Posture, Movement Retraining, and Ergonomic Intervention Flashcards
What is the definition of posture?
The static positioning of various joints and body segments at any given moment
What are 3 positions do you analyze a pt (continuum of analysis)?
-Static posture
-Dynamic posture
-Specific Function or task
What is movement retraining?
The promotion of the maintenance of optimal postures during ADLs, repetitive tasks and athletics
What is the definition of ergonomics?
The study of the interaction between the worker and their work (environment, processes, tasks, tools, equipment)
What is a functional capacity evaluation (FCE)?
- Worker’s comp environment; PT’s try to create work environment
-Set of tests, practices, and observations that determine the ability of pt to function in variety of circumstances
What positions of posture are assessed?
Standing, sitting, sleeping
What is the proper way to lift to care for the back?
-Back Neutral
-Wide base of support
-Load close
-Use legs
-Don’t twist
-Get help
Why lift with the legs?
-More force and power in LE extensors than trunk
-LE joints larger and more stable than spine
-Activity of quads/ITB, glutes leads to better tightening of fascial planes and force transmission through trunk
-Large muscular co-contractions/more GTO activity contributes to better balance
What is needed for proper lifting?
Muscular Strength
Muscular endurance
Joint ROM
Flexibility
What happens when twisting with lifting?
-Asymmetrical load bearing across spine and trunk
-Poor ability to balance
-Slack in overlapping annular rings of disc (more isolated strain patterns)
-Non coupled movement patterns at facets; isolated strain points and facet impingement
What is analyzed in gait/running?
-Patellofemoral tracking
-Supination/pronation of foot
-Limited joint ROM
-Achilles tendinopathies
What does Upper quarter entail? How do you go about fixing the shoulder blades?
-Scapular positioning with GH mobility
-Wall plank position, pull down shoulder blades, and contraction of lower Traps and Serratus Anterior does the pulling
What are the characteristics of proper workstation ergonomics when seated? Standing?
-Seated: Elbows flexed to 100 degrees, knees flexed to 90 degrees, monitor 18-24 inches away from eyes (in line with top of monitor), height of table is 25-30 inches from ground
-Standing: Elbows flexed to 100 degrees, height of table: 38-42 inches, top of monitor is 18-24 inches from level of eyes
-Both: Shoulders flexed, straight back, pelvis in neutral alignment
-Circulation in legs
-Hip, knee, and ankle joints aligned with gravity line
What does the repetitive strain syndrome assessment consist of?
Postural, movement, and ergonomic assessment
What are the 5 characteristics of ergonomics?
Environment, processes, tasks, tools, equipment
