click below
click below
Normal Size Small Size show me how
Spinal Stabilization
Clin Skills II
Term | Definition |
---|---|
coxa vara | smaller angle; angle <120 degrees; genu valgum; increased stress on femoral neck; decreased stress on femoral head |
coxa valga | larger angle; angle >135 degrees; genu varum; increased stress on femoral head; decreased stress on femoral neck |
genu valgum | longer, weaker hip abductors; pes planus- flat foot; increased stress on medial knee soft tissue; increased stress on lateral bony structures |
genu varum | shorter, tighter hip abductors; pes cavus- pronated foot; increased stress on lateral knee soft tissue; increased stress on medial bony structures |
pes planus | flat foot |
pes cavus | pronated foot |
genu recurvatum | knee hyperextension; increases anterior pelvic tilt; compensatory posture: PPT w/ swayback; increased stress on post knee soft tissue; increased stress on ant knee bony structures |
lower quarter tight postural muscles | tonic muscles; erector spinae; QL; iliopsoas; TFL; piriformis; rectus femoris; hamstrings; gastroc-soleus |
lower quarter weak postural muscles | phasic muscles; rectus abdominus; gluteal muscles; vastus medialis & lateralis; tibialis anterior |
upper quarter tight postural muscles | pec minor; upper trap; levator; SCM; scalenes; sub-occipitals |
upper quarter weak postural muscles | serratus anterior; middle trap; rhomboids; lower trap; upper limb extensors; short cervical flexors |
core stabilizers | inner, deeper muscles; lumbar multifidi; transversus abdominus; internal obliques |
stasis sensitivity | hard time sitting still in a stable, static posture; usually hypermobile or unstable; sleep difficult; stabilization & aerobic exercises reduce symptoms |
weight-bearing sensitivity | tend to use load-reducing maneuvers; exercises that unload or distract spine |
rectus abdominis | provides stability w/ extension of spine |
internal & external obliques | controls against external loads that would cause extension or lateral flexion of the spine |
transversus abdominis | creates tension via thoracolumbar fascia & increases intra-abdominal pressure to provide segmental stability to spine |
quadratus lumborum | frontal & saggital plane stability; deep fibers provide segmental stability to lumbar vertebrae |
multifidus | stabilizes spine against flexion, rotation, & contralateral side flexion; segmental stability to lumbar vertebrae |
superficial erector spinae muscles | antagonist to gravity; controls forward bending movements; global stability to trunk by preventing trunk from falling over |
iliopsoas | iliacus- stabilizes pelvis & hip joints psoas major- assists in stabilizing lumbar spine in frontal plane |
SCM & scalenes | balance head on thorax against grav when center of body mass is post |
upper trap & cervical erector spinae | same as above except when center of body mass is ant |
longus colli & rectus capitis ant & lateralis | segmental stability to cervical spine |