Lecture 9: Flexibility Training Flashcards
What are the joints and movement involved in putting clothes over the head
Shoulder joint
- Elevation (flexion and abduction)
- External rotation
What are seated dynamic stretches (4)
- Floor reach: bend forward toward floor reaching as far as possible toward the floor or touching the floor if ROM permits
- Seated trunk rotation: slowly rotate trunk and head until you can see an imaginary car
- Seated abduction
- Alternate knee to chest
What percentage of OA at the age of 75 have osteoarthritic changes
85%
What factors contribute to Stiffness in OA (4)
- With age
- Connective tissues involved in mobility
- With age change in chemical composition of the connective tissue matrix and collagen
- Breakdown of articular surfaces in the weight bearing joints
What are the joints and movements involved in fastening or unfastening clothes in the back
Shoulder Joint
- Abduction
- Internal rotation
- Extension
Functional consequence of less of flexibility can greatly affect what ADLS (4)
- Getting out of a car
- Stepping on or off a curb
- Bending down to pick something up
- Putting on clothes
What are the joints and movements involved in walking, ascending stairs and getting down onto and up from the floor/tub
Hip, Knee and Ankle joint
Walking: least demanding
Hip flexion and extension
Knee flexion
Ankle dorsiflexion
Stairs:
Hip flexion
Knee flexion
Ankle dorsiflexion
Tub: most demanding
Hip flexion
Knee flexion
Ankle dorsiflexion
Critical ranges are important when designing PA program to?
To improve OA’s function
Spinal ext will decrease by ____%
Hip ext will decrease by ___%
Knee flexion will decrease by ____%
Spinal ext will decrease by 50%
Hip ext will decrease by 20%
Knee flexion will decrease by 2%
Give examples of BADLs
- Bathing and showering
- Bowel and bladder management
- Dressing
- Eating
- Feeding
- Functional mobility
- Personal hygiene
- Toilet hygiene
Which SFT test can be used to test fastening and unfastening clothes in the back
Back scratch test
What is ROM
Total excursion possible at a joint from the beginning of movement to the end of it
Increase in number of functional limitations leads to?
Loss of independence
What are some modes of exercise used to improve their flexibility
- Traditional stretching
- Dance
- Tai Chi
- Aquatic exercise
All good to inc ROM and dec stiffness
What are the special considerations after knee surgery
- Can rarely flex past 110 degrees
On AVG is the dec. in ROM greater in upper or lower extremity
LOWER
What are the special consideration after hip surgery
- No hip flexion past 90 degrees
- No hip adduction past midline (no leg crossing)
- No internal rotation of the hip
Is putting on clothes a BADL or a IADL
BADL
Why do some OA sleep with a pillow between their legs
So that they do not cross on internally rotate in the middle of the night
Give some examples of IADL’s
- Housework
- Taking meds as prescribed
- Managing money
- Shopping for groceries or clothing
- Use of telephone or other form of communication
- Using technology
- Transportation within the community
Dynamic stretches can be introduced when muscles are _______ and to participants with poor ______
Dynamic stretches can be introduced when muscles are warmer and to participants with poor body awareness
What are 4 exercise flexibility guidelines
- Emphasize joints that have significant decrease in joint ROM
- Stretch to a point of gentle tension, but not paint
- Do not jerk, bounce or force a stretch because this could result in injury
- Breath during stretching
What are some standing dynamic stretched (6)
- Reach and curl: from a standing position, reach arms overhead
- Picking apples: reach up with single arm to pick imaginary fruit
- Climbing rope: clients climb and imaginary rope
- Knees up Mother Brown: Exaggerated march in place
- Side lunges with a) spinal flexion b) arm reach across body c) forward arm reach
- Walking with six to seven alternating bouts of long and short strides
What is the mnemonic for BADls and what does it stand for
DEATH D: dressing/bathing E: eating A: amulating T: toileting H: hygiene