Why must you protract the scapula before doing upper extremity ROM?
in order to get full ROM
What is the normal humeral-scapular rhythm?
2o humeral 1o scapular rhythm
If the humerus moves through an ARC of 90o, how many degrees must the scapula move?
30o scapula, 60o humerus
Identify two upper extremity movements which are not under voluntary control.
Inferior glide of the glenohumeral joint
AC/SC joint movement
Identify two lower extremity movements which are not under voluntary control
Screw home at knee joint
During knee flexion the patella glides...
During knee extension the patella glides...
If the patient has stricted hip abduction, substitution will be by...
Trunk lateral flexion on the same side
Hip hiking on the same side
Hip lateral rotation
Decreased range in hip extension is substituted for by...
Trunk extension (lumbar)
Anterior pelvic tilt
Decreased forearm spination is substituted for by...
Lateral rotation of glenohumeral joint
The person with restricted glenohumeral range in abduction will substitute by...
Trunk lateral flexion away
The person with restricted glenohumeral range in flexion will substitute by...
A decrease in trunk flexion is substituted for by...
Hip flexion/ anterior pelvic tilt
the body part is positioned in such a way as to stretch a paticular muscle or muscle group. Gravity is often used to assist in the stretch
Stretch with weights
a weight is used to increase the effects of gravity on the muscle stretch - hold for 8 seconds
a partner is used to assist the subject by applying an outside manual force to the body part being stretched - hold 30 seconds
Contract or Hold-relax
a PNF technique where the shortened muscle is taken to its maximal length, the subject maximally isometrically contracts the shortened muscle, the subject then relaxes the muscle and attempts to move the joint into a new range
What must occur in order to stretch a muscle?
about 30 seconds, maybe more for older adults
Why is stretching important?
Normal biomechanics length/tension curve
Can decrease performance (i.e. jumping)
When is stretching important?
After exercise, stretch warm muscles
What are stretching guidelines including intensity, duration, and frequency?
Stretch to discomfort
About 30 seconds (duration)
Depends on pathology - normally, PROM 3-4 times per day (frequency)
Why is the position of the weight or the partner's hand in manual resistance important?
When doing stretching with weights, how do you determine the correct amount of weight to use?
Stretch to discomfort
When performing manual muscle stretching exercises you should...
Go to patient of discomfort
How do you know when to stop stretching?
No more increase ROM
What is the significance of a major decrease in range at the next treatment session?
Have they done their exercise - not doing them, doing it too much, & doing them wrong
How do you maintain the newly gained range of motion?
Home stretching program
stretch muscles in new range (can only pick one - antigonist) - agonist and antigonist