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
Q

gravity reference points

A

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
Q

postural examination points

A

lateral
posterior
anterior

27
Q

pes planus

A

flat foot
low arch foot
excessive pronation

28
Q

pes cavus

A

high arch of foot
doesn’t flatten with weightbearing

29
Q

Feis line

A

a line drawn for measuring pes cavus and pes planus

30
Q

genu recurvatum

A

hyperextended
gravitational stress line lies far forward of axis joint

31
Q

why does genu recurvatum occurs

A

due to; tightness of quadriceps
stretched popliteus and hamstring
anterior compression
shape of tibial plateu

32
Q

flexed knee

A

plumbline falls posterior to axis line

33
Q

what causes flexed knee

A

tight hamstring at the knee
stretched quads
tight gastrocnemius
posterior compression force
soft tissue limitations

34
Q

anterior pelvic tilt

A

ASIS lies anterior to pubic symphysis

35
Q

what causes anterior pelvic tilt

A

increased pelvic inclination
tight erector spinae
loose iliopsoas
loose sartorius

36
Q

posterior pelvic tilt

A

decrease in pelvic inclination
pubis symphysis lies anterior to ASIS

37
Q

Columna vertebralis

A

kyphosis
lordosis
swayback
flat back
kypholordosis

38
Q

lateral postural analysis

A

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
Q

anterior postural analysis

A

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
Q

lateral deviation of 1st digit of foot

A

hallux valgus

41
Q

hyperextension of metatarsophalangeal and flexion of proximal interphalangeal associated with pes cavus

A

claw toes

42
Q

hyperextension of metarsophalangeal and distal interphalangeal and flexion of interphalangeal

A

hammer toes

43
Q

pectus excavatum

A

aka funnel chest
caved in appearance

44
Q

scoliosis

A

an abnormal lateral curvature of the spine greater than 10 degrees

45
Q

what does natural curve position act as

A

act as shock absorber to distribute mechanical stress during movement

46
Q

classification of scoliosis

A

structural
functional
location
shape
size of the curve

47
Q

types of structural scoliosis

A

idiopathic
congenital
neuromuscular

48
Q

classification of scoliosis according to shape

A

c and s

49
Q

scoliosis according to size

A

mild; cobb angle less than or = to 25
moderate; cobb angle btn 25 and 40
severe

50
Q

what are the factors affecting severity of the curve

A

Gender
severity
curve pattern
location [thoracic are worse]
maturity