Tunnell Midterm - Posture

Front 1

T/F changes in mm. like spasm or inhibition(weakness) are secondary to joint dysfxn

Back 1

true

Front 2

lack of adequate motor facilitation leads to?

Back 2

- muscle inhibition
- poorer quality of motor performance
- poor posture control

Front 3

how do mm. respond to muscle inhibition, poorer quality of motor performance, poor posture control?

Back 3

by developing
- trigger pts
- muscle imbalances
- altered mvmt patterns

Front 4

what are some changes indicative of muscle dysfxn?

Back 4

- tightness/hypertrophy
- weakness/inhibition
- imbalance b/w opposing mm. groups
- poor joint stabilization
- predominance of mechanically stressful mvmt patterns

Front 5

STEP 1: POSTERIOR BODY
Pelvis
what are some posterior pelvic findings?

Back 5

pelvis is the first sign of postural and mm. imbalance
1-anteroposterior tilt
2- lateral shift
3- pelvic obliquity

Front 6

what are 5 things that would contribute to a anterior tilted pelvis?

Back 6

- increased lumbar lordosis
- tight hip flexors
- protruding stomach
- weak glut mm.
- tight lumbar erectae

Front 7

what mm. contributes to posterior tilt?

Back 7

- tight hamstrings

Front 8

what is seen with a right lateral shift?

Back 8

right hip is adducted
left hip is abducted

right adductors are tight
right abductors (TFL) are weak

Front 9

what else can contribute to lateral pelvic shift?

Back 9

- weakness of the lateral pelvic stabilizers(glut med, min)

- leg length inequality

Front 10

what mm. can fxnally shorten a leg?

Back 10

1 jt hip adductors:
- pectineus
- adductor brevis
- adductor longus
- adductor magnus

iliopsoas
quadratus lumborum
shortened latissimus dorsi

Front 11

what piriformis is tight how is leg length?

Back 11

longer(though makes no sense)

Front 12

Buttock
what is seen with glut max weakness/inhibition d/t tight hip flexors?

Back 12

flattening of outer upper quadrant/loosely hanging appearance
- hamstrings are hypertrophied

Front 13

when you have SI jt dysfxn, what muscle changes are seen?

Back 13

- there's arthrogenic inhibition of the glut max on the affected side and inhibition of glut med on the other side

Front 14

Lower Extremity
how should normal contour of inner thigh be? heels?

Back 14

- shallow S-shaped curve
- heels rounded and symmetrical

Front 15

what do u see when have tight 1jt hip adductors?

Back 15

increase in muscle bulk in upper 1/3 inner thigh

Front 16

what does a notch suggest?

Back 16

when placed distally suggest poor hip ji fxn

Front 17

increased bulk of inner lower 3rd calf?

Back 17

soleus hypertrophy which creates a cylindrical shape of lower leg instead

its hidden cause of low back pain

Front 18

T/F toned gastroc is rounded on the top versus rounded on bottom means weak gastroc but toned soleus

Back 18

true

Front 19

when tightness is seen in triceps surae(gastroc & soleus) results in?

Back 19

tightness of achillies(tendocalcaneum) which prevents them from standing ontheir heels too long

Front 20

Low Back
what does predominance of thoracolumbar mm. mean?

Back 20

- suggest overaction inthe gait
- assoc w/weak glut maxs

Front 21

what is seen when the hip flexors are tight?

Back 21

anterior pelvic tilt
hip extension replaced by lowback extension

Front 22

shoulder and Neck
flattening of interscap space means?

Back 22

- atrophy of the rhomboids & middle traps
- see rounded shoulders/shortened pect major anteriorly

Front 23

what does scap abduction mean?

Back 23

imbalance btw tight pects or upper traps and weak lower scap stabilizers (serratus anterior, middle & lower traps)

Front 24

winging of scap or groove at inferior angle means?

Back 24

weak serratus anterior

Front 25

gothic shoulders/straightening of shoulder-neck line?

Back 25

- tight upper traps

Front 26

what is double wave line?

Back 26

tightness of lev. scap - see a broad upward bulge at superior angle of scap

Front 27

groove/flattening above or below scap spine?

Back 27

- insufficient development of supra- or infra- spinatus mm. or poor stabilization of humeral head in glenoid fossa

Front 28

flattening of middle deltoid mean?

Back 28

early sign of shoulder dysfxn

Front 29

STEP 2: ANTERIOR BODY
what is role of abdominals?

Back 29

stablize the spine

Front 30

increased tonus of upper quadrants relative to lower means?

Back 30

faulty respiratory pattern

Front 31

groove lateral to rectus abdominus?

Back 31

suggest dominance of obliques w/poor stabilization of spine in ap direction

Front 32

Lower extremity
how should contour of lateral thigh be?

Back 32

males - flat
females - rounded

Front 33

groove on lateral thigh suggests?

Back 33

- tight ITB band w/possible superolateral shift of the patella

Front 34

superior deviation of patella?

Back 34

tight rectus femoris

Front 35

what can cause a flexed hip?

Back 35

tight rectus femoris or TFL (as mentioned before)

Front 36

unquiet patella suggests?

Back 36

- rectus femoris hyperactivity/altered knee proprioception

Front 37

what other things alter knee proprioception?

Back 37

- hypotrophy of vastus medialis

Front 38

flattening of upper 3rd of anterior tibialis means?

Back 38

weakness of toe extensors/early signof L5 n. rt lesion

Front 39

irregular mvmts of dorsiflexors?

Back 39

suggests imbalance of dorsi & plantar flexors, impaired knee proprioception from ankle, knee, or foot and seen in S1 root syndromes

Front 40

thorax, neck, head
IR of the shoulder w/ dorsi side of palms mean?

Back 40

- tightness of pect major, latissimus dorsi, teres major or subscapularis

Front 41

what mm. form the lateral pelvic brace?

Back 41

glut med
glut min
TFL

Front 42

LOWER CROSS SYNDROME
what are m/c complaints?

Back 42

- anterior pelvic tilt
- increase lumbar lordosis either d/t tight hip flexors or lumbar extensors
- weak gluts and abdoms

Front 43

describe the increased lumbar lordosis d/t tight hip flexors

Back 43

is more deep and short

VS tight lumbars see shallow and long increased lumbar lordosis

Front 44

UPPER CROSS SYNDROME
what m/c complaints?

Back 44

HA
neck pn

Front 45

what is seen in UCS?

Back 45

tight pects, UT, scap, suboccip
weak middle, lower traps, serratus anterior, deep neck flexors

Front 46

what joints can be stressed in UCS?

Back 46

- upper cervical
- shoulder jt
- T3/4
- C4/5
- CT jnctn

Front 47

layer syndrome describe it?

Back 47

alternating layers of tight and weak mm.