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Clin Skills II

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