Lesson Plan 13

Question 1

Which regions of the spine have kyphoic curves?

Answer 1

Thoracic and sacral

Question 2

Which curve develops at birth

Answer 2

Primary curve

Question 3

Which curve is develops as infants lift their heads and eventually stand?

Answer 3

Secondary curve

Question 4

What part of the spine has a lordosis curve?

Answer 4

Cervical and lumbar

Question 5

Where do the line of gravity intersect with the knee?

Answer 5

Anterior joint

Question 6

Where do gravity intersect with the trunk?

Answer 6

Through cervical and lumbar bodies

Question 7

What is the function of the anterior pillar? (Vertebral bodies and intervertebral discs)

Answer 7

Weight bearing and shock absorption

Question 8

What is the function of the posterior pillar? (Vertebral arch)

Answer 8

Mechanism for movement and muscle attachments for stability

Question 9

What are the two parts of intervertebral disc?

Answer 9

Annulus fibrosis (outer ring) and nucleus pulposus (middle gel)

Question 10

What do the capsular ligament limit?

Answer 10

Rotation, Flexion and lateral flexion

Question 11

What do ligamentum Flavum do?

Answer 11

Flexion and lateral flexion

Question 12

What ligament limit extension?

Answer 12

Anterior longitudinal ligament

Question 13

Which spinal region is most mobile?

Answer 13

Cervical

Question 14

What is the feedforward?

Answer 14

activating trunk muscles in anticipating the load being imposed by limb movement to maintain stability of the spine

Question 15

What impact does breathing on the spinal stability?

Answer 15

Inspiration and T/S extension elevates the rib cage and aligns the spin

Expiration and flexion is more stable

Intercostal muscles function as postural muscles to stabilize and move the ribs providing stability of soft tissue to prevent blowing out / sucking in during pressure changes

Question 16

What is flexion bias?

Answer 16

Due to extension injury
Flexion feels best

Question 17

What is extension bias?

Answer 17

Due to flexion injury
Extension feels better position wise

Question 18

which muscles are primary stabilizers of lumbar flexion?

Answer 18

QL, erectors and multifid

Question 19

what role do rectus abdomininis play with control of the lumbar spine?

Answer 19

trunk flexion

Question 20

what role do int/ext obliques play with control of the lumbar spine?

Answer 20

bilateral trunk flexion and unilateral rotation with side flexion

Question 21

what role do transverse abdominis play with control of the lumbar spine?

Answer 21

flexion and extension or stablization

Question 22

what role do quadrates lumborum play with control of the lumbar spine?

Answer 22

hip hikes and lateral flexion

Question 23

what role do erector spinae play with control of the lumbar spine?

Answer 23

antagonist to gravity, unilateral lateral flexion and bilateral extension

Question 24

which of the following would you not do to mange spinal pain in the acute stage of healing?

1. educate
2. decrease symptoms
3. develop neuromuscular control, strength, or endurance
4. teach safe posture
5. performance of basic ADL and progress to IADLs

Answer 24

3. develop neuromuscular control, strength, or endurance

Question 25

which of the following would you not do to mange spinal pain in the subacute stage of healing?

1. develop cardiopulmonary endurance
2. teach safe body mechanics and functional adaptions
3. stress relief techniques
4. increase mobility
5. teach safe high level or intensity activities

Answer 25

5. teach safe high level or intensity activities

Question 26

which of the following would you not do to mange spinal pain in the chronic stage of healing?

1. emphasize spinal control in high-intensity activities
2. increase cardiopulmonary endurance
3. control spinal alignment
4. teach healthy exercise habits
5. improve muscle performance

Answer 26

3. control spinal alignment

Question 27

what position causes facet joint pain?

Answer 27

extension with ipslaterl rotation

Question 28

what movements do the cervical spine allow for?

Answer 28

flexion and extension and a lot of rotation

Question 29

what movements do the throacic spine allow for?

Answer 29

rotation and side flexion mostly

Question 30

what movements do the lumbar spine allow for?

Answer 30

flexion and extension primary

Question 31

what is the most common type of herniation?

Answer 31

posterior lateral

Question 32

a client comes in with an injury from lifting a heavy box at work. they find that leaning forward gives them pain. what would be beneficial to recommend to the client?

Answer 32

any extension bias exercise

Question 33

what would drawing in movement contract?

Answer 33

transverse abdnominius

Question 34

what would valva salvsa movement contract?

Answer 34

int / ext obliques

Question 35

what plane do you perform abduction and adduction in?

Answer 35

frontal plane

Question 36

what plane do you perform flexion and extension in?

Answer 36

sagittal plane

Question 37

what ways can you teach safe basic ADLS to a client in acute healing spinal impingement?

Answer 37

roll, sit, stand, and walk with good posture
progress to sitting longer then 30 minutes
standing longer then 15 minutes
walking for one mile

Question 38

what stage can you give homecare exercise for impingement injury?

Answer 38

subacute

Question 39

how can you teach safe body mechanics?

Answer 39

stable spine lifting practice
pushing/pulling and reaching practice
endurance training