The Trunk/Torso Flashcards

1
Q

Vertebrae #

A
7 cervical
12 thoracic - look like giraffe
5 lumbar - thickest bodies - look like moose
5 sacral - fused in adults
4 coccygeal - fused in adults
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2
Q

Is hyperextension good for the back?

A

Yes

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3
Q

What kind of joint are between the vertebrae?

A

Amphiarthrosis

Body - joint - body

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4
Q

What kind of joint is the intervertebral/interbody joints and where do they lie and what movement do they have??

A

Fibroscartilaginous amphiarthroses (symphysis)
between bodies C2-L5
glide and slightly rotate

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5
Q

what are the primary shock absorbers in the spine?

A

Intervertebral discs and bodies of the vertebrae

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6
Q

what joint is the atlantoaxial joint

A

pivot joint (diarthroses)

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7
Q

What joint is the occipitoalanto joint and movement

A
Condyloid joint (diarthroses)
flexion/EXTension; lateral flexion/reduction
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8
Q

S1-S5

A

fused synarthroses joints

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9
Q

coccyx

A

fused synarthroses joints

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10
Q

another name for facet joints?

A

apophyseal joints

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11
Q

facet joints or apophyseal joints movements

A

gliding synovial joint

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12
Q

Transverse and spinous processes server as…

A

“outriggers” and are important attachment sites for muscles and ligaments. They increase the mechanical advantage of the muscle.

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13
Q

What is the primary purpose of the facet/apophyseal joints?

A

“guide” movement among the vertebrae

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14
Q

The inter body joints act as _____ and are very important for _____ _____.

A

spacers

shock absorption

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15
Q

T/F Large movement occurs between two adjacent vertebrae, therefore, trunk movement depends largely on the summation of these large movements. Typically we think in terms of regional movement such as “cervical” flexion or “thoracic” rotation.

A

False little movement occurs between two adjacent vertebrae

summation of small movements

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16
Q

The cervical region is highly mobile but cervical circumduction is contraindicated, why?

A

it damages the facet/apohysial joints

17
Q

Thoracic region movements

A

some flexion/extension
hyperextension is limited
some rotation

18
Q

Lumbar region movements

A

quite a bit of flexion and extension/hyperextension

limited rotation

19
Q

T/F Movements involving the lumbar flexion under significant load (significant compression) are good for the intervertebral discs

A

False

Flexion with significant load is very irritating to the intervertebral discs

20
Q

T/F Loaded lumbar flexion coupled with torsion is good, especially when the movement is ballistic.

A

False

its devastating

21
Q

T/F Sometimes, it is good to perform spinal flexion and extension slowly…very slowly…with very light loads…to work the deep paraspinal muscles such as the multifidus, rotators, and interspinalis.

22
Q

What is the main job of the torso muscles?

A

Stabilization

23
Q

The torso is comprised of a high percentage of what muscle fiber type?

A

Slow twitch fibers for stabilization; therefore symmetry, balance, flexibility, and isometric strength are very important

24
Q

lordosis

A

excessive lumbar lordosis, “swayback”

huge curve in low back

25
kyphosis
excessive thoracic kyphosis, "hunchback" | neck protruded forward like a giraffe
26
scoliosis
misalignment of the spine in the sagittal plane
27
Rectus Abdominis
8 pack O: crest of pubic bone I: Cartilage of ribs 5,6,7 and xiphoid process A: brings rib cage & pelvis together. Trunk flexion. IMPORTANT for 1st 30deg WR: crunches; key is to keep pelvis in posterior tilt (lower back flat)
28
External oblique
O: lower 8 ribs at about the point that the serratus ant originates I: Ant crest ilium, pubic crest, & lateral fascia of rectus abdominis A: trunk rotation opposite the oblique. That is, left ext oblique causes right trunk rotation; helps in flexion WR: bent knee sit up with twist
29
Internal oblique
O: ant portion iliac crest, inguinal ligament I: costal cartilage ribs 8,9,10; linea alba A: trunk rotation in the same direction as the oblique. That is, right internal oblique will cause right trunk rotation WR: Bent knee sit up with a twist
30
Transverse Abdominis
O: inguinal ligament; inner rim of the ant portion iliac crest; inner surface costal cartilage ribs 7-12 I: pubic crest, linea alba A: IMPORTANT for forced expiration during exercise or asthma attack. Vacuum action of abdominal region.
31
Erector Spinae
Sacrospinalis O: multiple origins I: multiple insertions Three ascending tracts: Medial: spinalis dorsi, Middle: longissimus dorsi, Lateral: iliocostalis A: trunk extension/hyperextension; lateral flexion and reduction WR: dead lift; glut ham raises
32
Quadratus Lumborum ("_________")
"guy wires" for lumbar stabilization O: post inner lip iliac crest I: transverse processes L1-L4 & inf border 12th rib A: Lateral flexion and reduction of trunk WR: side bends with dumbbell; lateral planks; hip hikes
33
Sternocleidomastoid
O: manubrium; medial aspect clavical I: mastoid process A: flexion at neck, lateral flexion and reductionat neck WR: nautilus four way neck machine
34
HAT
head arms trunk
35
What serves to protect rather than support in the spine?
Sacrum - no bodies, weight of the HAT is dissipated laterally through the sacroiliac (SI) joints
36
Where is shock absorption facilitated at?
intervertebral discs and vertebral bodies
37
T/F circumduction of the neck is good for the neck
False | it damages the cervical facets