Muscle Balance And Exercise

Question 1

6 signs of upper crossed syndrome?

Answer 1

Forward head posture
Increased cervical lordosis
Increased kyphosis at cervicothoracic junction
Protraction of shoulders
Internal rotation of humerus
Stresses, c4-5, cervicocranial and cervicothoracic junctions

Question 2

What is mnemonic for hypertonic muscles of upper crossed syndrome and what are the muscles?

Answer 2

Slupslus

Subscapularis, levator scapula, UE, flexors, pectoral, scalene, lats, Upper trap, SCM

Question 3

What can a bilateral shoulder flexion exam show us?

Answer 3

Resting length of lats and influenced on thoracic and lumbar spines.

Question 4

What is the prescription of exercise stretching? How many different stretches, how many times per day and for how long? How often do we reassess?

Answer 4

2-3 exercises
2-3 times a day
12 seconds or 3 deep breaths
Reassess each week

Question 5

What do we do after stretching And how often per day?

Answer 5

Retraining exercises

2-3 times per day

Question 6

What specific retraining are we having the patient do?

Answer 6

Sensory motor balance

Question 7

What is the goal of stretching exercise program?

Answer 7

Transition to their general fitness program. Should not strength train until pain free stretching is accomplished.

Question 8

What is the principle behind a general fitness program and what is optimal?

Answer 8

Meet them where they are at

50 minutes a day/ 5 days a week

Question 9

4 reasons we would evaluate CV or respiratory systems for a patient we are prescribing a general fitness program?

Answer 9

Extreme fatigue after or during exercise
Pain above the wrist
cant even talk due to SOB
Family history of CV

Question 10

7 muscles we are focused on stretching for lower quarter imbalance?

Answer 10

Iliopsoas, adductors, TFL, hamstrings, QL, piriformis, rectus femoris

Question 11

What is a positive and negative cervical flexion test?

Answer 11

Positive: SCM and and scalenes flex the neck instead of long coli so no chin nod
Negative: chin nod because long coli flexes the neck

Question 12

So what does the positive cervical neck test indicate?

Answer 12

Tight SCM and scalenes and inhibited long coli

Question 13

What does the scapular stabilization test indicate if its positive and what is a positive test?

Answer 13

Winging scapula

Weak lower trap, stratus anterior and rhomboids

Question 14

How do we do a pec minor asymmetry test?

Answer 14

Patient supine. Hold one shoulder while pushing down on the other feeling for PROM and hard end feel. Do it to other side.

Question 15

Where are the two scalene CS points and the treatment position?

Answer 15

Rib 1 1/3 distance from midline
Rib 2 2/3 distance from midline
Anterosuperior borders on both
F TT

Question 16

Levator scapula CS point location and treatment position?

Answer 16

Prone. Find most tender spot in muscle. Extend arm and apply traction or compression, whichever one feels better.

Question 17

What is the levator scapula still ish technique?

Answer 17

Abduct to 180, distract, go back to 90, then to zero to grab back of table. Flex head to opposite knee.

Question 18

SCM CS Treatment position?

Answer 18

F st ra

Question 19

Location of pectoral CS point and treatment position?

Answer 19

Whatever point is is most tender in the muscle.

Adduct arm across midline