postural eval Flashcards
___ rehab uses specific post postural adjustments and exercises, DME, and ergonomics
postural
____ rehab aims to restore ROM, stab/strength, improve flexibility, and retrain proprioception
functional
early mobility benefits may not hold if postural correction isn’t included in tx bc ____ and ____ work together to correct
soft tissue
neuroplasticity
postural issues causing abnormal biomechanics is a classic example of:
structure dictates function
altered biomech, pain syndromes, HA, TMJ, fibromyalgia, bone deform, disc degen, spinal lig hypertrophy, visceral d/o can all be caused by:
abnormal posture
3 effects of abnormal posture in the LUMBAR
hypolordosis/increased stress
fwd displacement over gravity line
flat back syndrome/pain
3 interconnected effects of abnormal posture in the CERVICALS
hyplordosis
pain
AHC -> tension HA
when the CS curve is disrupted via abnorm posture, it shifts the lordosis down into TS and causes
axial pain
3 skull issues that can occur out of abnorm posture
TMJ
tooth wear
craniofacial growth asymmetry
___ stems from back fatigue/weakness syndromes
fibromyalgia
__ ___ such as spur/increased dens occurs at stressed (ape) areas of CS curve, increased weight bearing
-compensatory on the other side
bone deformities
__ & __ __ degen occurs with abnormal posture
disc spinal lig (oss of lig flav 2* to alt kyphosis angle)
3 nervous system issues that alter with abnormal posture
physical function
breathing
hormone production
number of static abnormal postures
128 mil
lateral GLOBAL gravity line goes thru:
EAM ant to ACJ hip jt knee jt ANT to LAT malleoli
CS lordosis, AHC, PHC, ant torso translation, post TT, LS lordosis can all be viewed with a __ view of the pt
lateral
GLOBAL AP gravity line runs through the
glabella frenulum episternal notch xiphoid pubic symph BT MED malleoli
head tilt, shoulder height, torso translation, pelvic translation, knee alignment, feet/ankle alignment can all be seen with a __- view of the PT
A-P
80% of patients ___ while 20% ___
pronate
supinate
if pronation/supination occurs ____, it is more significant
unilaterally
if a pt has one supinating ankle and one pronating ankle, look for
pelvis translation
WNL cs curve angle, measured via xray
-AHC also visualized on xray
35-45*
LS curve angle WNL
50-60*
fergusson’s angle WNL
30-50*
a normal lumbar gravity line falls where on the sacrum
anterior 1/3
