Stability Lab

Question 1

Lumbar Multifidus Test

Answer 1

Test of ability to codnitvely perform the motor skill of contraction of lumbar multifidus independently from the long ES muscles at each lumbar segment
Palpate muscle segments for symmetry

Question 2

Cue for multifidus

Answer 2

Swell your muscles under my fingers without moving your spine or pelvis
Without moving, tighten your muscles as if you were attempting to tilt your tailbone and draw it upward toward your head

Question 3

Ideal response for mulifidus

Answer 3

Gentle development of deep tension in muscle occuring slowly and gently
Symmetrical
Co-activation with TA
Not superifcial abdominal muscle contraction
No pelvic motion
Hold 10 sec and repeat 10 times

Question 4

Transversus Abdominis Cue

Answer 4

slowly draw in lower abdomen away from the elastic of your pants
slowly pull navel up in towards your back

Question 5

Prone transverse abdominis test with stabilizer

Answer 5

Precision - test of ability to cognitively perform the motor skill of contraction of TA independently from other superficial abdominal muscles

Question 6

How to do Prone TA test with stabilizer

Answer 6

Place it under abdomen, once in place inflate to 70 mmHg
Instruct pt to slowly lift pelvic floor and gradually draw in abdomen to lift the abdominal contents off stabilizer
- Check for substitutions before looking at pressure gauge

Question 7

TA will ___ pressure

Int/Ext/Rectus will ____ pressure of cuff

Answer 7

TA = decrease
Int/Ext/Rectus = increase

Question 8

Exercise goal with stabilizer

Answer 8

Reduce pressure by 4-6 mmHg 10 sec holds, 10 times

Question 9

Lumbopelvic Control Test

Answer 9

Patient lays supne with stabilizer across lumbar region, base at S2
Inflate stabilizer to 40 mmHg - pt is instructed to attempt to maintain this pressure throughout test
Instruct pt to draw up pelvic floor and draw navel inward and upward - maintain this contraction