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Pat Asses L2
| Question | Answer |
|---|---|
| What is posture? | Position of body parts in relation to one another at a given time |
| What is the difference between static and dynamic posture? | Static = posture in positions such as standing, sitting, lying, kneeling, quadruped, or stooping. Dynamic = posture during movement/activity. |
| What defines good/ideal/neutral posture? | Body weight is centered over the base of support. |
| Is anatomical position necessarily ideal posture? | no |
| What are the four spinal curves? | Cervical = lordosis/extension; thoracic = kyphosis/flexion; lumbar = lordosis/extension; sacral = kyphosis/flexion. |
| How do spinal curves develop after birth? | Birth = entire spinal column flexed → 2–4 months = head lifting produces cervical lordosis → 5–6 months = leg lifting produces lumbar lordosis. |
| What are the antigravity muscles listed in the study guide? | Hip extensors, abductors, adductors; knee extensors; neck/trunk extensors, flexors, lateral benders; ankle pronators and supinators. |
| How is standing posture assessed? | Against a plumb line from lateral, anterior, and posterior views. |
| What posture landmarks do you need to know? | Landmarks for assessing posture from the anterior, posterior, and lateral views. |
| How do neutral, anterior, and posterior pelvic positions affect lumbar curvature? | Neutral = maintains correct lumbar curvature; anterior tilt = increases lumbar extension/lordosis; posterior tilt = decreases lumbar lordosis/creates flat back. |
| What happens to the lumbar spine during a lateral pelvic tilt? | Right lateral pelvic tilt → left lumbar side bending. Left lateral pelvic tilt → right lumbar side bending. |
| What is scoliosis? | A lateral curve of the spine that varies in location and severity. |
| What happens to the lumbar spine/IVDs during unsupported sitting? | Increased pressure on IVDs and decreased lumbar curve; sitting produces 40% more compression through the L-spine, most significantly L4–L5. |
| What is perching? | Sitting at the forward edge of a seat, on a forward-tilting seat, tall stool, or gym ball. |
| What do the LE muscles do during ideal sitting posture? | Actively support sitting posture. |
| What ergonomic factors should be considered for daily posture? | Chair type, height, and lumbar-support pillow. |
| What measurement system is used for circumferential measurements? | Metric system — centimeters. |
| What are the three major reasons for circumferential measurements? | Body size/composition, edema, and muscle atrophy. |
| What are the major rules for taking consistent circumferential measurements? | Palp bony landmrk, measure same area as the Ini Eval, keep tape straight, add measurements as needed, use 5-cm increments if needed, lightly mark increments on skin if possible, always get a baseline, compare to non-involved side, and document accurately. |
| What landmarks should you be aware of when assessing leg alignment/length? | ASIS/iliac crest, greater trochanter, patella, and medial malleolus. |
| What position and landmarks are used to measure leg length? | Patient supine with legs extended/relaxed; measure ASIS → medial malleolus. |
| Where are circumferential measurements taken at the elbow? | Elbow joint line with elbow extended; medial/lateral epicondyles; 5 cm below joint line; 5 cm above joint line. |
| Where are circumferential measurements taken at the knee? | Knee joint line with knee extended; 5 cm above/below; 15 cm above/below. |
| What four bony landmarks are used for the ankle figure-8 measurement? | Navicular, base of 5th metatarsal, medial malleolus, lateral malleolus. |
| Where does the ankle figure-8 measurement start? | Anterior talocrural joint between the anterior tibialis tendon and lateral malleolus. |
| How do you locate the anterior tibialis tendon for the ankle figure-8 measurement? | Resist dorsiflexion. |