Shared Flashcard Set

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muscle imbalance and Quantitative
Liebenson
20
Medical
Graduate
04/08/2013

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Term
Lower Crossed Syndrome consists of?
Definition
tightness of hip flexors and spinal erectors
inhibition and weakness of the gluteal and abdominal muscles
Term
Muscles prone to tightness/ shortness
Definition
Gastrocs
hip flexors
adductors
hamstrings
erector spinae
Q.Lumborum
Piriformis
Upper Traps
Levator Scap
SCM
Term
Muscles prone to weakness/inhibition
Definition
Tib anterior
Vasus medialis
Glute Med and Min
Abdominals
Lower and middle trap
serratus anterior
deep neck flexors
scalenes
U.E extenosrs
Term
How would you evaluate tightness of levator scap?
Definition
Head flexed and rotated towards the contralateral side
Check for an abrupt end feel
Term
How would you evaluate tightness of Upper trap?
Definition
Head flexed and rotated towards the ipsilateral side
Check for an abrupt end feel
Term
How would you evaluate tightness of pectoralis
Definition
patient supine trunk stabilized arm abducted, it should reach horizontal level,
for clavicular portion arm is allowed to drop to the side.
examiner applies pressure to
slight soft barrier normal
Term
How would you evaluate tightness of deep posterior neck muscles
Definition
Can only be tested through palpation
Term
How would you evaluate tightness of hip flexors
Definition
modified thomas
also tests TFL and adductors
Term
How do we evaluate for Inhibited muscles?
Definition
through the quality of the movement, not focused on strength but more on sequencing(initiation)
Term
What six basic movement patterns provide overall information quality of a particular subject per liebenson?
Definition
Hip extension
Hip abduction
Curl up
Push Up
Neck flexion
Shoulder abduction
Term
What is the most important phase of the Gait cycle according to C.L.?
Definition
Hip extension, we analyze it in the prone position(Janda's)
Term
What are 2 anterior thigh muscles that can influence the lumbopelvic posture?
Definition
TFL
Rectus femoris
Term
What is the "continuum of care" according to C.L.?
Definition
Inhibit-foam roll, MFTP,
Facilitate-PFS
Mobilize-manipulate, mobility work
Term
How we quantify Squat endurance?
Definition
Repetitive squat test
Static Squat test
Term
How would you administer the repetitive squat test?
Definition
patient squats until thighs are parallel
2 to 3 sec. per rep.
continue until unable or 50 reps.
Term
How would you administer the static squat test?
Definition
Head shoulders and buttocks against a wall. Triple flexion at hip, knee and ankle.
Terminate if;
not able to assume position
unable to continue
Record time and compare to normative
Term
How do you quantify trunk flexor endurance?
Definition
Repetitive curl up
Isometric trunk flexor endurance
(know how to perform, pg 243 C.L.)
Term
How would you administer the Abdominal hollowing test?
Definition
Pt prone
Cuff or chatanooga device under abdomen at naval, set to 70mm/mg
instruct patient to brace with shallow breaths
instruct patient to brace for 10 sec.
fail if more than 10mm/mg decline in cuff pressure or more than 4 mm/mg drop in cuff pressure for the 10 sec hold
(C.Ll. pg 250)
Term
What protocol would you utilize in a patient with altered breathing patterns?
Definition
Supine, seated and standing in a mirror with and without bracing
Low,slow breathing focused on;
-lengthening the exhale
-relaxation so it originates from the lower abdomen
-8 sec exhale/3 sec inhale
-2x's per day 10-20 breaths
Term
What are some indications for sensory motor stimulation.
Definition
Good for chronic LBP
-improves muscle coordination
-improves motor programming
Good for unstable ankles
-improves sensory motor amnesia
Hypermobility
certain Neurological conditions
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