E1 Flashcards
Symptom exacerbation: C Spine flexion
Flexion
+disc herniation
+posterior muscle injury
+hypertonicity
Symptom exacerbation: T Spine flexion
Flexion
+posterior paraspinal muscles
+shoulder girdle muscles
+disc herniation
Symptom exacerbation: L Spine flexion
Flexion
+disc herniation
+lumbar pvm
+lumbosacral ligaments
Sequence of Examination
- Screen
+asymmetry
+spinal curve abnormalities
+regional ROM abnormalities - Scan
+layer by layer palpating - Segmental Definition
+segmental (spine) motion testing
Motion terminology (planes)
- Sagittal: flexion/extension (transverse coronal axis)
- Coronal: sidebending (anterior-posterior axis)
- Horizontal: rotation (vertical axis)
Symptom exacerbation: C spine extension
Extension
+facet joint disease
+anterior muscle injury
+hypertonicity
Symptom exacerbation: C spine rotation
Rotation
+splenius capitis and cervicis
+sternocleidomastoid
Symptom exacerbation: C spine sidebending
Sidebending
+trapezius
+levator scapulae
Symptom exacerbation: T spine extension
Extension
+facet joint disease
Symptom exacerbation: T spine sidebending
Sidebending
+intercostal muscles
+serratus anterior
Symptom exacerbation: T spine rotation
Rotation
+abdominal obliques
Symptom exacerbation: L spine extension
Extension \+spondylolisthesis \+facet syndrome \+spinal stenosis \+psoas
Symptom exacerbation: L spine sidebending
Sidebending
+lateral abdominal wall
+IT band
Symptom exacerbation: L spine rotation
Rotation \+discogenic pain \+abdominal obliques \+iliolumbar ligaments \+piriformis syndrome
Mid-gravity line
EAM–>Odontoid Process of C2–>Greater Tuberosity of Humerus–>Middle of L3–>Sacral Promontory–>Greater Trochanter of Femur–>Just behind patella–>Just anterior to lateral malleolus
Direct techniques
Engage motion barriers
e.g. Muscle energy, soft tissue, direct myofascial release, articulatory, HVLA
Name the barriers
Anatomic, physiologic, elastic, restrictive, pathologic
Anatomic barrier
Final limit to motion limited by bone and ligaments
“The point past which disruption occurs”
Limited especially by ligaments and bone contour
Physiologic barrier
Soft tissue tension that limits voluntary/active motion; further motion toward the anatomic barrier can be induced passively
“As far as you can go by yourself”
Maintained by Golgi receptors, muscle spindles, and Pacinian receptors
Elastic barrier
Range between the physiologic and anatomic barriers in which passive stretching occurs before tissue disruption
Determined by the capsules and ligaments around a joint
**determines passive ROM