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jpowell22
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What does the analysis of standing posture help determine?
- guide for developing therapeutic exers that will correct any deviations from the norm
- provide record to which to evaluate
- make person aware of alignment
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What are the 3 major factors that influence adult posture?
- inheritance-congential deformities
- disease or trauma
- habit or occupational requirements
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What is a large-boned, stout body type?
endomorphic
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What is a medium body build, muscular or athletic body type?
mesomorphic
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What is a small-boned, thin fragile body type?
ectomorphic
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What can poor/faulty posture cause?
- compromised joint integrity
- increased energy costs
- decreased internal organ function/respiratory capacity
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What are some benefits to good posture?
- promote efficient mvmts with min. energy
- make vital functions more efficient
- prevent fatigure in weight bearing
- create better balance by taking stress off mm. and ligs. and placing on bones and jts
- improve appearance
- establish foundation in which complex skills and mvmts are performed
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When the anteroposterior gravity line is viewed laterally, how should it look?
- middle of earlobe
- front of alanto-occipital jt
- bisecting the acromion process
- bisecting the greater trochanter
- post. to patella, ant. to jt
- slightly ant. to lateral malleolus
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What are the head/neck deviations seen in the anteroposterior gravity line viewed laterally?
- forward head
- flattened lordotic curve
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What are the shoulder region deviations seen in the anteroposterior gravity line viewed laterally?
forward shoulders
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What are the thoracic region deviations seen in the anteroposterior gravity line viewed laterally?
- kyphosis
- pectus excavatum or funnel chest(sternum in)
- barrel chest (sternum rounded)
- petcus cavinatum or pigeon chest (sternum ant.)
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What are the lumbar region deviations seen in the anteroposterior gravity line viewed laterally?
- ptosis of abdomen (saggy belly)
- lordosis-ant.
- flat back-post.
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What are the lower extremity deviations seen in the anteroposterior gravity line viewed laterally?
- genu recurvatum
- knee flexed
- flattening of longitudinal arch (flat feet)
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When viewing the lateral gravity line posteriorly, what should it look like?
- bisects occipital protuberances
- bisects spinous process of C7
- bisects gluteal cleft (butt crack)
- lies equidistant between the knees
- midway between the medial malleoli
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What are the head/neck deviations seen in the lateral gravity line viewed posterior?
- head tilt
- head rotated from midline
- mandibular asymmetry
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What are the shoulder region deviations seen in the lateral gravity line viewed posterior?
- unequal height of shoulders
- scapulae adducted/abducted
- winging of scapulae
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What are the trunk region deviations seen in the lateral gravity line viewed posterior?
- scoliosis
- lateral pelvic tilt
- pelvic rotation
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What are the lower extremity deviations seen in the lateral gravity line viewed posterior?
- hips abd/add/rotated
- genu varum - bow legged
- genu valgum - knock kneed
- ext/int tibial torsion
- hallux valgus (bunion)
- claw toes (all phalanx flexed)
- hammer toes (dital phalanx flexed)
- pes cavus (high arch)
- pes planus (flat feet)
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Who is known for extension exers to increase lordosis?
mackenzie
does flex and ext now
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Who is known for flexion exers to decrease lordosis?
williams
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What are some dx you would use extension therapy for?
- HNP (herniated nucleous pulposis)-bulgin disc
- osteoporosis
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What are some dx you would use flexion exers for?
- facet jt impingment
- scoliosis/DJD
- subacute mm. strain
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If a pt has more pain with increased trunk flexion, what position do you use to treat them?
extension
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If a pt has a laterally bulging disc, what way should you treat them?
laterally SB into a wall
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What are the most common causes of LBP?
- disc (mckenzie)
- asymmetry -pelvic/lumbar (MET)
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What is centralizing?
bring pt pain to one central area, such as the low back
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What is another name for chin tucking?
axial extension
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Mid-range position of the spine can also be called what?
- resting position
- neutral spine
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What are Houghston's exers?
- pt lays prone and uses a weight to work different angles
- good for posture
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