FM2 - Abdominal section

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  1. What is the purpose of the abdominal section.
    Treat/assess abdominal structures from FM1 in addition to core lumbopelvic core muscles to facilitate neuromuscular and motor control.
  2. What the primary core muscles of the lumbar spine?
    multifidus, deep fibers of psoas, QL
  3. What are the additional core muscles?
    pelvic floor, diaphragm, TrA
  4. What is the FMP sequence to assess lumbopelvic NM and motor control?
    • heel slides (armadillo)
    • pelvic clocks in supine (elvis pelvis)
    • lower trunk rotation (cork screw)
    • bilateral LE flexion (jack knife)
    • unilateral LE rolling (flexion rolling)
    • clocks/hip hinging etc in sitting
  5. What is the assessment sequence for armadillo?
    • 1. Observation:
    • - hooklying into armadillo
    • - legs straight into armadillo
    • - hooklying into armadillo off the surface
    • - legs straight into armadillo off the surface
    • - legs straight into SLR

    • 2. Palpation:
    • - ASIS and PSIS together
    • - bilateral PSIS
    • - L spine

    • 3. Palpation during FMP:
    • - multifidus
    • - TrA
    • - deep fibers of psoas
    • - PF

    • 4. NMR
    • - unilateral hip flexion, prolonged hold. 
    • - abdominal series 

    • 5. HEP
    • - unilateral hip flexion hold. 
    • - abdominal series
    • - cross extension.
  6. What is the sequence for Elvis Pelvis?
    • 1. Observation:
    • - 12/6, diagonals, circular motion; using half foam or disc. 12 is L5 SP. 6 is coccyx.

    • 2. Palpation:
    • - ASIS and ipsilateral 10th rib region

    • 3. Palpation during FMP:
    • - general viscera 
    • - muscles (parapsinals, abdominals, iliacus, psoas, anterior and posterior mm)
    • - lumbar AP from inferior to superior

    • 4. Treatment:
    • use sustained pressure using FMP of Elvis Pelvis with NMR, or progress to the following:
    • - cork screw (for LOWER number dysfunctions)
    • - jack knife (for UPPER number dysfunctions)
  7. What is the sequence for the cork screw?
    • 1. Observation:
    • Feet together
    • Feet apart
    • One leg crossed over
    • In diagonal identified through Elvis Pelvis

    Observe for axial elongation and rotation

    Identify if mechanical, NM or motor control dysfunction

    • 2. Palpation and assessment:
    • treat mechanical dysfunctions with SP

    • 3. NMR:
    • - COI, prolonged hold of segments at ROM of interest
  8. What is the sequence for Jack Knife?
    • 1. Observation:
    • - AROM, with legs resting on PT
    • - PROM, into diagonals identified through Elvis Pelvis

    • 2. Palpation:
    • - psoas
    • - anterior longitudinal ligament
    • - lumbar AP
    • - lumbar discs
    • - anterior sacrum
    • - psoas tendon

    • 3. Treatment:
    • - localize with hip flexion into diagonal, and treat with SP. FMP of knee flex/ext or FMP of resisted LE extension.

    • 4. NMR:
    • - COI and prolonged holds at segments of interest.

    • 5. HEP:
    • - unilateral/bilateral flexion hold. 
    • - cross extension
  9. What is the treatment sequence for flexion rolling?
    1. Observe and palpate for upper and lower trunk core connection. 

    2. Treat with prolonged holds at end flexion ROM, progressed into COI.
  10. What is the sequence for seated abdominal treatment?
    1. Observe and Palpate for folding and lengthening during FMP of:

    • - hip hinging
    • - hip flexion
    • - clocks
Author:
toshimoshi
ID:
315992
Card Set:
FM2 - Abdominal section
Updated:
2016-02-16 22:04:47
Tags:
IPA
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Description:
IPA FM2
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