Kania's OMM exercises Flashcards
static stretching
- held in challenging, but comfortable position for 10-30 secs
- MC type of stretch
- less beneficial than dynamic stretching
- increase length in tendon tissue and increases joint flexibility
dynamic stretching
- moving thru challenge, but comfortable ROM repeatedly (10-12times)
- more beneficial then static
- increases length in tendon tissue and increases joint flexibility
passive stretching
uses outside assistance
mm stretched is relaxed and relies on external force to hold person in place
risk that outside force is stronger then mm is flexible
active stretching
active contraction of m in opposition to the one being stretched
don’t use body weight, strap etc..
relax mm being stretched and rely on opposing mm to initiate stretch
often requires assistance to create mm control
slow twitch fiber
fnx is tonic/postural
oxidative metabolism
high capillary density
type I myosin heavy chain isoform
fast twitch fiber
fnx is phasic, mm react by shortening and tightening
glycolytic metabolism, easy fatigability
low capillary density
type II myosin heavy chain isoform
psoas mm
type I fibers have largest cross-section area over type II
type I mostly in cephalad portion L1-4 (postural/stabilizing)
type II fibers in caudal portion (hip flexors)
psoas mm
type I fibers have largest cross-section area over type II
type I mostly in cephalad portion L1-4 (postural/stabilizing)
type II fibers in caudal portion (hip flexors)
muscle dysfunction
postural/tonic mm are facilitated, hypertonic, and shortened
dynamic/phasic mm inhibited, hypotonic and weak
hip dysfunction
weak- glut med and max
tight- iliopsoas, rectus femoris, piriformis, adductors, TFL
leads to weak abs and tight erector spinae mm
LE muscle dysfunction
postural/tonic mm are facilitated, hypertonic, and shortened
dynamic/phasic mm inhibited, hypotonic and weak
hip dysfunction
weak- glut med and max
tight- iliopsoas, rectus femoris, piriformis, adductors, TFL
leads to weak abs and tight erector spinae mm
lower crossed syndrome
- weak glut max and tight hip flexors
- weak abs and short lumbar erector spinae
- weak glut med and min and short TFL and quadratus lumborum
- ant pelvic tilt and increased lordosis
- hypermobility in lowest lumbar levels
result of LCS
ant rotated pelvis
tight erecotr spinae, iliopsoas, rectus femoris
weak abs, glut med/max
Tx LCS
stregthen glud max/med lenghten iliopsoas, recutus femoris,
engage abs
pelvis in neutral tilt
Janda Pearls
- proprioceptive balance training should precede stretching or retraining
- all retraining done w/short foot -> requires pt to elevated medial arch w/o curling toes
- trigger points, pain, tendonitis develops in mm that are weak and inhibited
- tears and ruptures in tight mm
UE mm dysfunction
postural/tonic mm are facilitated, hypertonic, and shortened
dynamic/phasic mm are inhibited, hypotonic and weak
shoulder dysfunction
weak- supra and infraspinatus, delts, rhomboids, lower traps, serratus ant
tight- levator scap upper traps, pecs
leads to weak longus colli
UCS
- facilitated hypertrophic postural mm
- inhibited hypotonic and weak dynamic mm
- forward head position
- straightening of lower cervical lordosis, extension of upper cervicals
- increased kyphosis of cervico-thoracic jnx
- internal rotation of shoulder girdles
faciliated hypertrophic postural mm
levator scapulae upper traps SCM pecs saclenes lats subscap flexors of UE
facilitated hypertrophic postural mm
levator scapulae upper traps SCM pecs saclenes lats subscap flexors of UE
inhibited hypotonic and weak dynamic mm
middle and lower traps serratus ant rhomboids supra and infraspinatus deltoids deep neck flexors extensors of UE
toe lifts
-good for forefoot pronation, pes plaus, plantar fasciitis, LE
SD
-strengthens foot intrinsics
-stand w/neutral pelvic rotation and neutral postion of femur on tibia
-lift heels off floor 1” keeping ALL toes on floor
-hold 30 sec
toe lifts
-good for forefoot pronation, pes plaus, plantar fasciitis, LE
SD
-strengthens foot intrinsics
-stand w/neutral pelvic rotation and neutral postion of femur on tibia
-lift heels off floor 1” keeping ALL toes on floor
-hold 30 sec
