Muscles of Respiration Flashcards

1
Q

The diaphragm ___ the lower ribs when abdominal viscera blocks further decent

A

elevated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The diaphragm is innervated by

A

Phrenic nerve C3-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The scalenes stabilizes and elevates __
Scalenes are innervated by __

A

Ribs 1 and 2
C3-8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The external intercostals stabilize the ___ and increase ___ of the ____

A

rib cage and rigidity of intercostal spaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

external intercostals are innervated by

A

T1-T11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the primary muscles of inspiration?

A

Diaphragm
Scalenes
External intercostals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the accessory muscles of inhalation

A

SCM
Serratus Anterior
Pecs
Levator Costorum
Serratus posterior superior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the function of the accessor muscles of inhalation?
(Except SCM what is that guys job)

A

rib elevation
SCM: elevates sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the stabilizing and supporting muscles

A

Trap
Erector Spinae
Levator Scap
Rhomboids
Abdominals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does the trap stabilize?

A

head, neck, and scap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does the erector spinae stabilize

A

neck, extended trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does the levator scap and rhomboids stabilize?

A

the scap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what does the abdominals stabilize and support

A

abdominal viscera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What muscles do forced exhalation
Whats the innervation?

A

Abs
T6 - L1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the secondary muscles for forced exhalation or cough?

A

Pec Major
Intercostals
Serratus posterior inferior
Quadratus lumborum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What muscles are going to depress lower ribs

A

serratus posterior and QL

17
Q

What muscle is going to depress sternum and upper rib with cough

A

Pec major

18
Q

SCI C1- C2
what motions are impaired?
Ins:
Exp:

A

all 3 motions are impaired, vent dependent
no insp or exp

19
Q

SCI C3 - C3
what motions are impaired? vital capacity?
Ins:
Exp:

A

all 3 motions impaired
C4 vital capacity 24% of norm
insp: have partial accessory muscles
exp: no secondary, only passive

20
Q

SCI C5- C8
what motions are impaired?
Ins:
Exp:

A

2 motions impaired (anterior, lateral)
C4 vital capacity 30% of normal
insp: diaphragm intact, above clavicle intact, pec partial
exp: no secondary only passive

21
Q

what levels would you be teaching airway clearance or self-assist cough to

A

up to T11 because thats when abs come back

22
Q

SCI T1-T5
what motions are impaired?
Ins:
Exp:

A

lateral motion impaired
insp: serrates, scalenes, and diaphragm intact (normal inspiration)
exp: maybe partial intercostals

23
Q

SCI T6 - T12
what motions are impaired?
Ins:
Exp:

A

lateral motion improving
significantly improved cough
exp: some partial abs partial intercostals

24
Q

What is the origin and insertion of the diaphragm

A

origin: L1 -L3 vertebrae, xyphoid, lower 4 ribs, lower 6 costal cartilage
insertion: central tendon

25
Q

serrates anterior: ribs __

A

1-9

26
Q

pec minor: ribs ___

A

3-5

27
Q

pec major: ribs __

A

1-6

28
Q

levator costorum: ribs __

A

2-12

29
Q

serratus posterior superior: ribs__

A

2-4

30
Q

exercises for diaphragm

A

belted breathing on inspiration
resistance in supine on diaphragm during inspiration

31
Q

what will stretch levator costorum

A

side bending

32
Q

stretch and strengthen serrates posterior superior

A

stretch: self hug
strengthen: proper posture, open chest fly

33
Q

stretch and strengthen trap

A

stretch: lateral neck flexion, bring shoulders forward holding onto knee, reach to opposite knee
strengthen: shrug, Ts, bent over Ys

34
Q

levator scap stretch and strength

A

stretch: sniff pit
strengthen: shoulder shrug, rolls

35
Q

abs stretch and strength

A

stretch: upward dog, thoracic extension
strength: blow into balloon, resisted breathing

36
Q

transverse abd stretch and strengthen

A

stretch: mermaid, trunk rotations
strengthen: dead bugs, pull belly button to spine

37
Q

internal intercostals strengthening

A

breath through balloon
forced exhalation