Spine Region Flashcards Preview

624: Acute Care Therapeutic Exercises > Spine Region > Flashcards

Flashcards in Spine Region Deck (25):
1

What influence does gravity have on postural alignment?

- Places stress on structures responsible for maintaining the body upright
- Due to body’s anterior/posterior sway, muscles are necessary to control sway and maintain equilibrium

2

Where does the gravity line fall in respects to the ankle?

Anterior to the joint and tends to rotate the tibia forward, stability is provided by plantarflexor muscles

3

Where does the gravity line fall in respects to the knee?

Anterior to the knee joint (keeps knee in extension)

4

Where does the gravity line fall in respects to the hip?

The line varies with body’s sway, but when it passes through the hip joint, there is equilibrium

5

Where does the gravity line fall in respects to the back?

It passes through the bodies of the lumbar and cervical vertebrae

6

Where does the gravity line fall in respects to the neck/head?

Anterior to the atlanto-occipital joints

7

Which muscles contract to keep the head up?

Posterior cervical muscles

8

What is Lordotic posture?

increase in lumbar lordosis

9

What are 3 common causes of lordotic posture?

- Sustained faulty posture
- Pregnancy
- Obesity
- Weak abdominal muscles

10

What is a potential impairment associated with lordotic posture?

impairment in hip flexor muscles

11

3 potential symptoms of lordotic posture

- stress to anterior longitudinal ligament
- narrowing of posterior disk space
- approximation of the articular facets

12

What is swayback aka?

relaxed/slouched posture

13

What are 2 common causes of relaxed/slouched posture?

- muscles are not used to provide support
- passive structures provide stability

14

What is a potential impairment associated with relaxed/slouched posture?

mobility impairment in the upper abdominal muscles and impaired muscle performance due to stretched and weak lower abdominal muscles, extensor muscles of the lower thoracic region , and hip flexor muscles

15

3 potential symptoms of relaxed/slouched posture

- stress to iliofemoral ligaments
- stress to the anterior longitudinal ligament of the lower lumbar spin
-stress to the posterior longitudinal ligament of the upper lumbar and thoracic spine

16

What is flat low-back posture characterized by?

a decreased lumbosacral angle, decreased lumbar lordosis, hip extension, and posterior tilting of the pelvis

17

What are 2 common causes of flat low-back posture?

Continued slouching or flexing in sitting or standing posture places too much emphasis of flexion exercises

18

What are a few potential muscle impairments associated with flat low-back posture?

Mobility impairment in trunk flexor muscles and hip extensor muscles
- Impaired muscle performance due to stretched and weak lumbar extensor and possible hip flexor muscles

19

3 potential symptoms of flat low-back posture

- lack of normal lordotic curve
- stress to poterior longitudinal ligament
- increased posterior disk space

20

What are 3 faulty postures associated with the cervical and thoracic region?

- Round back with forward head
- Flat upper back and neck posture
- Scoliosis

21

When are the acute, subactue, and chronic stages of spinal problems?

Acute: less than 4 weeks
Subacute: 4 to 12 weeks
Chronic: more than 12 weeks

22

What are a few management guidelines for acute spinal problems?

- Patient education
- Symptoms relief or comfort
- Kinesthetic awareness of safe postures and effects of movement
- Core muscle activation and basic stabilization
- Basic functional movements

23

What are a few management guidelines for subacute spinal problems?

- Pain management
- Kinesthetic training
- Stretching/mobilization
- Muscle performance
- Cardiopulmonary conditioning
- Postural stress management and relaxation exercises
- Functional activities

24

What are a few management guidelines for chronic spinal problems?

- Emphasize spinal control during high intensity and repetitive activities
- Increased mobility
- Improved muscle performance
- Increased cardiopulmonary endurance
- Advanced patient education

25

3 Exercises of skills that all patients with spinal impairments should learn

1) Kinesthetic training
2) Stabilization training
3) Functional training