Muscles Flashcards

1
Q

Patterns of muscular imbalance (tightness/weakness) can impact…

A

joint motion, stability, posture, etc.

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2
Q

What is isometric contraction?

A

No movement takes place, load on the muscle exceeds the tension generated by the contracting muscle

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3
Q

What is concentric contraction?

A

Muscle shortens against an opposing load

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4
Q

What is eccentric contraction?

A

Muscle lengthens as it resists a load

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5
Q

Initiation of movement involves what type of muscle contraction?

A

Concentric contraction; origin and insertion approximate during contraction

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6
Q

Control of movement involves what type of muscle contraction?

A

Eccentric contraction; origin and insertion separate during contraction

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7
Q

Which muscles initiate extension from upright position?

A

Erector spinae

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8
Q

Which muscle control extension from upright position?

A

Abdominals

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9
Q

What are the limitations of extension from upright position?

A
  • Bony impaction (SPs, facets)
  • Smaller contribution from ligaments (ALL, anterior annulus)
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10
Q

Which muscles initiate flexion from upright position?

A

Iliopsoas (when femur is fixed)
Abdominals (if pelvis is fixed, as in a sit up from supine)

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11
Q

Which muscles control flexion from upright position?

A

Mostly gluteus maximus and hamstrings early, then after 60 degrees, erector spinae primarily (until 90 degrees)

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12
Q

What are the limitations of flexion from upright position?

A
  • Facet joints and capsule
  • Disc and ligaments (LF, PLL, interspinous ligaments)
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13
Q

What muscle initiates lateral flexion from upright?

A

Ipsilateral quadratus lumborum

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14
Q

What muscles control lateral flexion from upright?

A

Contralateral quadratus lumborum and contralateral psoas major

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15
Q

What are the limitations of lateral flexion from upright?

A
  • Ipsilateral facet impaction
  • Contralateral facet capsule
  • Lumbar facets
  • Intertransverse ligaments
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16
Q

What muscles initiate rotation?

A

Concentric contraction of contralateral external abdominal obliques, multifidi, and rotatores

17
Q

What muscles control rotation?

A

Eccentric contraction of ipsilateral multifidi and rotatores

18
Q

What are the limitations of rotation?

A
  • Shape and orientation of facets, facet capsules, and interspinous ligaments
  • Disc (annulus)
19
Q

What is an agonist?

A

Muscle that is the prime mover

20
Q

What is an antagonist?

A

Stabilizer, allows extremity to return to normal position

21
Q

What is a synergists?

A

Help agonists with desired motion

22
Q

What is a stabilizer?

A

Maintain body position to allow motion to occur

23
Q

What are four examples of agonist/antagonist pairs?

A
  • Biceps/triceps
  • Abdominals/spinal erectors
  • Quadriceps/hamstrings
  • Grastrocnemius/tibialis anterior
24
Q

What is Sherrington’s law?

A

“Law of reciprocal inhibition”
When contraction of a muscle is stimulated there is simultaneous inhibition of its antagonist

25
Q

How do agonist/antagonist pairs often present clinically?

A

Patterns of over/under activation create faulty movement patterns

26
Q

Some muscles tend toward hyperactivity/hypertonicity, others toward…

A

inhibition/hypotonicity

27
Q

Both hyperactivity/hypertonicity and inhibition/hypotonicity can be caused by…

A

repetitive use, stress, neurological coordination, postural strain, trauma, etc.

28
Q

If muscle imbalance is not addressed, what is likely to happen?

A

Self-perpetuating, will continue to progress if not addressed

29
Q

Muscle imbalance can in turn affect…

A

joint movement

30
Q

Describe patterns of hypertonicity

A

Varies between patients
Patterns are common based on typical movement/positional stresses in most patient populations BUT may differ based on specific activities

31
Q

How is muscle tone determined?

A
  • Ability of the muscle to lengthen (movement based assessment)
  • Deformation of the muscle at rest
32
Q

What is normal muscle tone?

A
  • Relative not absolute
  • Compare side to side
  • Compare agonist/antagonist
33
Q

What is a myofascial trigger point?

A

A focus of hyperirritability in muscular or fascial tissue.
When compressed, it is locally tender, and gives rise to referred pain and tenderness.