Chapter 8: Static Assessment Flashcards
Which muscles are commonly overactive/shortened for many people?
Pec Minor, Lats, Psoas, Gastroc, cervicals, levator, scalenes, SCM, upper Traps, hamstrings, adductors pirformance, QL, rectus femoris, soleus, TFL
Which muscles are commonly underactive/lengthened for many people?
Deep cervical flexors, middle & lower traps, Serratus, rhomboids, glute max & min, peroneals, rectus abdom, vastus med & lat, Tib anter & posterior, transverse abdomin
What is an example of Incomplete Rehabilitation:
Injured athlete whose insurance only covered four therapy visits.
Example of habitual Repetitive Movements:
Swimmer competing in the front crawl.
Example of acute Injuries:
Football player who sprained an ankle last season.
Example of chronic Subacute Postures:
Office worker in front of a computer all day.
What are the 5 Kinetic Chain Checkpoints?
- Foot and ankle
- Knee
- Lumbo-pelvic-hip complex (LPHC)
- Shoulders and thoracic spine
- Head and cervical spine
Anterior view of 5 Kinetic Chain Checkpoints: Foot and ankle Knee Lumbo-pelvic-hip complex (LPHC) Shoulders and thoracic spine Head and cervical spine
Foot and ankle: Straight and parallel, not flattened or externally rotated
Knees: In line with the second and third toes, not valgus or varus
LPHC: Pelvis level to the horizon
Shoulders: Level, not elevated or rounded
Head: Neutral position, neither tilted nor rotated
Posterior view of 5 Kinetic Chain Checkpoints: Foot and ankle Knee Lumbo-pelvic-hip complex (LPHC) Shoulders and thoracic spine Head and cervical spine
Foot and ankle: Heels are straight and parallel, not overly pronated (flattened)
Knees: Neutral position, neither valgus nor varus
LPHC: Pelvis level to the horizon
Shoulders/scapulae: Level, not elevated nor rounded forward
Head: Neutral position, neither tilted nor rotated
Lateral view of 5 Kinetic Chain Checkpoints: Foot and ankle Knee Lumbo-pelvic-hip complex (LPHC) Shoulders and thoracic spine Head and cervical spine
Foot and ankle: Neutral position, leg vertical at a right angle to the sole of foot
Knees: Neutral position, not flexed nor hyperextended
LPHC: Pelvis in neutral position, not anteriorly nor posteriorly rotated
Shoulders: In line with the hips and ears
Head: Neutral position, not in cervical extension (jutting forward)
Natural curvature of the thoracic spine toward the back of the body:
Kyphosis
Natural curvature of the thoracic spine toward the back of the body:
Lordosis
Jandas Syndromes:
Upper Crossed: Forward head posture
Lower Crossed: Anterior Pelvic Tilt
Layered Crossed: Excessive kyphosis and lordosis
Lower Crossed Syndrome Static Positions:
Head: Neutral to forward Cervical spine: Normal to extended Thoracic spine: Normal to rounded Shoulders: Neutral to rounded Lumbar spine: Neutral to excessive lordosis, possible lateral shift Pelvis: Anterior tilt Hip joints: Flexed or neutral Knee joints: Flexed or hyperextended Ankle joints: Neutral or plantar flexed Muscle Activity
Overactive/shortened
Hip flexors
Lumbar extensors
Gastrocnemius/soleus
Underactive/lengthened
Abdominals
Gluteus maximus and medius
Hamstrings
Upper Crossed Syndrome Static Positions:
Head: Forward Cervical spine: Extended Thoracic spine: Excessive kyphosis Shoulders: Rounded, elevated (scapular winging) Lumbar spine: Normal curve or extended Pelvis: Neutral Hip joints: Neutral or slightly flexed Knee joints: Neutral or slightly flexed Ankle joints: Neutral
Muscle Activity
Overactive/shortened
Cervical extensors Pectorals (major and minor) Upper trapezius Levator scapulae Underactive/lengthened
Deep neck flexors
Rhomboids, middle/lower trapezius
Serratus anterior