Final Flashcards
Which of the following is true of the tranvesospinalis group, which includes the multifidus
Responsible for segmental deceleration of flexiona nd rotation during dunctional movment
Your patient demonstrates a positive prone active striaght leg raise test with force closure dysfunction. Which of teh following myofascial stabilizing systems is likely involved
Posterior oblique system
During a cranio-cervical flexion test, the patient attempts to nod head to increase pressure in teh pressure biofeedback unit by 2mmHg and hold for 6-10 sec. a positive test is noted if teh patient has an inability to achieve the desired pressure chagne. This indicates
Decreased activation of deep segmental cervical stabilizing musculature
The goals of the correctivfe phase of spinal stabilization training include all of the following except
Training with movements that replicate the patient’s sport and recreation activities
Whicih fo the follwoing would not work toward enhancing the patient’s motivation to resure acitivity
Establish that there will be no set backs or flare ups
Your patient exhibits increased muscle tone in the cervico-thoracic shoulder area. He states he is under a lot of stress at work. What is the most likely cause of the muscle tightness according to Janda
Limbic system dysfunction
Whcih is true concerning abdominal bracing
Once the pt has kinesthetic awareness of performing the AB, it can be challenged by adding resistance to external perturbations in different planes
When it is appropriate to progress a pt’s spinal stabilization program to include complex activities and functional exercises
Once patient learns to move and position the spine in fundamental ways
As discussed in class, a decrease in closed kinetic chain dorsiflexion is a predicator of what condition
SI inflammation
Lumbalgia
Ipsilateral GH dysfunction
Which type of muscle hypertonicity is associated with acute muscle strain
Myofascial trigger point
Which is a MOI to the lumbar spine according to McGIll
Too many repetitions and motion and/or prolonged postures/loads
Cumulative loading in compression or shear
Axial torque with felxion
You have performed a lumbar shear stability test and your paitent has positive findings of this test. Which is safe and effective exercise to strain the lumbar erector spinae
Quadraped/birddog
You have performed a muscle relaxation technique (MRT) on your pts right upper trap. The muscle does not spontaneously lengthen after the application. What is a likely reason
The muscle tightness was probably a primary connective tissue cause
Your pt presents with radiating-type pain down the arm into the fingers. He states that he is often assumes static postures for long periods of time while working on a computer. You have ruled out radicular involvement. What is the most likely cause according to janda
Myofascial trigger point
Which of the following best describes a neurodynamic slider
Can be thought of as a tnesioner with one end put at slack
Is genetically predetermined and follows a predictable pattern
Increases transitions on a neural structure and does not produce deformation
Your pt is a sedentary office worker who has demonstrated a positive supine ASLR with force closure dysfunction. What is an appropriate exercise
Side bridges
What is a characteristic of an ideal core exercise
It should challenge the muscles of the core while imposing minimal compressive load on the spine
According ot McGIll, core stabilization exercises such as prone plank, should be held for how long? Isometric hold longer than this states time have been shown to cause rapid loss of available oxygen in the muscles
Up to 8 seconds
Muscle hypertonicity secondary to acute overload
Is associated with hyper-irritable spot usually within taut band of skeletal muscle that refers pain in a characteristic pattern
Which describes the use of isometric contraction in performing muscle relaxation techniques
Gentler contraction is tried first in order to isolate the myofascial trigger point
Your patient has initiated level 1 sensorimotor training static phase. Which is most appropriate for him
Static balance exercise on a stable surface progressing to a rocker board
Your new pt has never had a cervical spine adjustment suing a supine full spine technique. She reports having some apprehensiona nd inability to relax her neck. How can using post-isometric relaxation prior to the adjustment be assistive
It can relax the cervical muscles prior to the adminstration of the adjustment
The second or automatic stage of motor leanring require
Automatic levelsof processing
According to Janda sensory information coming into the CNS must be optimal at which of the following locations
Foot
The small/short foot is described as
Increasing the medial longitudinal arch by suing the foot intrinsic muscles
Your patient has muscle hypertonicity secondary to vertebral subluxation. Which is likely cause according to JAnda
Interneuron dysfunction
Which is true concerning muscle co-contraction and spinal stability
Modest levels of co-activation are generally sufficient for spinal stability, but if a joint has lost its stiffness greater amounts of co-activation are needed
Your 35 yo pt presents with dull nagging pain in the buttocks that seems to travel to the posterior thigh and mid-belly of the gastroc. The etiology is unkown although the pt does note that she had began attending LA fitness kickboxing 4-5x a week, she is trying to get in shape. SLR, Bowstring, Goldthwait, bechterew and bonnet are all negative. MRI that was performed by her MD ten days ago reveals mild disc degeneration L4-S1, but is otherwise unremarkable. What might be in your differential diagnosis
Gluteus minimum trigger point
Which is an abnormal pattern of muscle activation in the neck flexion test
Extension of occiput on atlas
Sensorimtor tairning emphasizes
Postural control and progressive challenges to the sensorimotor system
As a baby approaches 6 months of age, the diaphragm, as a mjuscle, begins to fulfill its dual function. What is the dual fucntion as suggested by Frank, Kobesova, and Kolar
Respiration adn postural, spinal stability
What did Janda believe was the cause of movement impairments and altered motor progarmming within the CNS
Muscle imbalances associated with tight postural and inhibited phasic muscles
Level 2 sensorimotor tarinign involves
Incorporating arm and leg moevement ot balance exercises
Shrier, the british journal of sports medicine 2004 and hurley 1999 suggested the evidence shown in clinical literature supports that _____ is the most important modifiable mediating factor for primary osteoarthrits
Proprioception
Which of the following is true concerning spinal core staiblization tarinign
Should include motor control exercise that emphasize increasing a pts funcitonal capacity to eclipse the demands of their acitivites
Should idenitfy a successful self-management reoutine, which allows for resumption of social acitivies with a pre-episode acitivity tolerance
The ultimate goal of care is to restore optimal funcitonal to enhacne participation without limitation in ADL
With regards to philosophy of exercise design which of the following does not ensure progressive positive slope
Removal of exercises which the patient finds boring or too easy
Contraction of the ___ muscle precedes activation of other abdominal musculature regardless of direciton of reactive forces
Transverse abdominis
When performing slump test, the pt hsould be in what position to put sciatic nerve at tension
Pt seated arms internally rotated and slightly extended, slumped in the thoracic and lumbar spine, cervical spine flexion, knee extenstion and foot dorsiflexion
Your patient has recently taken on ta new proejct and is spending 70+ hours at a computer. He is having right posterior forearm pain adn after a thorough history, you believe he is having posterior interosseous nerve compression (radial tunnel syndrome) what nerve lsider position would you treat in
GH joint abduciton to 90, elbow extension, pronation at the radio-ulnar joint with wrist flexion and lateral cervical flexion left
Your pt is having chronic low back pain, slight medial knee pain, you note a positive modified thomas test - tight iliopsoas. You suspect decrease activation to the posterior oblique force closure system. What exercise might you suggest for your patient
Bridge
Area which includes the ipsilateral mastoid, inter-auricular, regions of the frontal and/or maxilla
Scalene
Ipsilateral SI joint and gluteal fold
Deep quadratus lumborum
Anterior thigh, ipsilateral paraspinal region as well as superior SI joint
Iliopsoas
Ipsilateral pec area, medial scapula, are similar to C4, C5 dermatome, dorsal 1,2,3 digits
Scalene
Hat band distribution
Sub-occipital
Pt presents to office post MVA 2 weeks ago. Upon re-eeval, you nnote he has been having difficulty holding his C6 adjustments and you suspect slightly hypermobility at C6. What cervical muscles are the primary segmental stabilizers
What is one corrective exercise for decreased acitvation of primary cervical segemntal stabilizers
Longus capitis and longus colli
Craino-cervical flexion
Name 2 spine sparing strategies that can be taught to pt to encourage hip flexion vs lumbar flexin
Hip hinge
Safe squatting
Ankel to cervical mobility or stability
Ankle mobility Knee stability Hip mobility Lumbar stability T-spine mobility Scap/thoracic stability GH joints mobitility Cervical spine stability
