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CES Certification > Chapter 8 - Static Assessments > Flashcards

Chapter 8 - Static Assessments Flashcards

1
Q

Pattern overload

A

Occurs when a segment of the body is repeatedly moved or chronically held in the same way, leading to a state of muscle overactivity

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2
Q

Static positions of Lower crossed syndrome

A 
​​​​​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
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3
Q

What is the CES Assessment flow?

A

Client intake ->
Static Postural Assessment->
OHSA and modified OHSA->
S/L squat and/or split squat assessment ->
Dynamic (optional) and/or loaded(optional) -> Mobility Assessments ->
Corrective Exercise Programming

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4
Q

Muscles prone to imbalance: LPHC and Lower Body

A

Overactive/shortened: Gastrocnemius, Hamstrings, Hip adductors, Piriformis, Psoas, Quadratus lumborum, Rectus femoris, Soleus, Tensor fascia latae

Underactive/lengthened: Gluteus maximus and medius,
Fibularis (peroneal) muscles, Rectus abdominis,
Tibialis anterior and posterior, Transverse abdominis
Vastus medialis and lateralis

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5
Q

Upper-crossed syndrome

A

Forward head, hyperextended cervical spine, rounded shoulders

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6
Q

Lordotic posture

A

Excessive lumbar lordosis & anterior pelvic tilt

Lateral lumbar shift, lateral leg rotation, and knees slightly flexed or hyperextended

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7
Q

5 kinetic chain check points:

A
  1. Foot and ankle
  2. Knee
  3. Lumbo-pelvic-hip complex (LPHC)
  4. Shoulders and thoracic spine
  5. Head and cervical spine
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8
Q

Kyphosis

A

Natural curvature of the thoracic spine toward the back of the body

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9
Q

Muscle Activity of Upper crossed syndrome

A

Overactive/shortened: Cervical extensors, Pectorals (major and minor), Upper trapezius,
Levator scapulae

Underactive/lengthened: Deep neck flexors,
Rhomboids, middle/lower trapezius, Serratus anterior

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10
Q

Posterior view

A

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

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11
Q

Pes planus distortion syndrome

A

A postural distortion pattern characterized by flat feet, knee valgus, and an anterior pelvic tilt.

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12
Q

Muscle Activity of Lower crossed syndrome

A

Overactive/shortened: Hip flexors, Lumbar extensors, Gastrocnemius/soleus

Underactive/lengthened: Abdominals, Gluteus maximus and medius, Hamstrings

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13
Q

Pes Planus static positions

A

Pelvis: Anterior tilt
Hip joints: Internally rotated
Knee joints: Valgus, flexed
Ankle joints: Pronated (flattened, pes planus)

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14
Q

Muscle activity of lordotic posture

A

Overactive/shortened:
Hip flexors, Internal obliques (upper),
Lumbar extensors

Underactive/lengthened:
Abdominals (external obliques)
Hip extensors (hamstrings)
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15
Q

Postural distortion

A

Malalignments of bodily segments that place undue stress on the joints; for example, poor posture at one or more of the kinetic chain checkpoints

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16
Q

Lateral view

A

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)

17
Q

Muscle Activity of lordotic posture

A 
Overactive/shortened:
Cervical extensors, Pectoralis minor, Shoulder adductors, Upper trapezius and levator scapulae, 
Anterior abdominals and intercostals,
Internal obliques (upper and lateral fibers),
Hip extensors (hamstrings)

Underactive/lengthened:
Cervical flexors, Thoracic extensors, Trapezius (middle and lower), Lumbar extensors, Hip flexors (iliopsoas)

18
Q

Muscle Activity for kyphosis-lordosis

A

Overactive/shortened:
Cervical extensors,
Upper trapezius and levator scapulae,
Shoulder adductors, Intercostals, Pectoralis minor
Internal obliques (upper and lateral), Hip flexors (iliopsoas), Lumbar extensors

Underactive/lengthened:
Cervical flexors, Thoracic extensors, 
Trapezius (middle and lower), 
Anterior abdominals (external obliques), 
Hip extensors (hamstrings)
19
Q

Static positions of Upper crossed syndrome

A 
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
20
Q

Main factors related to postural imbalance

A 
Chronic suboptimal postures
Habitual repetitive movements
Acute injuries
Recovery from surgery
Incompletely rehabilitated past injuries
21
Q

Muscles prone to imbalance: Upper Body

A

Overactive/shortened: Cervical extensors, Latissimus dorsi, Levator scapulae, Pectorals (major and minor), Scalenes, Sternocleidomastoid, Upper trapezius

Underactive/lengthened: Deep cervical flexors (longus coli and capitis), Middle and lower trapezius, Rhomboids, Serratus anterior

22
Q

Phases of CES

A

Phase 1: Inhibit
Phase 2: Activate
Phase 3: Lengthen
Phase 4: Integrate

23
Q

Static positions for Kyphosis-lordosis posture

A 
Head: Forward
Cervical spine: Extended
Thoracic spine: Excessive kyphosis
Shoulders: Rounded, elevated
Lumbar spine: Excessive lordosis, possible lateral shift
Pelvis: Anterior tilt
Hip joints: Flexed
Knee joints: Flexed or hyperextended
Ankle joints: Neutral or plantar flexed
24
Q

Muscle activity of layered crossed syndrome

A

Overactive/shortened:
Cervical extensors,
Pectorals (major and minor), Upper trapezius,
Levator scapulae, Hip flexors, Lumbar extensors,
Gastrocnemius/soleus

Underactive/lengthened:
Deep neck flexors,
Rhomboids, middle/lower trapezius, Serratus anterior, 
Anterior abdominals, 
Hip extensors (hamstrings), 
Gluteus maximus and medius
25
Q

Altered length-tension relationships

A

Occur when the resting length of a muscle is too short or too long to generate optimal force.

26
Q

Lordosis

A

Natural curvature of the lumbar or cervical spine toward the front of the body.

27
Q

Muscle Activity for Sway back posture

A

Overactive/shortened:
Cervical extensors,
Upper trapezius and levator scapulae,
Pectoralis minor, Intercostals, Abdominals (upper fibers),
Internal obliques (upper fibers), Hip extensors (hamstrings)
Underactive/lengthened:
Cervical flexors, Thoracic extensors, Trapezius (middle and lower), Abdominals (external obliques),
Hip flexors (iliopsoas)

28
Q

Muscle Activity for Pes planus

A

Overactive/shortened:
Gastrocnemius and soleus, Peroneals, Adductors,
Iliotibial band, Iliopsoas, Hamstrings

Underactive/lengthened:
Posterior and anterior tibialis, Vastus medialis
Gluteus maximus and medius, 
Hip external rotators, Hip flexors, 
Thoracolumbar paraspinals
29
Q

Static positions of layered crossed syndrome

A 
Head: Forward
Cervical spine: Extended
Thoracic spine: Excessive kyphosis
Shoulders: Rounded, elevated, possible scapular winging
Lumbar spine: Excessive lordosis, possible lateral shift
Pelvis: Anterior tilt
Hip joints: Flexed
Knee joints: Flexed or hyperextended
Ankle joints: Neutral or plantar flexed
30
Q

Anterior view

A

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

31
Q

Sway-back posture: static positions

A 
Head: Forward
Cervical spine: Extended
Thoracic spine: Excessive kyphosis with posterior displacement
Lumbar spine: Reduced lordosis (flattening)
Pelvis: Posterior tilt
Hip joints: Extended
Knee joints: Hyperextended
Ankle joints: Neutral
32
Q

Static positions of flat-back posture

A 
Head: Forward
Cervical spine: Extended
Thoracic spine: Excessive kyphosis (upper region), flat
(lower region)
Lumbar spine: Reduced lordosis or flat
Pelvis: Posterior tilt
Hip joints: Extended
Knee joints: Hyperextended
Ankle joints: Neural or plantar flexed
33
Q

Static positions of lordotic posture

A 
Head: Neutral position
Cervical spine: Normal curve
Thoracic spine: Normal curve
Lumbar spine: Excessive lordosis
Pelvis: Anteriorly tilted
Hip joints: Flexed
Knee joints: Slightly flexed or hyperextended
Ankle joints: Slightly plantar flexed

CES Certification (9 decks)

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