trunk assessment

Question 1

observation

Answer 1

posture and functional movements
* rolling
* dynamic sitting balance
* sit-stand

Question 2

muscle tests

Answer 2

test muscle activity, control and selective movment
* flexors
* side flexors
* rotators
* A/P lateral pelvic tilt,
* bridging
* single leg fall out

Question 3

passive movements

Answer 3

(if high tone expected) - posterior tilt and slump, lateral tilt and elongation, rotation

Question 4

trunk impairment scale Verheden et al 2004

Answer 4

• Assesses static and dynamic sitting balance and trunk coordination in a sitting position

Static subscale:
- (1) ability to maintain a sitting position with feet supported
- (2) while the leg are passively crossed
- (3) when the subject crosses the legs actively

Dynamic subscale - lateral flexion of the trunk; unilateral lifting of the pelvis

Coordination subscale - rotate upper (shoulder girdle) and the lower (pelvis) part of the trunk 6 times

Question 5

treatment

Answer 5

preperation for movement: stretching/lengthening muscles for better segment alignment and activation

fascilitaition of movement to activate muscles- trunk extensors/ side flexors/ rotators, with arm placing/ reaching, stable and unstable surface

functional strengthening of muscles- flexors (abdominals RF and TA), extensors, rotators/ side flexors

Question 6

neuroplastic changes happen when

Answer 6

• intensive and repetitve movement
• optimising normal movement
• treat as early as possible