if doesnt rach feet butt further back in chair
Want patients to work in range capable of- move table up or down
Patient Considerations
Initial spine position- flexion w/ post pelv tilt
Won’t meet COM foward objective if move via spine flex and PPT