Muscle Balance And Exercise

Question 1

Explain the response to hypo and hyper mobility in the body?

Answer 1

Hypomobility results in compensatory hypermobility elsewhere
Hypermolbility results in compensatory hypomobility elsewhere

Question 2

Postural imbalance may progress to what and give a definition?

Answer 2

Postural decompensation
Distribution of body mass that is away from ideal or not optimal. Essentially, the compensatory mechanisms of the body to maintain good posture are overwhelmed.

Question 3

What would be an injury/condition of the coronal, horizontal, or Sagittal planes if they were overwhelmed by decompensation?

Answer 3

Scoliosis
Rotations
Kyphosis or lordosis changes

Question 4

7 risk factors for muscle imbalance or postural decompensation?

Answer 4

Gravity, congenital, altered proprioceptive capability, stress, hormonal imbalance, nutritions suck, or age

Question 5

What happens to spinal curves due to gravity?

Answer 5

Increase

Question 6

2 things to remember about repetitive positioning and tasks?

Answer 6

Worsen the effects of gravitational strain

Depending on the activity, the strain can be preferential for a certain part of the body

Question 7

3 thing sot remember about aging and its effect on postural imbalance?

Answer 7

Altered response to healing
Altered response to gravity
Altered response to injury

Question 8

What is going on with chronic postural strain?

Answer 8

Over time, as the body adapts and remodels because of strain, structures change their place and form to accommodate the strain and its permanent in a sense.

Question 9

4 biomechanical effects of gravitational strain?

Answer 9

Curves get worse
Stress on postural tissue
Reflex muscle imbalance
Reduced diaphragmatic functions

Question 10

What is sherringtons law again?

Answer 10

When a muscle gets an impulse to contract, its antagonist gets an impulse at the same time to relax

Question 11

3 features of SD in postural muscles?

3 features of SD in movement/dynamic muscles?

Answer 11

Facilitation, hypertonic, and shortened

Inhibition, hypotonic, and weakness

Question 12

What is the compensatory pattern in 80% and 20% of healthy people?

Answer 12

LRLR

RLRL

Question 13

3 areas of the body involved in lower crossed syndrome and what 4 biomechanical changed do we find?

Answer 13

Hip, pelvis, and LB

Weak abs, tight iliopsoas, inhibited glutei, and tight erector spinae

Question 14

5 signs/symptoms of lower crossed syndrome?

Answer 14

Increased sacral flexion
Increased lumbar lordosis
Increased flexion of hip and knees
Hypermobility in saggital and coronal planes at l4-l5 and l5-s1
Sitting up from supine and forward bending dysfunctional

Question 15

Mnemonic for hypertonic muscles of lower crossed syndrome and what are the individual muscles?

Answer 15

GRHASQTIP

Gastroc, rectus femoris, hamstrings, adductors, soleus, quadratus lumborum, TFL, iliopsoas, and piriformis

Question 16

What 5 muscles/muscle groups are hypotonic during lower crossed syndrome?

Answer 16

Glutes, vastus medalis, Anterior tibial, peroneals, abs

Question 17

5 common diagnoses related to lower crossed syndrome?

Answer 17

Chronic LBP
SI pain
Osteoarthritis in L spine
Spondylolithesis
Osteoarthritis in hips and knees

Question 18

What is the neuro: pseudoparesis test for lower crossed syndrome?

Answer 18

Have the patient lay on their back and flex one hip to about 12 inches, then the other and communicate any difference in one side feeling heavier or being more difficult to raise.

Question 19

Difference between form closure and force closure?

Answer 19

How a joint fits together because of shape and form

The force that keeps it together because of muscles, tendons and ligaments.

Question 20

Explain the pseduoparesis test of SI joint with joint stabilization both with and without LE extension?

Answer 20

First, repeat the test but stabilize the SI joint with medial compression at the iliac crests, halfway between crests and greater trochanter, and at the greater trochanter
Also, do this with patient prone and extension of the leg instead of flexing.

Question 21

Explain the interpretation of pseduoparesis perception test?

Answer 21

If everything is balanced, there shouldn’t be any, but if anything is unbalanced, external stabilization is required to get rid of the symptoms.

Question 22

What structures will get better if there is imbalance when there is external stabilization to the iliac crest? 5 of them.
Same question for midway between crests and greater trochanter?4?
Same for greater trochanter?

Answer 22

Multifidus, lats, levator scapula, lumbar vertebrae, LS junction
Glutes, SI joint, sacrum and innominate
Pelvic diaphragm, hamstrings and structures below the PD

Question 23

What is the firing pattern for LE extension muscle balance?

Answer 23

Ipsilateral hamstring, ipsilateral glute max, contralteral erector spinae, and ipsilateral erector spinae

Question 24

What is the correct firing patter for LE abduction muscle balance?

Answer 24

All ipsilateral
Glute medius
TFL
QL
Erector spinae