Exercise Rx

Question 1

3 changes that occur in postural muscles associated with pseudoparesis

Answer 1

Postural muscles become facilitated, shortened, hypertonic

Question 2

3 changes that occur in movement muscles associated with pseudoparesis

Answer 2

Movement muscles become inhibited, stretched, hypotonic

Question 3

What muscles become hypertonic in hip region pseudoparesis?

Answer 3

Postural muscles — iliopsoas, rectus femoris, hamstrings, piriformis, LE short adductors, QL, TFL

Question 4

What muscles become weak in hip region pseudoparesis

Answer 4

Movement muscles — anterior tibialis, gluteals, vastus medialis, peroneals, abdominals

Question 5

General recommendations regarding stretching in exercise Rx

Answer 5

Perform exercises 2-3 times on each side 2-3x/day

Stretch each side for 15 seconds or 4 deep breaths, unless otherwise prescribed

Once the feeling of stretch is no longer appreciated, you can cut down on frequency. Must reassess every week!

Question 6

General recommendations regarding retraining exercises

Answer 6

Performed AFTER stretching

Perform 2-3x/day

Question 7

Lower crossed syndrome requires exercise Rx for stretching of what muscles?

Answer 7

Postural muscles: rectus femoris/quadriceps femoris, iliopsoas, LE adductors, TFL, QL, hamstrings, piriformis

Question 8

Which lower crossed syndrome stretch should you not recommend for pts with knee problems?

Answer 8

Kneeling rectus femoris stretch

Question 9

T/F: strengthening exercises should not be done unless pt is pain-free

Answer 9

True

Question 10

What muscles are facilitated in upper crossed syndrome and thus require stretching exercise Rx?

Answer 10

Upper trapezius
Levator scapula
Latissimus dorsi

Pectorals
Subscapularis
UE flexors

SCM, scalenes

Question 11

Inhibited/dynamic muscles in upper crossed syndrome

Answer 11

Mid and lower trapezii

Rhomboids
Supraspinatus, infraspinatus
Serratus anterior
Deltoids
UE extensors

Deep neck flexors

Question 12

During self-stretch of the scalenes, different muscles can be stretched depending upon amount of head rotation that you perform.

With no rotation, the ______ scalenes will be stretched

With rotation towards the affected side, the ______ scalenes will be stretched

With rotation away from the affected side, the _____ scalenes will be stretched

Answer 12

Middle

Anterior

Posterior