Postural Deviations Flashcards

1
Q

Plumb line assessment is utilize to determine

A

whether points of reference of the individual have the same alignment as those in standard posture

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2
Q

At the side view the plumb line is aligned

A

Anterior to lateral malleolus

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3
Q

From posterior view, the plumb line is aligned

A

Equidistant from each heel

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4
Q

In handedness posture, the dominant shoulder is _________ , dominate hip is __________ , non dominate foot is __________ and spine deviates to the ______________ side

A

Lower
Higher
Pronated
Non dominate

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5
Q

Describe what you would see in a kyphosis-lordotic posture

A
Head: forward
C-spine: hyperextended 
Scapulae: abducted 
T-spine: increased flexion
kyphosis
L-spine: increased extension lordosis
Pelvis: anterior tilt
Hip: flexed
Knee: slight hyperextension 
Ankle: slight plantarflexion
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6
Q

What muscles would be elongated in the kyphosis-lordotic posture

A

Cervical flexors
Middle/lower trap & rhomboids
Thoracic erector spinae
External oblique

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7
Q

What muscles shorten in a kyphosis-lordotic posture

A

Neck extensors
Hip flexors
Lumbar extensors

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8
Q

What would you see in flat back posture

A
Head: forward
C-spine: slightly extended
 T-spine:
upper- increased flexion
lower - decreased flexion/straight 
L-spine: straight/increased flexion 
Pelvis: posterior tilt
Hip: extended
Knee: extended
Ankle: slight plantarflexion
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9
Q

What muscles are elongated in flat back posture

A

Hip flexors

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10
Q

What muscles are shortened in flat back posture

A

Hamstrings

Abdominals

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11
Q

What would you see in a sway back posture?

A
-  Head: forward
• C-spine: slightly extended
• T-spine: increased flexion, posterior displacement
• L-spine: straight/increased flexion
• Pelvis: posterior tilt
• Hip: hyperextended, anterior displacement
• Knee: hyperextended
• Ankle: neutral
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12
Q

What muscles are elongated with sway back posture

A

Hip flexors
External oblique
Thoracic erector spinae
Cervical flexors

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13
Q

What muscles are shortened in a sway back posture?

A

Hamstrings

Upper abdominals

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14
Q

What is flexed knee posture

A

LoG passes posterior to the knee jt which creates an external flexion moment at the knee which must be balanced by an internal extension moment created by the quads

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15
Q

How does forward knee posture cause more fatigue of the quad

A

30 degrees of flexion requires 51% of MVC of the quads to maintain erect posture

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16
Q

When the LOG is considerably anterior to the knee jt axis what do we see?

A

Hyperextended knee (genu recurvatum) because on the increased external extensor moment

17
Q

LOG at greater distance from lumbar joint axes resulting in increased extension moment
This creates an excessive __________
What does this do in the lumbar spine?

A

Anterior pelvic tilt

-   Forces lower lumbar vertebrae
anterior
• Upper lumbar vertebrae move
posterior to keep head over sacrum
• Increases lordotic curve
18
Q

Increased cervical lordosis > LOG is anterior to cervical joint axes resulting in flexion moment, causing what posture? This requires what compensation?

A

Forward head posture

Req constant isometric muscle tension

19
Q

During pes planus, there is increased calcaneal _________ causing a reduced or absent ______ arch

A

Eversion

Medial

20
Q

Pes cavus is characterized by a _______ arch. This is a more ________ foot position but is a poor _____________

A

High
Stable
Shock absorber

21
Q

In pes cavus, the wt bearing portion of the foot is…

A

More lateral

22
Q

Deviations to scapula position include

A

Protracted and slightly elevated

Depressed and abducted

Elevated and retracted

23
Q

Scoliosis is a

A

Lateral spine curvature

24
Q

Scoliosis curves are named according to…

A

Direction of convexity and location of the curve

25
Q

Scoliosis screenings are designed to identify

A

Unequal waist angles, unequal shoulder levels/scapulae, rib hump or obvious lateral curvature

26
Q

Excessive genu valgum is

A

“Knock knee”

Lateral compression and medial tension/distraction
Often results in pronation at the foot

27
Q

Genu varum is

A

“Bow leg”

Medial compression and lateral tension/distraction

28
Q

What may happen at the patella during genu varum

A

May be displaced medially