Chapter 10 Flashcards

1
Q

What are the forces acting on the spine as mentioned in Lecture 10?

A

Body weight, tension in the spinal muscles, tension in surrounding muscles, intra-abdominal pressure, and any external loads.

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2
Q

What is termed as ‘axial’ loading on the spine?

A

Loading when in an upright position.

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3
Q

How does spinal compression increase with body positions?

A

Spinal compression increases from lying supine to standing upright, sitting erect, standing leaning forwards, and sitting slouched.

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4
Q

What is the direction of disc displacement when standing and leaning forwards?

A

The disc displacement direction is anterior.

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5
Q

What is postural sway?

A

The forwards & backwards movement of the spine during erect standing.

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6
Q

What increases compensatory tension in the back extensor muscles when carrying greater loads?

A

Increased External Moment Arms.

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7
Q

What is the primary force acting on the spine according to the scenario discussed?

A

The major force derived from muscle activity rather than external forces.

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8
Q

What is one of the effects of lateral flexion on the spine?

A

It increases compressive load, with specific figures being 1400N for lateral flexion and 2500N for twisting.

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9
Q

What happens to shear forces during rapid, jerky lifting methods?

A

They dramatically increase compression and shear forces on the spine.

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10
Q

What contributes to disk herniation according to Lecture 10?

A

Excessive shear forces.

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11
Q

What is the role of muscle tension in the lumbar region?

A

It is directed posteriorly, counteracting anterior-directed shear from body weight.

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12
Q

What does relaxation of spinal muscles at full flexion provide?

A

Support for the spine comes exclusively from the posterior spinal ligaments.

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13
Q

How does increased intra-abdominal pressure help the spine?

A

It may help to stiffen the trunk to prevent spine buckling under compressive loads.

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14
Q

What potentially dangerous action occurs during the Valsalva Maneuver?

A

Holding one’s breath when lifting can constrict carotid arteries and blood supply to the brain.

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15
Q

What posture is recommended when lifting according to body mechanics?

A

Lift with the legs and maintain a normal lumbar curve.

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16
Q

What characterizes mechanical spinal instability?

A

A predisposition to failure when loading demands are reduced, including high loads and motor error.

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17
Q

What factors define desirable spinal stability during lifting?

A

Minimizing trunk flexion to reduce torque on the spine.

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18
Q

How long do smartphone users spend hunched over per day?

A

An average of two to four hours.

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19
Q

How do muscle spindles respond to muscle stretching?

A

They respond to slow, slight stretching of the muscle.

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20
Q

What statement reflects the misconception during increased neck flexion?

A

The quote that the weight on the cervical spine increases as it bends forward is incorrect.

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21
Q

What is the effect of increasing angles of neck flexion on muscle force?

A

The muscle force increases progressively: 27 lbs at 15 degrees, 40 lbs at 30 degrees, 49 lbs at 45 degrees, and 60 lbs at 60 degrees.

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22
Q

How do the rotatores contribute to spine function?

A

They create axial twisting torque.

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23
Q

What challenges the role of intertransversarii in lateral flexion?

A

Their small physiological cross-sectional area limits the amount of twisting and bending torque they can generate.

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24
Q

What are the primary forces acting on the spine?

A

Body weight, tension in the spinal muscles, tension in surrounding muscles, intra-abdominal pressure, and any external loads.

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25
Q

What position during loading is referred to as axial?

A

In an upright position.

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26
Q

How does spinal compression increase during different positions?

A

Spinal compression increases from lying supine to standing upright, sitting erect, standing leaning forwards, and sitting slouched.

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27
Q

What is meant by postural sway?

A

The forwards and backwards movement of the spine during erect standing.

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28
Q

What counters the constant forward bending moment in the spine?

A

Tension in the back extensor muscles.

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29
Q

What increases compensatory tension in the back extensor muscles?

A

Greater loads and increased external moment arms.

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30
Q

What is the major force acting on the spine?

A

Usually that derived from muscle activity rather than external forces.

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31
Q

What are the typical values for normal torque, extension torque, and lateral flexion & twisting torque on the spine?

A

Normal torque is 50 Nm, extension torque is 800 N of compression, lateral flexion is 1400 N and twisting is 2500 N of compression.

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32
Q

What occurs during Valsalva maneuver?

A

Increasing intra-thoracic pressure against a closed glottis.

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33
Q

What is the potential danger of holding one’s breath when lifting?

A

It can constrict the carotid arteries, limiting blood supply to the brain.

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34
Q

How does muscle tension in the lumbar region act relative to shear forces on the spine?

A

Muscle tension in the lumbar region is directed posteriorly, partially counteracting anterior-directed shear from body weight.

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35
Q

What are the effects of intra-abdominal pressure on the spine?

A

It may help to stiffen the trunk to prevent spine buckling under compressive loads.

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36
Q

What is the significance of maintaining a normal lumbar curve while lifting?

A

It minimizes trunk flexion, thereby reducing torque on the spine.

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37
Q

What is mechanical spinal instability?

A

A predisposition to failure when loading demands are reduced due to high loads imposed on the spine or motor error in inter-segmental muscles.

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38
Q

What are the effects of smartphone usage on neck position?

A

Smartphone users can spend an average of two to four hours per day hunched over, leading to poor neck posture.

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39
Q

What does the arrangement of cancellous bone in vertebrae allow?

A

It allows the vertebral body to act as a shock-absorbing system.

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40
Q

What role do the Rotatores and Intertransversarii muscles serve in the spine?

A

They are involved in creating axial twisting torque and lateral flexion, respectively.

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41
Q

How do muscle spindles in the spine respond to stretching?

A

They respond to slow, slight stretching of the muscle, and a faster rate of stretching provokes a stronger response.

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42
Q

What is the impact of jerky lifting movements on the spine?

A

It dramatically increases compression and shear forces on the spine.

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43
Q

What is recommended to avoid lumbar flexion during exercises?

A

Using exercises like the cat-cow and side plank, which maintain the spine in a neutral position.

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44
Q

What is meant by the ‘guy wire’ design of spinal muscles?

A

It provides mechanical ability to stabilize the spinal segment.

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45
Q

What is the consequence of excessive shear forces on the spine?

A

Excessive shear is believed to contribute to disk herniation.

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47
Q

What are the forces acting on the spine as mentioned in Lecture 10?

A

Body weight, tension in the spinal muscles, tension in surrounding muscles, intra-abdominal pressure, and any external loads.

48
Q

What is termed as ‘axial’ loading on the spine?

A

Loading when in an upright position.

49
Q

How does spinal compression increase with body positions?

A

Spinal compression increases from lying supine to standing upright, sitting erect, standing leaning forwards, and sitting slouched.

50
Q

What is the direction of disc displacement when standing and leaning forwards?

A

The disc displacement direction is anterior.

51
Q

What is postural sway?

A

The forwards & backwards movement of the spine during erect standing.

52
Q

What increases compensatory tension in the back extensor muscles when carrying greater loads?

A

Increased External Moment Arms.

53
Q

What is the primary force acting on the spine according to the scenario discussed?

A

The major force derived from muscle activity rather than external forces.

54
Q

What is one of the effects of lateral flexion on the spine?

A

It increases compressive load, with specific figures being 1400N for lateral flexion and 2500N for twisting.

55
Q

What happens to shear forces during rapid, jerky lifting methods?

A

They dramatically increase compression and shear forces on the spine.

56
Q

What contributes to disk herniation according to Lecture 10?

A

Excessive shear forces.

57
Q

What is the role of muscle tension in the lumbar region?

A

It is directed posteriorly, counteracting anterior-directed shear from body weight.

58
Q

What does relaxation of spinal muscles at full flexion provide?

A

Support for the spine comes exclusively from the posterior spinal ligaments.

59
Q

How does increased intra-abdominal pressure help the spine?

A

It may help to stiffen the trunk to prevent spine buckling under compressive loads.

60
Q

What potentially dangerous action occurs during the Valsalva Maneuver?

A

Holding one’s breath when lifting can constrict carotid arteries and blood supply to the brain.

61
Q

What posture is recommended when lifting according to body mechanics?

A

Lift with the legs and maintain a normal lumbar curve.

62
Q

What characterizes mechanical spinal instability?

A

A predisposition to failure when loading demands are reduced, including high loads and motor error.

63
Q

What factors define desirable spinal stability during lifting?

A

Minimizing trunk flexion to reduce torque on the spine.

64
Q

How long do smartphone users spend hunched over per day?

A

An average of two to four hours.

65
Q

How do muscle spindles respond to muscle stretching?

A

They respond to slow, slight stretching of the muscle.

66
Q

What statement reflects the misconception during increased neck flexion?

A

The quote that the weight on the cervical spine increases as it bends forward is incorrect.

67
Q

What is the effect of increasing angles of neck flexion on muscle force?

A

The muscle force increases progressively: 27 lbs at 15 degrees, 40 lbs at 30 degrees, 49 lbs at 45 degrees, and 60 lbs at 60 degrees.

68
Q

How do the rotatores contribute to spine function?

A

They create axial twisting torque.

69
Q

What challenges the role of intertransversarii in lateral flexion?

A

Their small physiological cross-sectional area limits the amount of twisting and bending torque they can generate.

70
Q

What are the primary forces acting on the spine?

A

Body weight, tension in the spinal muscles, tension in surrounding muscles, intra-abdominal pressure, and any external loads.

71
Q

What position during loading is referred to as axial?

A

In an upright position.

72
Q

How does spinal compression increase during different positions?

A

Spinal compression increases from lying supine to standing upright, sitting erect, standing leaning forwards, and sitting slouched.

73
Q

What is postural sway?

A

The forwards and backwards movement of the spine during erect standing.

74
Q

What counters the constant forward bending moment in the spine?

A

Tension in the back extensor muscles.

75
Q

What increases compensatory tension in the back extensor muscles?

A

Greater loads and increased external moment arms.

76
Q

What is the major force acting on the spine?

A

Usually that derived from muscle activity rather than external forces.

77
Q

What effect does asymmetrical frontal planar loading have on the spine?

A

It increases both compressive and shear loads on the spine.

78
Q

What happens when lifting in a rapid, jerky fashion?

A

It dramatically increases compression and shear forces on the spine.

79
Q

What is a possible consequence of excessive shear forces on the spine?

A

It is believed to contribute to disk herniation.

80
Q

How does muscle tension in the lumbar region affect shear forces?

A

It is directed posteriorly, partially counteracting the anterior-directed shear from body weight.

81
Q

What does conservative treatment of disc bulging aim to eliminate?

A

The need for invasive back surgery.

82
Q

What happens to spinal muscles at full flexion of the torso?

A

They experience quiescence, and support for the spine comes from the posterior spinal ligaments.

83
Q

What is the role of intra-abdominal pressure in relation to the spine?

A

It may help to stiffen the trunk and prevent spine buckling under compressive loads.

84
Q

Why is holding one’s breath when lifting considered dangerous?

A

It builds pressure, constricting the carotid arteries and potentially reducing blood supply to the brain.

85
Q

What is recommended for maintaining a normal lumbar curve during lifting?

A

Lift with the legs and avoid excessive trunk flexion.

86
Q

What is referred to as ‘text neck’?

A

A posture associated with prolonged phone use that can negatively impact the spine.

87
Q

What does increased forward flexion do to the head’s weight on the cervical spine?

A

It increases the weight on the cervical spine as the center of gravity shifts forward.

88
Q

What is the relationship between neck flexion angles and muscle tension?

A

At higher angles of flexion, muscle force increases substantially, e.g., 60 lbs at 60 degrees.

89
Q

How much time might smartphone users spend hunched over in a year?

A

700 to 1,400 hours per year, with high-schoolers potentially spending an additional 5,000 hours.

90
Q

What do the rotatores muscles primarily assist with?

A

Creating axial twisting torque.

91
Q

How do intertransversarii muscles contribute to spinal function?

A

Assigned to assist with lateral flexion.

92
Q

What is the significance of muscle spindles in small spinal muscles?

A

They are highly rich in muscle spindles, responding to slow stretching rather than generating significant torque.

93
Q

What can be said about the response of rotators and intertransversarii during isometric contractions?

A

There is no major response during isometric contractions.

94
Q

What are the forces acting on the spine?

A

Body weight, tension in the spinal muscles, tension in surrounding muscles, intra-abdominal pressure, any external loads.

95
Q

What is the effect of body position on spinal loading?

A

In an upright position, the loading is termed ‘axial’.

96
Q

How does spinal compression increase with body position?

A

Spinal compression increases with lying supine, standing upright, sitting erect, standing leaning forwards, sitting slouched.

97
Q

What is meant by postural sway?

A

The forwards and backwards movement of the spine during erect standing.

98
Q

What increases the compensatory tension in the back extensor muscles?

A

Greater loads and increased external moment arms.

99
Q

What is the major force acting on the spine?

A

The major force is usually derived from muscle activity rather than external forces.

100
Q

What are the typical values for normal torque, extension torque, and lateral flexion & twisting torque on the spine?

A

Normal torque is 50 Nm, extension torque is 800 N of compression, lateral flexion is 1400 N and twisting is 2500 N of compression.

101
Q

What occurs during Valsalva maneuver?

A

Increasing intra-thoracic pressure against a closed glottis.

102
Q

What is the potential danger of holding one’s breath when lifting?

A

It can constrict the carotid arteries, limiting blood supply to the brain.

103
Q

How does muscle tension in the lumbar region act relative to shear forces on the spine?

A

Muscle tension in the lumbar region is directed posteriorly, partially counteracting anterior-directed shear from body weight.

104
Q

What are the effects of intra-abdominal pressure on the spine?

A

It may help to stiffen the trunk to prevent spine buckling under compressive loads.

105
Q

What is the significance of maintaining a normal lumbar curve while lifting?

A

It minimizes trunk flexion, thereby reducing torque on the spine.

106
Q

What is mechanical spinal instability?

A

A predisposition to failure when loading demands are reduced due to high loads imposed on the spine or motor error in inter-segmental muscles.

107
Q

What are the effects of smartphone usage on neck position?

A

Smartphone users can spend an average of two to four hours per day hunched over, leading to poor neck posture.

108
Q

What does the arrangement of cancellous bone in vertebrae allow?

A

It allows the vertebral body to act as a shock-absorbing system.

109
Q

What role do the Rotatores and Intertransversarii muscles serve in the spine?

A

They are involved in creating axial twisting torque and lateral flexion, respectively.

110
Q

How do muscle spindles in the spine respond to stretching?

A

They respond to slow, slight stretching of the muscle, and a faster rate of stretching provokes a stronger response.

111
Q

What is the impact of jerky lifting movements on the spine?

A

It dramatically increases compression and shear forces on the spine.

112
Q

What is recommended to avoid lumbar flexion during exercises?

A

Using exercises like the cat-cow and side plank, which maintain the spine in a neutral position.

113
Q

What is meant by the ‘guy wire’ design of spinal muscles?

A

It provides mechanical ability to stabilize the spinal segment.

114
Q

What is the consequence of excessive shear forces on the spine?

A

Excessive shear is believed to contribute to disk herniation.