Movement System Impairment (Guest Lecture)

Question 1

4 Types of TherEx with Strong Evidence for LBP

Answer 1

1. Manual Therapy
2. Trunk coordination, strengthening, and endurance exercises
3. Centralization procedures and exercises
4. Progressive endurance exercise and fitness activities

Question 2

4 Classification/Treatment strategies for the L-spine

Answer 2

1. Williams Flexion - reduce lordosis
2. McKenzie - extension based tx
3. Treatment Based Classification - categories by Delitto
4. Movement System Impairment (MSI) Syndromes

Question 3

MSI Purpose

Answer 3

Develop classification system that guides intervention

Question 4

3 Parts of the MSI Process

Answer 4

1. Standardized exam - allows id of all contributing factors
2. Develop/teach precise exercise program
3. Address alignment/movement patterns associated with functional and fitness activities

Question 5

Term: How movement induces pathology through cumulative microtrauma

Answer 5

Kinesiopathology

Question 6

Describe the effect of repeated movements and sustained postures

Answer 6

It can alter tissue characteristics, making them more or less susceptible to injury or damage

Question 7

Term: Accessory motion hypermobility

Answer 7

Direction susceptible to movement

Question 8

Term: Path of least resistance

Answer 8

Relative flexibility

Question 9

Describe relative flexibility

Answer 9

If you have to springs in series (one tight, one loose), and apply tension the loose spring will be the 1st to give.

Question 10

Describe your ability to change muscle length

Answer 10

You can’t change a short mucles but you have some ablity to change a stiff muscle

Question 11

Term: less sacromeres, physically shorter

Answer 11

Short muscle

Question 12

Term: More sacromeres, physically longer

Answer 12

Lengthened muscle

Question 13

Describe the difference between general weakness and a lengthened muscle that is weak

Answer 13

A lengthened muscle will be weak in a shortened position

A generally weak muscle will be weak throughout the whole range

Question 14

Condition: Presensts with excessive IR

Answer 14

Anteversion

Question 15

Condition: Presents with excessive ER

Answer 15

Retroversion

Question 16

Describe the type of block a CAM impingement imposes

Answer 16

A bony block due to excessive growth of the femoral head/neck

Question 17

5 Most Prevalent L-Spine MSI Classifications

Answer 17

1. Lumbar rotation with extension
2. Lumbar extension
3. Lumbar rotation
4. Lumbar rotation with flexion
5. Lumbar flexion

Question 18

Describe which position is best for abdominal contraction according to McGill

Answer 18

You want high levels of contraction with low levels of compression on the spine, plank, side plank, and bird dog position accomplish this goal

Question 19

Describe McGills 3 requirements for stability

Answer 19

1. 10-25% max isometric contraction
2. Sucess in daily activities (low levels of activity, maintained over time > endurance)
3. Abdominals (plank, side plank, bird dog)

Question 20

Describe the effect on the infrasternal angle on the external obliques

Answer 20

A widened angle of ~ 100 indicated lengthened external obliques