2b Flashcards
Can functional curves be reversed? Give an example.
Yes; orthotics
Are structural curves reversible? What might they be?
No; congenital or pathological
Can functional and structural curves be mixed?
Yes
Posture is both what?
Static and dynamic
Postural muscles are what?
Tonic muscles
Side view gives what?
Saggital view
Standing flexion test could give indication to what?
Postural dysfunction
Pelvic side shift could give an indication about what muscle?
Psoas
If a rib hump gets better with side bending, what is it?
It is a functional curve
How is knee bending associated with an increased lumbar lordosis?
Should flatten the curve and if it doesn’t, it is a structural curve
Describe Tensegrity with two words
Structural Integrity
What is postural balance?
Homeostatic maintenance requiring integrated neurophysiological processes
What 3 key systems are invovled with Postural Balance
Vestibular
Visual
Proprioreceptive (75% in fascia)
What is a Regional Area?
Where block of pelvis joins rod of lumbar spine
Rod of lumbar spine joining block of thoracic cage
Block of thoracic joining rod of cervical
Rod of cervical joining block on cranium
Where is structural dysfunction manifested normally?
Where structure and function change (regional area)
Does postural balance occur in all 3 planes?
Yes (sagittal, coronal, transverse)
What type of process is compensation?
Homeostatic
What is integrated to seek physiological postural function?
Neurological elements
What do we seek in postural balance?
“Ideal” balance
What 3 goals does the body have in postural compensation?
- Eyes and base of skull level
- Minimal muscle energy use
3 No single area of demand (tensegrity)
How do we define a “Compensatory Pattern”?
Alternating postural curves, muscle tension, and fascial directional patterns
Where do alternating postural curves occur?
Regional areas
When associating fascia and the patient is lying down, what technique do we use?
Zink Regional Fascial Patterning (stop at first fascial barrier)
Do tissue, muscle, and bone compensation match?
Yes; if not, there is more than postural compensation occurring
What muscles become hypertonic when stressed?
Tonic (postural) muscles
What muscles are the antagonists to postural muscles? How are they when tested when stressed?
Phasic; weak
Postural muscles cross what usually? Do phasic?
2 or more joints; no, but still have pain, dysfunction, etc
Tight hamstrings cause what?
Weakness in vasti’s in muscles
Vasti’s muscles cause what?
Kneecap doesn’t tracting properly when bending knees (chondromallasia patelli)
Do we stretch before strengthening?
YES
Can a primary problem be a postural problem as opposed to an individual muscles or regional problem?
YES
Do we treat all first?
All posture first, biomechanical portion second (upper and lower crossed syndrome)
For postural-biomechanical model, if long-term structural change, what do we do?
SLOWLY reverse them
Do we need to limit functional over-stress?
Yes
Changing the entire posture, what was we do to the joints?
“Oil the Joints”
4 key steps to Postural-Biomechanical Model Applies
- Modify structural challenges
- “Oil the Joints”
- Rebalance soft tissues
- Limit functional over-stress (involves other methods)
Biopsychosocial model relates how to postural-biomechanical?
Slumped posture of a person with depression
Is Fryette Type 2 more painful?
Yes - neurological changes
Can changes in posture relate to viscera?
Yes - neurological model
Can we relate to respiratory-circulatory model with fluid?
Yes
What is “Postural Balance”?
Condition of optimal distribution of body mass in relation to gravity
What is “Postural Decompensation”?
Distribution of body mass away from ideal when postural homeostatic mechanisms are overwhelmed.
Does “Postural Decompensation” occur in all planes?
Yes; but classified by major planes affected
What is caused in coronal planes?
Scoliotic changes
What is caused in horizontal planes?
May cause postural changes where part or all of the body rotates to the right or left. Seen as asymmetrical in R or L side view
What is caused in sagittal plane?
Kyphotic and/or lordotic changes
What is “Postural Imbalance”?
Condition in which ideal body mass distribution is not achieved
