Postural assessment Flashcards

1
Q

a placement of each part of the body in the most appropriate position or a position in which hold their bodies

A

posture

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2
Q

why is posture important

A

it provides stability during muscular activities
forms the basis of movement

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3
Q

a posture achieved when in relaxation form such as sleeping or resting

A

inactive posture

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4
Q

a posture where muscular activities needed it can be in static or dynamic state

A

active posture

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5
Q

different btn static and dynamic posture

A

static is when body is aligned and maintained in certain position while dynamic is when in mvmnt

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6
Q

maintaining the stability of the body as a whole and body segments ‘against gravity’ or mvmnt of other body segments

A

postural control

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7
Q

an efferent answer to afferent impulse

A

reflex

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8
Q

afferent pathway

A

from eyes,the vestibular apparatus and proprioceptive

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9
Q

they are formed by neural network in brainstem and spinal cord

A

integrating centers

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10
Q

efferent pathway

A

alpha motor neurons supply various skeletal muscles

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11
Q

mechanoreceptors

A

muscle spindle and Golgi tendon organ

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12
Q

what does vestibular apparatus consist of

A

semicircular canals [ horizontal, superior and posterior canal] and otoliths

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13
Q

osseous ampulla

A

found at the end of each canal consist of crista ampulla [hairy] for rotational movement

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14
Q

what does utricle and saccule do

A

they provide info about acceleration in which utricle for horizontal and saccule for vertical

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15
Q

a visual sensation which is a righting sensation that enables head and body to restore erection

A

eye

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16
Q

a reflex that corrects orientation of the body and it is initiated by vestibular system

A

labyrinthine righting reflex

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17
Q

a reflex acting to stabilize gaze during head movement with eye mvmnt due activation of vestibular system

A

VOR
vestibular ocular reflex

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18
Q

what makes a body in upright position

A

muscle contractions

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19
Q

which muscles are mostly involved in muscle contractions

A

antigravity muscles
extensors
multipennate eg deltoid
slow twitch
aerobic type

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20
Q

when is a posture considered a good posture

A

when is maximum efficiency with minimum effort

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21
Q

vertical line drawn through the body center of gravity usually 1 to 2 cm anterior to S2

A

gravity line

22
Q

body types

A

ectomorph = skinny, very low-fat mass and taller
mesomorph= normal type
endomorph= fat in excess, hard to drop weight

23
Q

postural assessments methods

A

visual observation
plumbline= determine gravity line in standing position
goniometry
photographic and digitization
radiographic
photogrammetric

24
Q

what is the purpose of plumbline

A

used to determine where gravity line passes in standing position

25
gravity reference points
head = ear lobe shoulder =acromion trunk= midline hip = greater trochanter knee = anterior to midline and posterior to patella ankle = 3 to 3.5 anterior / lateral malleoli
26
postural examination points
lateral posterior anterior
27
pes planus
flat foot low arch foot excessive pronation
28
pes cavus
high arch of foot doesn't flatten with weightbearing
29
Feis line
a line drawn for measuring pes cavus and pes planus
30
genu recurvatum
hyperextended gravitational stress line lies far forward of axis joint
31
why does genu recurvatum occurs
due to; tightness of quadriceps stretched popliteus and hamstring anterior compression shape of tibial plateu
32
flexed knee
plumbline falls posterior to axis line
33
what causes flexed knee
tight hamstring at the knee stretched quads tight gastrocnemius posterior compression force soft tissue limitations
34
anterior pelvic tilt
ASIS lies anterior to pubic symphysis
35
what causes anterior pelvic tilt
increased pelvic inclination tight erector spinae loose iliopsoas loose sartorius
36
posterior pelvic tilt
decrease in pelvic inclination pubis symphysis lies anterior to ASIS
37
Columna vertebralis
kyphosis lordosis swayback flat back kypholordosis
38
lateral postural analysis
foot = pes cavus and planus knee = flexed knee and genu recurvatum pelvis= apt and ppt columna vertebralis shoulder = forward shoulder head = flattened cervical curve and excessive cervical curve and forward head
39
anterior postural analysis
toes = hallux valgus = claw toes and hammer toes knees = external and internal tibial torso = genu varum and valgum hips = asis level and length measurements chest= Harrison groove = pectus exacavatum and cavinatum = barrel chest shoulder= dropped or elevated = clavicle and joint asymmetry elbow= cubitus valgus and varus head and neck = lateral tilt = rotation and mandibular asymmetry
40
lateral deviation of 1st digit of foot
hallux valgus
41
hyperextension of metatarsophalangeal and flexion of proximal interphalangeal associated with pes cavus
claw toes
42
hyperextension of metarsophalangeal and distal interphalangeal and flexion of interphalangeal
hammer toes
43
pectus excavatum
aka funnel chest caved in appearance
44
scoliosis
an abnormal lateral curvature of the spine greater than 10 degrees
45
what does natural curve position act as
act as shock absorber to distribute mechanical stress during movement
46
classification of scoliosis
structural functional location shape size of the curve
47
types of structural scoliosis
idiopathic congenital neuromuscular
48
classification of scoliosis according to shape
c and s
49
scoliosis according to size
mild; cobb angle less than or = to 25 moderate; cobb angle btn 25 and 40 severe
50
what are the factors affecting severity of the curve
Gender severity curve pattern location [thoracic are worse] maturity