Lecture 3: Posture-Flexibility-ROM Flashcards
When is the posture assessment done?
Primarily in observation but also in Hx and examination
What is correct posture?
A position in which minimum stress is placed upon each joint
What is faulty posture?
Any static position that increases the stress to joints
What is the COG in a child
12th thoracic
What is the COG in an adult
2nd scaral
What are the primary and secondary curbes?
Primary- Thoracic kyphosis
Secondary- cervical and lumbar lordosis
What re the anatomical factors affecting posture
- Bone contours
- Laxity of ligament
- Fascial/ muscle tightness
- Muscle tonus
- Joint position and mobility
- Neurogenic causes
What is klippel-Feil?
The fusion of cervical vertebra in fetal development
What is Scheuerman’s disease?
Juvenile kyphosis
What are non-structural factors affecting posture
- Repeated positioning
- Muscle
- Pain
- Respiratory issues
What is lordosis
Abnormal exaggeration of lumbar curve
What type of factors for muscle would affect posture
- weakness
- inflexibility
- inadaptability to environment
- contracture
What can cause lordosis?
- Congenital deformities
- Weak abdominal musculature
- Poor posture
- Activities with excessive hyperextension
Lordosis has an excessive ____ curve at lumbar
Anterior
Lordosis: _____ pelvic tilt, tight _____ _____
Anterior, hip flexors
Lordosis is associated with ________
Kyphosis
In swayback, the anterior pelvis causes hip ____ (___tilt)
extension; posterior
In swayback lordosis is _______
Reduced
Swayback: Kyphosis is _____
Increased
Swayback: Knees are _______
Hyperextended
In swayback the head is ______
Forward
T/F Kyphosis isn’t congenital
False, it is congenital
What aspect of kyphosis is congenital
Deficits in vertebral bodies
Kyphosis is secondary to what?
Osteoperosis
Where is the excessive posterior curve located in kyphosis
At the thoracic level
What 5 postural indications are related to kyphosis
- Protracted scapula
- Posterior pelvis tilt
- Hips flexed
- Knees hyperextended
- Ankle plantar flexed from backward inclination
What is the flatback position
Lumbar flex/straight
lower thoracic straight
hips/knees extended
posterior pelvic tilt
What does structural scoliosis persist with
Lateral bending
Scoliosis is commonly _____
idiopathic
Mild scoliosis is _______
<20 degrees
What is moderate scoliosis
20-45 degrees
What is the cobb angle
The angle from the top of the scoliosis curve to the bottom of the scoliosis curve
T/F Functional scoliosis disappears with forward flexion and structural scoliosis stays with forward flexion
True
What does the thomas test test
Hip/pelvis contractures
How is the thomas test performed
Supine
Flex hip bringing thigh up to trunk
What are you looking for in the thomas test
hip flexion, knee extension, med/lat rotation, pelvic position
