Lecture1: posture and thoracic movement analysis lab

Question 1

what is the carrying angel of the elbows

Answer 1

8-15°

Question 2

where is the superior board and inferior tips of scap

Answer 2

T2 to T7

Question 3

if there is intracapsular atrophy what nerve is damaged

Answer 3

suprascapular

Question 4

what is the normal resting position of the humerus

Answer 4

neutral rotated position

Question 5

⅓ or less of the humeral head ___ to the acromion

Answer 5

anterior

Question 6

how does the cubical fossa face

Answer 6

anteriorly

Question 7

how does the olecrannon face

Answer 7

posteriorly

Question 8

how should the hands be positioned when standing in

Answer 8

facing the body

Question 9

the humorous may rest in a position from “normal” in and ___, ____, ___ ____ , ____ or ___

Answer 9

anterior, abduction,
internally rotated, flexed, or extended.

Question 10

If the humerus is sitting IR what would be tight

Answer 10

pecs, lats , teres major

Question 11

what is the normla plumb line

Answer 11

slightly anterior to lateral mal and knee joint

goes thru GT (slightly posterior to hip joint axis) , bodies of lumbar and cervical vertebrae , GH joint and lobe of ear

Question 12

for a lordotic posture this is __ lumbosacral angle, ___lumbar lordosis, ___ anterior
pelvic tilt, hip ___

Answer 12

increase 3x

flexion

Question 13

what is short and tight with a lordtic posture

Answer 13

• neck extensors
  -hip flexors
• lower back

Question 14

what is lengthened and weak with a lordtic posture

Answer 14

• neck flexors
• upper back
• erector spinae
  -hammy
  -maybe abs

Question 15

How is the head, neck , scapular , thorax , lower back , hips , pelvis , knees and feet for a lorditic posture

Answer 15

Head: forward
Neck: increased curve
scap: abducted
thorax: kyphosis
lowe back : hyperextended
hip: flexed
pelvis: APT
knee: hyperextension
feet: PF

Question 16

in a sway back posture how does the pelvis shift and the thoracic segment

Answer 16

entire pelvis anterior - resulting in hip extension

shirt thoracic segment posteriorly

Question 17

what is sway back posture associated with

Answer 17

thoracic kyphosis and forward head

Question 18

what is short and tight with a swayback posture

Answer 18

-hammy
- IO
- low back mm (ES , quad lum)

Question 19

what is lengthened and weak with sway back

Answer 19

• HF
• EO
• upper back extensors
• neck flexors

Question 20

How is the head, neck , scapular , thorax , lower back , hips , pelvis , knees and feet for a sway back posture

Answer 20

Head: forward
Neck: upper extended , lower flexed
scap: winged
thorax: kyphosis
lowe back : flat
hip: extended
pelvis: posteriorly tilted with anterior shift
knee: hyperextension to neutral
feet: neutral to PF

Question 21

How is the head, neck , , thorax , lower back , hips , pelvis , knees and feet for a flat back posture

Answer 21

Head: forward
Neck: slight extended
thorax: flat
lowe back : flat
hip: extended
pelvis: PPT
knee: neutral
feet neutral

Question 22

what is lengthen and weak for flat back

Answer 22

• HF

Question 23

what is shortened and tight for flat back

Answer 23

-hammy
-abs

Question 24

for a flat back there is __ lumbosacral angle, ___ lumbar lordosis, ___ pelvic tilt

Answer 24

decreased 2x

posteiror

Question 25

what are the 4 quadrants of the rib

Answer 25

1. Upper Chest (involving the sternal ribs) 2. Lower Chest (involving the lower ribcage) 3. Upper Back (between the shoulder blades) 4. Lower Back (lower part of the ribcage)

Question 26

what does **ER at side test** pertaining to the ribs

Answer 26

upper back test evaluates upper back expansion which included ribcage movement

Question 27

what is the normal for **ER at side**

Answer 27

normal is 60

Question 28

what happens if pateint cant hit 60° of ER at side ? what may be limited

Answer 28

limited by upper back mobility (upper rib cage 3-6)

Question 29

what test helps you assess the expansion of the **lower chest**

Answer 29

shoulder ER at 90°

Question 30

how to test shoulder ER at 90° what is normal what does it reveal if it is not normal

Answer 30

1. Patient lies on back with knees bent. 2. Bring the arm out to the side, up to 90 ° of abduction. 3. Keep the elbow at 90° 4. Bring the arm into full ER 5. Normal is 90° if not normal they many have a lower chest mobility function (ribs 610_

Question 31

what test looks at **lower back (rib quadrant)** mobility

Answer 31

reaching behind the back - upper

Question 32

what should be normal for reaching behind the upper back?? and what may be indicated if it is not normla

Answer 32

pt should be able to touch shoulder black if cant then may indicate a resitriction in the lower back/ribcage region (6-10)

Question 34

what does reaching behind the beck - lower test measure

Answer 34

upper chest mobility and how easily shoulder blade can be reached

Question 35

if patient is unable to touch their shoulder blade when doing the reaching behind the back -lower what may it indicate

Answer 35

a restriction in the upper chest region

Question 36

what does thoracic AROM **extension** assess

Answer 36

levels T5 and below

Question 37

what thoracic segments move with the C spine

Answer 37

T1-T3

Question 38

how do u asses thoracic AROM extension and what are u assessing for

Answer 38

pt in long sitting w arms together placed over head (have them grab elbows) have pt extend by brining elbows back assess for hinge points, reproduction of symptoms and quality of motion

Question 39

what are u assessing during thoracic AROM **flexion**

Answer 39

areas in the mid to upper thoracic spine that are hypomobile and unable to open

Question 40

where is there more rotation in the T spine ? what about flexion and extension?

Answer 40

upper lower

Question 41

what test is used to assess for **1st rib hypomobility**

Answer 41

cervical rotation lateral flexion test (CRLF)

Question 42

how do u person the cervical rotation lateral flexion test to assess for 1st rib hypo mobility

Answer 42

PT behind patient and passively rotate c spine away from symotmpatic side maintain rotation and side end ear towards chest positive test is limitation in lateral flexion

Question 43

where does the **scalenes** and **subclavian** attach

Answer 43

1st ribs

Question 44

what ribs deliver the **pump handle** motion?? what about the **bucket handle** motion??

Answer 44

superior inferior

Question 45

what are u assessing for in the superior ribs examination

Answer 45

for symmetry of rib depression during breathing out hands are over upper ribs right below clavier

Question 46

what are u assessing for during inferior ribs examination

Answer 46

for symmetry of rib expansion during last breath adn then symmetry of rib depression during last break out

Question 48

how do u cue a pateint for thoracic flexion

Answer 48

bring chin to chest segment by segment then slouch shoulders