CoreFirst Strategies Flashcards

Question

Prone with Extension positioning

Answer 1

Pillows under stomach and feet (or just stomach to avoid excessive or compressive extension) Use of cradle, folded towel or pillows and towels under shoulders to support head and neck *Not encouraged (encourage to partial prone); Typically only used for resting, to reduce a derangement, or during prone treatment without a head rest

Answer 2

- pillows under chest and abdominal region, anterior to pelvic region, under the thigh. - Down arm positioned posterior to trunk or 45 degree flexion at shoulder - Down leg extended - upper leg flexed - neck supported in mid-range, slightly flexed and rotated supported by folded towel in flag shape or pillow corner - folded towel for additional lumbar support if needed - upper shoulder supported

Answer 3

- Log Rolling - Functional Hip release - Diaphragmatic Breathing - Hands and knees - Supine over Prop - Pelvic Clock - Lateral Shear in Side-lying - Prone knee bend, unilateral and bilateral - Prone press up segmentally - Extension in standing - Extension with distraction and flexion with distraction - Basic bracing

Answer 4

1. Height of seating surface 2. A-P depth of the seating surface 3. Shape and tilt of the seat pan

Answer 5

1. how much excursion you have on this surface 2. how much effort it is to sit up on this surface 3. Exactly where the effort is occurring to sit up on this surface

Answer 6

Most efficient height for the training of the patient in unsupported sitting -stool too high: end feel first in lumbar spine (extension block) -stool too low: first in the hips

Answer 7

1. Proper sitting surfaces 2. Evaluation/Observation 3. BOS 4. FTH 5. Pelvic Floor 6. Lumbo-pelvic hip movement 7. Dissociating sequence or Non-dissociating sequence 8. Shoulder girdle position 9. Head and neck position 10. Post test 11. Motor control training

Answer 8

Weight shift Weight Acceptance BOS Alignment

Answer 9

Flexion or extension in the trunk and at the lumbo-pelvic junction

Answer 10

Extension of the neck and back

Answer 11

Pt allowing movement to continue once the end range of the hips has been reached. Trunk flexion and lumbo-pelvic flexion is observed at the end ROM

Answer 12

1. Observe pts natural movement hinging forward and backward in the chair; arms folded across chair 2. Notice maintenance of alignment or compensations. Position BOS 3. Compensation secondary to tightness in the hips 4. Position of the head

Answer 13

1. Initiating movement from BOS 2. Allowing the axis of motion to occur at the hips 3. Allowing BOS to accept weight and inversely facilitate automatic activation of the core

Answer 14

dysfunction: counters momentum of ws by lifting head and backward bending in the C/S *Instruct to relax chin and keep the neck in a neutral position through the movement.

Answer 15

Tendency to either lift or drop Thoracic region out of balance alignment. Focus on feeling weight of the thoracic spine immediately accepted into forward BOS when WS begins. Cueing to continue weight bearing through abdominal wall is important during WS phase

Answer 16

Common dysfunction: flexion but occasionally will extend as counter to WS. Extension indicates patients weight accept into new BOS. Flexion indicates lack of LPM and effective timing with appropriate hip hinging

Answer 17

1. Confirm Saliba Postural classification 2. Determine automatic trunk response 3. Highlight subtle dysfunctions to the therapist and patient

Answer 18

1. continuously asked to find "Happy place" on feet 2. Ankles flexible with A-P direction of weight shift 3. Knees flexible (some flexion needed) 4. Hip relaxed

Answer 19

Multifidi deep fibers of psoas deep fibers of quadratus lumborum Transverse Abdominus Deep rotators