UE Prescription, Kania Flashcards
static stretchin
stretch held in challenging but comfortable position for 10-30 sec
dynamic stretching
stretch by moving through challenging but comfortable range of motion
10-12 x
more benefits for range of motion and function
passive stretching
using outside assistance to help achieve stretch
like weight, leverage, strap, gravity etc
risk of passive stretching
that external force stronger than muscle flexibility
active stretching
stretching a muscle by contracting muscle in opposition to one being stretched
do not use external device
can be challenging
safer: active or passive stretching
active because force limited to that of the person
Toe lifts good for what conditions
forefoot pronation pes planus plantar fasciitis lower extremity dysfunction strenthens intrinsic muscles of the foot
how to do a tow lift
stand with neutral pelvic rotation (tail tucked) and knees soft so neutral position of femur on tibia
kift heels 1 inch keeping all 10 toes on floor
hold 30 sec
toes that lift up indicated specific muscle dysfunction
passive piriformis stretch
cross foot over opp knee
hold 10-30 sec
active piriformis stretch
cross one foot over opp knee
use opp leg to push ipsi leg cephalad
hold 10-30 sec
pigeon pose affects what muscle
piriformis
explain pigeon pose
flex hip and knee and place leg in front
extend other leg behind
drop torso onto forearms
passive hamstring stretch
stand uprigth and raise leg on object
keep leg straight and toes point up, lead forward with back straight
dynamic hamstring stretches
bend hips to 90 degrees and flex knees
keep pelvis in anterior tilt
extend knees and push ischial tuberosities up to ceiling
active psoas stretch
start kneeling on floor with one leg flexed at knee
invert foot on floor
keep torso erect with neutral pelvic rotation
contract glut max and advance to lunge
describe alpha motor neuron
stretching muscle causes spindle to discharge more= muscle lengthening
contracting muscle causes spindle to be silent (shorteninng)
what sensory organ responds to stretch and contraction
golgi tendon
initiates inhibitory reflex arc to prevent overloading muscle
joint stabilization
stimulating limb flexor and extensor mm
slow twitch fibers
postural oxidative metabolism high capillary density twitch speed slow type I myosin heavy chain
fast twitch fibers
shortening and tightening glycolytic metabolism fatigue rapidly low capillary density twitch speed is fast type II myosin heavy chain
psoas muscle fiber content
type I have large cross sectional area over type II
type I in L1-L4
type II in caudal portion
sumo wrestler exercise
feet 18 " apart flex knees and hips round lumbar spin use glut max to push pubes anteriorly keeping pubes ant extend knees and hips straighten spine by rotating hip joints keep lordotic curve minimal
pelvic clock
using multifides, rotatores, erector spinae move naval to each position
do not use legs to push pelvis
monitor via ASIS
muscle dysfunction in hip
weak glut med and max
tight iliopsoas, rectus femoris, piriformis, adductors and TFL
extends into weak abdominals
tight erector spinae
