OSPE Passive Stretches

Question 1

What is the technique of passive movements?

Answer 1

Hold Stretch for 30-60 Seconds and repeat x3 times
Stretch slowly - slow and controlled movement until stretched position is reached

Question 2

What are the principles of stretching?

Answer 2

warm up before Stretching
Stretch before and after exercise
Stretch gently and slowly
Stretch to the point of tension but not pain

Question 3

Upper Trapezius Muscle (Right)

Answer 3

Back lying,head a bit off plinth in physio’s hand
→ Head and neck freked - latelal fIexison (left)
→ Rotation to the right (Ipsilaterally)
→Stabalize shoulder girdle and trunk with right arm

Question 4

Middle Trapezius (right)

Answer 4

Back lying or side lying,pillow below head
→ Arm horizontally flexed - to protract the scapula
→ PT assists by curling fingertips around medial border of scapula and pulling

Question 5

Lower Trapezius Muscle (right)

Answer 5

Back lying or side lying, pillow below head
→ Horizontal flexion but arm going in an upwards direction
→ to protract and elevate the scapula

Question 6

Rhomboids Muscle (right)

Answer 6

Back lying (supine)
→ arm in horizontal flexion
→ P T assit scapular protraction and depression by curling fingers around medial border and pulling arm horizontally and a bit downwards

Question 7

Levator scapulae (right)

Answer 7

Back lying,head off plinth in physio’s hand
→ Neck is flexed,laterally flexed (left)
→ Rotation to the left (contralaterally)
→ Stabalice shoulder girdle and trunk with your arm

Question 8

Pectoralis Major (Sternal head)

Answer 8

Back lying,pillow under head - laying towards the edge
→ abduction of shoulder up to 120° with lateral rotation
→ Elbow, wrist and fingers in extension
→ Forearm in supination
→ Stabilize trunk on opposite side

Question 9

Pectoralis Major (claviculor head)

Answer 9

Back lying,pillow under head - laying toward the edge
→ abduct shoulder up to 90° with lateral rotation
→ Elbow, wrist and fingers in extension
→ forearm in supination
→ Stabilize trunk on opposite side

Question 10

Pectoralis Minor

Answer 10

Back lying,head on pillow
→ push the shoulders down into the bed in the direction of retraction

Question 11

Sternocleidomastoid (SCM) (right)

Answer 11

supine, head off plinth a bit and held by physio
→ left horizontal flexion of H and N
→ Rotation to the right (H and N)
→ extend lower neck but tuck the chin

Question 12

Scalene (right)

Answer 12

Supine,head off plinth in physio’s hand
→ Extension of neck
→ left lateral flexion
→ Rotate neck to the right

Question 13

Biceps brackii

Answer 13

Back lying
→ Extension of elbow
→ pronation and shoulder extension
→ Stabalice shoulder with one hand
→ other hand pulls on forearm to increase shoulder extension

Question 14

Triceps brachii

Answer 14

supine
→ shoulder flexion with elbow in flexion
→ PT increases stretch while maintaining elbow flexion

Question 15

Flexors of the fingers

Answer 15

Back lying - half lying - sitting
→ supination and extension of wrist and fingers

Question 16

Flexors of the forearm

Answer 16

Back lying - half lying - sitting
> forearm in supination
> elbow and wrist extension
> arm as close as possible to the side of the body
> fingers not in extension
> PT Stabalice arm, pillow under elbow to keep extension

Question 17

Stretch of extensor group

Answer 17

> Do flexion and ulnar deviation with wrist flexion of R hand
Therapist Stabilize patients forearm and anon pillow to maintain elbow extension

Question 18

Latissimus Dorsi (right)

Answer 18

Side lying
→ PT pulls arm into shoulder flexion
→ latered rotation
→ Horizontal flexion across the body over the head

Question 19

Quadratus Lumborum

Answer 19

side lying
→ Top leg hanging off bed
→ behind the patient PT push down on distal lateral thigh of R leg and upwards on the thorax

Question 20

Illiopsoas

Answer 20

side lying,with bottom leg flexed
→extension of the hip with knee in extension
→ Stabalize the pelvis
OR
Back lying,legs of the bed
→ Bend Left hip
→push down R hip down into extension

Question 21

Gluteus Maximus Stretch

Answer 21

Back lying
→ flex R hip up towards the chest
→ knee in flexion
→ If you bring the hip straight upto the same side shoulder (lower fibers)
→ If you bring the hip up to the opposite side shoulder (upper fibers)

Question 22

Gluteus Medius and Minimus Stretch

Answer 22

side lying
→ abduct the hip behind the bottom leg
→ Stabalice the pelvis

Question 23

Piriformis Stretch

Answer 23

Back lying
→ hip flexed
→Abduction
→ laterally rotated

Question 24

Hamstrings

Answer 24

Back lying
→ flexion of hip with knee in extension

Question 25

Tenso Fasciae latae Stretch

Answer 25

side lying → upper leg in extension → adduction and lateral rotation of hip → stabalice pelvis to prevent depression

Question 26

Rectus Femoris Stretch

Answer 26

side lying with bottom leg Hexed → extension of the hip with knee in flexion → stabilize pelvis OR Back lying, leg over side of bed → knee inflexion → push hip into extension → Stabalice opposite hip

Question 27

Adductor Stretch

Answer 27

Back lying → hip abducted and laterally rotated → knee inflexion → push down on the thigh and upwards on the foot → Stabilize the opposite hip

Question 28

Gastrocnemius Stretch

Answer 28

Supine → Dorsiflexion of the ankle with the knee in extension → pull on the heel and not push on the foot

Question 29

Soleus Muscle stretch

Answer 29

Supine → Dorsiflexion of the ankle with the knee in flexion → put on the heel and not push on the foot

Question 30

Flexors of the toes

Answer 30

Buck lying → extension of the toes and dorsiflexion of the ankle