Lesson Plan 13 Flashcards
Which regions of the spine have kyphoic curves?
Thoracic and sacral
Which curve develops at birth
Primary curve
Which curve is develops as infants lift their heads and eventually stand?
Secondary curve
What part of the spine has a lordosis curve?
Cervical and lumbar
Where do the line of gravity intersect with the knee?
Anterior joint
Where do gravity intersect with the trunk?
Through cervical and lumbar bodies
What is the function of the anterior pillar? (Vertebral bodies and intervertebral discs)
Weight bearing and shock absorption
What is the function of the posterior pillar? (Vertebral arch)
Mechanism for movement and muscle attachments for stability
What are the two parts of intervertebral disc?
Annulus fibrosis (outer ring) and nucleus pulposus (middle gel)
What do the capsular ligament limit?
Rotation, Flexion and lateral flexion
What do ligamentum Flavum do?
Flexion and lateral flexion
What ligament limit extension?
Anterior longitudinal ligament
Which spinal region is most mobile?
Cervical
What is the feedforward?
activating trunk muscles in anticipating the load being imposed by limb movement to maintain stability of the spine
What impact does breathing on the spinal stability?
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
What is flexion bias?
Due to extension injury
Flexion feels best
What is extension bias?
Due to flexion injury
Extension feels better position wise
which muscles are primary stabilizers of lumbar flexion?
QL, erectors and multifid
what role do rectus abdomininis play with control of the lumbar spine?
trunk flexion
what role do int/ext obliques play with control of the lumbar spine?
bilateral trunk flexion and unilateral rotation with side flexion
what role do transverse abdominis play with control of the lumbar spine?
flexion and extension or stablization
what role do quadrates lumborum play with control of the lumbar spine?
hip hikes and lateral flexion
what role do erector spinae play with control of the lumbar spine?
antagonist to gravity, unilateral lateral flexion and bilateral extension
which of the following would you not do to mange spinal pain in the acute stage of healing?
- educate
- decrease symptoms
- develop neuromuscular control, strength, or endurance
- teach safe posture
- performance of basic ADL and progress to IADLs
- develop neuromuscular control, strength, or endurance
which of the following would you not do to mange spinal pain in the subacute stage of healing?
- develop cardiopulmonary endurance
- teach safe body mechanics and functional adaptions
- stress relief techniques
- increase mobility
- teach safe high level or intensity activities
- teach safe high level or intensity activities
which of the following would you not do to mange spinal pain in the chronic stage of healing?
- emphasize spinal control in high-intensity activities
- increase cardiopulmonary endurance
- control spinal alignment
- teach healthy exercise habits
- improve muscle performance
- control spinal alignment
what position causes facet joint pain?
extension with ipslaterl rotation
what movements do the cervical spine allow for?
flexion and extension and a lot of rotation
what movements do the throacic spine allow for?
rotation and side flexion mostly
what movements do the lumbar spine allow for?
flexion and extension primary
what is the most common type of herniation?
posterior lateral
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?
any extension bias exercise
what would drawing in movement contract?
transverse abdnominius
what would valva salvsa movement contract?
int / ext obliques
what plane do you perform abduction and adduction in?
frontal plane
what plane do you perform flexion and extension in?
sagittal plane
what ways can you teach safe basic ADLS to a client in acute healing spinal impingement?
roll, sit, stand, and walk with good posture
progress to sitting longer then 30 minutes
standing longer then 15 minutes
walking for one mile
what stage can you give homecare exercise for impingement injury?
subacute
how can you teach safe body mechanics?
stable spine lifting practice
pushing/pulling and reaching practice
endurance training
