ClinKinesExam1

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kdarnell
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84770
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ClinKinesExam1
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2011-05-09 13:54:48
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  1. what is ideal posture?
    ideal alignment, balance between length and strengt

    energy efficient
  2. where does the line of gravity pass thru and what type of rotation does it cause?

    head
    passes thru external auditory meatus


    produces flexion
  3. where does the line of gravity pass thru and what type of rotation does it cause?

    neck
    passes thru the cervical bodies


    produces flexion
  4. where does the line of gravity pass thru and what type of rotation does it cause?

    shoulder
    bissects tip of acromion

    no rotational influence
  5. where does the line of gravity pass thru and what type of rotation does it cause?

    trunk
    midway thru trunk

    causes flexion (thoracic)
  6. where does the line of gravity pass thru and what type of rotation does it cause?

    hip
    thru greater trochanter

    causes extension
  7. where does the line of gravity pass thru and what type of rotation does it cause?

    knee
    slightly anterior to midline of patella

    hyperextend
  8. where does the line of gravity pass thru and what type of rotation does it cause?

    ankle/foot
    slightly anterior to lateral malleolus

    causes dorsiflexion
  9. what are the normal curves of the spine?

    cervical, thoracic, lumbar
    cervical (lordosis)

    thoracic (kyphosis)

    lumbar (lordosis)
  10. what is ideal pelvic alignment?
    iliac crests even

    ASIS horizontal line within 15d lower than PSIS
  11. ASIS in relation to PSIS

    more than 15d =

    less than 15d =
    more than 15d anterior pelvic tilt (hip flex)

    less than 15d posterior pelvic tilt (hip ext)
  12. what does bad or faulty posture do to the body?
    creates increased stress on joints

    can lead to pain or disability
  13. what are some possible causes of faulty posture?
    repeated movements (ADLs, work recreation)

    sustained postures (prolonged sitting, biking long distances)
  14. what is genu varum?
    MR of femur

    hyperextension of knees

    pronation of foot
  15. what is genu valgum?
    LR of femurs

    hyperextension of knees

    supination of foot
  16. how does R handed posture present?
    Right shoulder lower

    Right hip higher

    Left foot more pronated
  17. in Right handed posture which muscles are short/strong?
    • R lateral trunk muscle
    • L hip abductors
    • R hip adductors
    • L fib longus/brevis
    • R tib posterior
    • R flexor hallucis longus
    • R flexor digitorum longus
    • L TFL
    • R inverters
    • L everters
  18. in Right handed posture which muscles are long/weak?
    • L lateral trunk muscles
    • R hip abductors
    • L hip adductors
    • R fib longus/brevis
    • L tib posterior
    • L flexor hallucis longus
    • L flexor digitorum longus
    • R everters
    • L inverters
  19. how does kyphosis/lordosis posture present?
    forward head

    kyphosis/lordosis

    anterior pelvic tilt

    hips flexed

    knees hyperext

    ankle PF
  20. what muscles are long in kyphosis/lordosis posture? short?
    long- neck flex, upper back erector spinae, external oblique, hamstrings (long but not weak)

    short-neck extensors, hip flexors, lower erector spinae strong
  21. how does lordosis posture present?
    anterior pelvic tilt

    high and marked lordosis

    anterior deviation from plumb line

    anterior pelvic tilt/lordosis
  22. what muscles are short in lordosis posture? long?
    short-low back extensors, hip flexors

    long-anterior abs, hamstrings (may not be weak)
  23. how does sway back posture present?
    forward head

    long kyphosis

    flat lumbar

    posterior pelvic tilt

    hip hyperext

    knee hyperext

    ankle neutral secondary to anterior deviation of pelvis/thighs
  24. what muscles are long in sway back posture? short?
    long-1 jt hip flexors, external oblique, upper back extensors, neck flexors

    short-internal oblique, hamstrings, low back muscles are strong
  25. how does flat back posture present?
    forward head

    flexion of thoracic region

    posterior pelvic tilt

    hip extension

    knee hyperext

    ankle slight PF
  26. what muscles are long in flat back posture? short?
    long-1 jt hip flexors

    short-hamstrings, abs
  27. patient presents with weak middle and lower trap and short pec and lat during exam.

    what postural deviation might you see?
    forward shoulders

    possible thoracic kyphosis

    scapula may be winged or abducted
  28. patient presents with weak neck flexors and short upper traps and neck extensors on exam

    what postural deviation might you see?
    forward head with cervical hyperextension
  29. patient presents with weak external obliques and iliopsoas and short upper abs and hamstrings on exam

    what postural deviation might you see?
    posterior pelvic tilt
  30. what are common muscle group that develop stretch weakness?
    • neck flexors
    • middle and lower traps
    • upper erector spinae
    • lower abs
    • post glute med
  31. what type of postural deviation is seen with weak abs, short ilipsoas, and short back extensors?
    lordosis
  32. what type of postural deviation is seen with weak glute med on the left and weak hip adductors on the right? short lateral trunk flexors on the L and short hip adductors on the L?
    L hip high, pelvic tilt
  33. what type of postural deviation do you see when:

    weak on right: fib longus/brevis, extensor hallucis longus, extensor digitorum longus

    strong on right: tibialis posterior, flexor hallucis longus, flexor digitorum longus
    supinated foot on right
  34. describe muscle imbalances you may see with postural genu varus
    weak: LR of hip, popliteus, tib post, flexor digitorum longus, flexor hallucis longus

    short: MR of hip, quads, fib longus/brevis
  35. what muscle imbalances might you see with right thoracic, left lumbar scoliotic curve?
    weak: right upper erector, left lower erector

    short: left upper erector, right lower erector
  36. what muscle imbalances might you see with structural genu valgus
    long: medial knee joint structures (adductors, sartorius)

    short: lateral knee joint structures (TFL-ITB, glute max)
  37. what muscle imbalances might you see with forward shoulders with thoracic kyphosis with scapular winging of the inferior angle of the scapula?
    weak: middle and lower trap, upper erector spinae

    strong: pec major/minor, lats possibly the serratus

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