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Therapeutic Exercise > Core, Spinal Stability & Incontinence > Flashcards

Core, Spinal Stability & Incontinence Flashcards

1
Q

What does the reclusive abdominals provide when there’s extension loads on spine?

A

Stability

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2
Q

What does the int/ext obliques do?

A 
Control against loads that would cause backward bending of spine
Stabilize spine against rotation force
Bilat trunk flexion
Unilateral trunk rotation
Together- ipsil side bending
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3
Q

Does the iliopsoas function as a spinal stabilizer in standing?

A

No

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4
Q

What’s does the iliacus stabilize?

A

Pelvis and hip joints

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5
Q

Psoas stabilizes _______ in frontal plane when heavy load is applied on the ______ side.

A

Lumbar spine, contralateral

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6
Q

What does the QL stabilize during inspiration?

A

Ribs against the diaphragm

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7
Q

What do the deeper fibers of the QL provide?

A

Segmental stability to lumbar vertebrae

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8
Q

What are the functions of the inner core muscles during mvmts of extremities and during trunk mvmts?

A

Stability during mvmt of extremities

Dynamic stability during trunk mvmts

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9
Q

What are the first muscles to be activated in postural disturbance from rapid extremity mvmt?

A

Multifidi and TA

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10
Q

What muscle appears to be the ONLY muscle active during flex AND ext?

A

TA

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11
Q

The most effective exercise programs that address long-term back pain relief emphasize what?

A

Recruitment, awareness, strength, endurance of inner core muscles

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12
Q

What muscles are activated by the “drawing in” maneuver?

A

TA & multifidi

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13
Q

What kind of info does rotatores, interspinales, intertransversarii give us?

A

Position and movement more so than torque

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14
Q

What are some global muscles of the cervical spine?

A

SCM, scalenes, erector spinal, upper trap, levator scap

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15
Q

What are the core muscles of the cervical spine?

A

Rectus capitals anterior and lateral, Longus colli

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16
Q

What are some interventions for spinal muscle impairments, posture and core stabilization?

A

Kinesthetic training- teach pts about what is causing their pain and how to find positions of comfort so tissues in pain get relief. Awareness of posture, position of sx relief, effects of mvmt

Stabilization training- strengthen inner core muscles then work on global. Want to teach automatic maintenance of spinal stability.

Functional training- load and endurance demands are greater, speed and multidirectional, body mechanics, home, recreation.

17
Q

Name the stages of interventions and one exercise associated with each.

A

Early training (protective)- pelvic tilt

Basic training (controlled motion)- stabilization with loading, environmental adaptations (need extremity loading)

Intermediate/advanced (return to fxn)- move into painful ranges to gain flexibility, dynamic strengthening

18
Q

What are the functions of the pelvic floor?

A

Supportive, sphincteric, sexual fxn

19
Q

Sphincteric:

Quick closure stimulate by ____________fibers.

Closure at rest is provided by ________ fibers.

A

Phasic fast twitch

Slow twitch

20
Q

Risk factors of supportive pelvic floor dysfunction?

A

Pressure on pelvic floor,obesity, chronic cough, vomit, preg, incorrect lifting with valsalva

21
Q

Hypertonia dysfunction

A

Trauma, surgery, childbirth, malalignment

22
Q

External palpating helps with

A

Myofascial pain syndrome and treating trigger points

23
Q

What is the gold standard?

A

Internal exam

24
Q

What does the jumping jack assess?

A

Pelvic floor strength under physical stress

25
Q

How long would you hold a contraction for PFE?

A

3-10 sec

Can lose sensation

26
Q

What is the rest:work ratio?

A

2:1

27
Q

How many reps for slow and fast twitch? Sets?

A

Slow- 3 sec contractions, starting at 4-5 reps

Fast- how many quick contractions before fatigue

Sets-5-6x/day

Neeed 30-80 total contractions per day for positive effect

28
Q

What position should they begin in?

A

Gravity eliminated in supine or semi-fallor, then sitting, then standing

29
Q

Can you benefit from using weights for pelvic floor?

A

NAH, can increase proprioception awareness.

30
Q

Stress incontinence is

A

Small urine leak with cough sneeze exercise

The problem is supportive dysfunction, weakness

31
Q

Urge incontinence is

A

Mod/large leaks with strong urges to pee

Problem is visceral dysfunction, weakness

32
Q

Mixed incontinence is

A

Stress & urge

33
Q

Overflow is

A

Small amt of leak with sneeze/cough, strains to start pee, feeling of incomplete emptying

Problem is incoordination dysfunction hypertonia visceral dysfunction

34
Q

Functional is

A

Delays with toileting

Fxnal mob limitations, decreased coord

Therapeutic Exercise (6 decks)

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