UQ Final Exam Flashcards
Lordotic Posture
-lordotic with kyphosis
-increased lumbosacral angle
-forward head
-abducted scaps
-kyphotic thoracic
-hyperextended lumbar
-Hips flexed
-anterior pelvic tilt
-hyperextended knees
-Short/tight: low back, hip flexors, neck extensors
-Weak/lengthened: abs, erectors, upper back, hamstrings
Swayback Posture
-lordotic with kyphosis
-flat lumbar spine
-forward head
-winged scaps
-kyphotic thoracic
-flat lumbar
-Hips hyperextended
-posterior pelvic tilt
-hyperextended knees
-Weak/Lengthedt: upper back extensors, hip flexors, neck flexors, ex obliques
-Short/tight: internal oblique, erectors, low back, hamstrings
Flatback Posture
-decreased lumbosacral angle
-forward head
-flat thoracic
-flat lumbar
-Hips extended
-posterior pelvic tilt
-extended knees
-Short/tight: abs, hamstrings
-Weak/lengthened: hip flexors
Rib Quadrants
- Upper Chest and sternal ribs
- Lower chest annd Lower ribs
- Upper back and space btwn shoulders
- Lower back and lower ribcage
Shoulder ER at Side (<90)
-upper back evaluation
- Pt in supine w/ elbow at 90, shoulder at side
- Let arm go into ER
-Normal is 60, if can’t achieve, limited in upper back/ST joint
Tx:
-crime scene
Shoulder ER at 90
-lower chest evaluation
- Pt in supine at 90/90
- Let arm fall into ER
-Normal is 90, if can’t achieve, lower chest limited
Tx:
-swiss ball behind head
Reaching Behind Upper Back
-lower back
-GH: ABD, FLX, ER
- Pt looks straight ahead
- Tell to reach to contra scapula
-Can’t? Limited in low back or ribcage
Tx:
-crocodile breathinng
Reaching Behind Lower Back
-Upper chest
-GH: IR, EXT,
- Reach behind back to touch contra scapula
-Can’t? Limited in upper chest
Tx:
-swiss ball with hands down
Thoracic Extension AROM
-assess T5 and below (T1-T3 are functionally C-spine)
-Long sit w/ arms crosses above head
Thoracic Flexion AROM
-perform cervical flexion and have them slouch upper back
Thoracic Rotation AROM
-most rotation @ T5-T8
Thoracic Side-Bending AROM
-hands behind head and side bend
Large Infrasternal Angle
->100 deg
-tight IOb
-have more posterior expansion
-lumbar lordosis and thoracic kyphosis common
Tx:
-need anterior expansion in upper chest
-downward wall reach
Small Infrasternal Angle
-<90 deg
-tight ExOb
- have more anterior expansion
-flatback posture
Tx:
-need posterior rib expansion
-in quadruped
Rib Mobility during Breathing
-@ 4th intercostal space
-Shoulder increase 2-5 inches (5-12cm)
T-Spine and Arm Motion
Unilateral: T-spine ipsi rotation
Bilateral: T-spine Ext
T-Spine Stretching Exercises
-Extension over chair or Foam roller (foam roller to block L-spine)
-Prayer stretch (lats too, breathe into it)
-Cat/cow
-Thread the needle
Rib Expansion Exercises
-Crime scene pose (upper back restriction)
-Swiss Ball ext arms behind head (lower chest restriction/tight ExOb)
-Swiss ball ext arms down (upper chest restriction)
-Crocodile Breathing (lower back/ribs and front upper chest restriction)
-Sidelying Expansion (QL and lateral ribs)
-Anterior Rib Expansion
Thoracic Flexion Exercises
-Assisted (Theraband)
-Segmental Flexion
Thoracic Rotation Exercises
-Open Books
-Thread the needle
-Wall Windmill
Rule of 3s
T1-T3: SP at same level
T4-T6: SP 1/2 level under
T7-T9: SP 1 level under
T10-T12: Same Level
Sternum
-Sternal notch at T2/T3
-Xiphoid process T9-T10
Ribs
-1-7 true ribs, 8-10 false ribs, 11-12 floating ribs
-Superior rib facets attached to superior vertebral body
-1, 10, 11, 12 atypical with only 1 facet
-T1 and T2 attach to 2nd rib
Facet Joints
-60 degrees
-allows rotation