Active Care Flashcards
Bruegger’s
Breathing exercises and posture for
COPD
Aging
AS
“More about joints than muscles”
Describe how to do Bruegger’s
Extend thoracics
Pull shoulders back
Rock pelvis forward
Nod head in flexion and raise
Buerger-Allen’s
Pts with peripheral vascular disease
Harvard step
Endurance
Williams
Flexion exercises for LB to help decrease lordosis by strengthening abdominal muscles
Sit ups w/ knees flexed and head/shoulders lifted and hold position for 5 min
William’s benefits what most
Spondylolysthesis
Facet syndrome
Increased lumbosacral angle
Hyperlordosis
Modified McKenzie’s benefits..
Acute discs
Spinal stenosis
McKenzie’s
Extension exercises for LB with purpose of helping increase lordosis by strengthening paraspinals
McKenzie’s benefits
Chronic disc
Acute lumbar antalgia to centralize pain and get pt to neural position
McGill
LBP (core) includes side bridge, bird dog, and abdominals
Kegel’s benefit
Incontinence
Exercises for pelvic floor muscles
Codman’s / Pendular strengthens __ while eliminating use of ___
Shoulder girdle
Supraspinatus muscle
Wall walking is for
Shoulder ROM
Yoga benefits
Spinal stability and balance
Anterior core chain includes
Rectus and transverse abdominis
Posterior core chain includes
Biceps Femoris Glut max Erector spinae Multifidis Traps Posterior deltoid Gastrocs
Normal ROM/ action of SITS muscles
Supraspinatus = 15-30 degrees abduction
Infraspinatus = external rot
Teres minor = external rot
Subscapularis = internal rot
Gothic shoulder
Straight shoulders, levator scap
Frozen shoulder GH/ST ratio
1:1
Normal GH/ST motion ratio
2:1
Scoliosis affected by
Quadratus lumborum
Floor angel for ___ ___
Lower traps
Wall angel for __ __
Upper traps
Hyperlordosis caused by
Weak abdominals
Tight paraspinals, psoas
(High heels and boots)
Hypolordosis caused by
Tight abdominals
Weak paraspinals, psoas
(Sandals)
Anterior pelvic tilt caused by
Weak hamstrings and glut max
Tight quads
(High heels and boots)
Posterior pelvic tilt caused by
Tight hamstrings and glut max
Weak quads
(Sandals)
Normal Q angle
15 degrees
Muscles weak in upper cross
Suprahyoids DNF Subscapularis Lower trap Serratus anterior Diaphragm
Muscles tight in upper cross
Pecs SCM Masseter Suboccipital Upper trap Levator scap
Painful joint: Cervico-cranial
Trigger point :
Shortened muscle :
Inhibited muscle:
SCM
Suboccipital
DNF
Painful joint : GH
Trigger point:
Shortened muscle:
Inhibited muscle:
Upper trap
Levator scap
Lower trap or subscap
Painful joint : upper ribs
Trigger point:
Shortened muscle:
Inhibited muscle:
Scalenes
Pecs
Diaphragm
Painful joint : TMJ
Trigger point:
Shortened muscle :
Inhibited muscle :
Lateral pterygoids
Masseter
Suprahyoids
Exercises for LBP
Bracing Cat-camel Bridges and planks Supine and table top Piriformis stretch
Exercises for glut med weakness
Side bridge
One leg stance
Clam
Scoliosis and QL contracture on side of convexity :
Side lying stretch, ____ up and let pelvis sink
Table top side lying, __ up and let torso hang over table
Convexity up
Concavity up
Best test for ACL
Lachman’s
ACL is connected to
Blood supply
MM tears w/ ___ injuries
Twisting
Reduction maneuver for MM
McMurray’s
Test for PCl
Sag sign
Keystone of transverse arch of foot
2nd metatarsal
Keystones of longitudinal arch
Medial = navicular Lateral = cuboid
Shoulder kinetic chain includes
Scap thoracic (protraction and rowing)
GH (dislocation), axillary n compression
AC
sternoclavicular
Rowing targets flaring ___ and includes entire kinetic chain
Rhomboids
Corner wall push ups target winging __
S-T motion and serratus anterior
Painful arc indicates
Supraspinatus injury
Codman’s /pendular targets
ITS muscles only
Push up plus is for
Scapular protraction
___ exercise helps poor thoracic extension
Bird dog
Breathing depends on __, __, __ and __
Upper traps
Bucket handle motion
Shoulder mechanics
Thoracic kyphosis
Cat-camel
Cat targets __
Camel targets __
Abs
Paraspinals
Coordination
dynamic ball, wobble, slide board (side to side)
Proprioception
walking on foam, passive movement by therapist
Balance
proprioceptive training in multiple directions, tandem gait, catch, wobble, braid, figure 8, bridge, survival (get up)
Reciprocal
multiple joints, multiple muscles, resistance by adjustable friction (i.e. stationary bicycle)
Open chain
free weights, pulleys, weight cable, distal non-fixed
Open environment
more complex tasks in which objects, supports, or surfaces move during activity
Closed chain
usually weight bearing position, body weight is often resistance (ie pushups, squats) Distal end is fixed
Closed environment
objects or surface tasks are preformed on, does not move
Target heart rate
60-80% of maximum heart rate
222- age= 60%
Progressive resistance exercise
to increase resistance in order to strengthen a muscle or group (PRE)
Deconditioning
metabolic changes with bed rest or immobilization
Over train
cumulative trauma disorders
Dynamic stabilization
trunk (core) contraction as extremities move
Elasticity
soft tissue returns to normal after stretch
Plasticity
soft tissue does not immediately return to initial set state
Flexibility
ability to yield a stretch
Flexion bias
low back antalgia
Functional exercise
mimics work activities in a controlled setting
Functional position
neutral offers least stress
Power
force X velocity
Manual exercise/ stretch
therapist controls motion and resistance
Mechanical exercise/ stretch
machine controls motion and resistance
Variable resistance
isokinetic machine
Velocity spectrum rehabilitation
isokinetic exercises using wide range of speeds
Stable
tabletop or floor base so stability is constant
Unstable
ball activities make core react throughout exercise
A weighted ball is used for
plyometrics
A small ball is used for
used for extremities
The large ball is used for
tool used for core activities
A towel can be used with
extremities
a cane or wand may be used to help with
the shoulder
Elastic bands are used for rehab with
extremities with core stabilization
A pipe can be used during rehab for
the core
balance weights and a wobble board can be used to rehab
ankles
stool or step-ups are used to rehab
lower extremity
Isometric
- same length, same resistance
- benefits: minimal irritation, joint maintenance, increase strength and prevent atrophy
- no equipment needed
Isotonic
- constant resistance, arc motion
- gravity assisted and resisted
concentric
shorten in an isotonic contraction
eccentric
lengthen in an isotonic contraction (most tension
Isokinetic is strongest
mid ROM
Isokinetic
- open chain only
- benefits: safest, best testing
Concentric is controlled by
the patient
Eccentric is controlled by
the apparatus
Reliability
amount of error
Responsiveness
change in condition
Practicality
ease of use
Validity
accuracy
Wadell
non-organic issues
Pain drawing
assess anatomical validity
Burns bench
low back pain
Magnuson’s
ask, distract, ask again
Mannkopf’s
monitor pulse, press painful site
Hoover’s
weak or paralyzed leg
Reliable LBP questionnaires
Oswestry
Roland-Morris
Quebec
ADL charts
Copenhagen (neck)
Croft (shoulder)
Harris (hip)
Cervico-Cranial trigger point
SCM
Gleno-Humeral trigger point
Upper Trapezius
Upper ribs trigger points
Scalenes
TMJ trigger points
lateral pterygoids
weak muscles upper cross
supra hyoids DNF subscapularis lower trapezius & Serratus Anterior Diaphragm