BRIDGING

1 count

How long is the hold in a dynamic reversal hold?

pelvic elevation

Activity done when going into a bridge (active motion and A/P CoI)

mobility

What stage of motor control are you working on if you need to teach a patient how to do a bridge?

tapping, distraction

ways to promote active movement into a bridge

gluts

manual tapping should take place over which muscles when prompting a patient to do a bridge?

distraction

as patient lifts hips, you pull down on the knees

in front of patients feet

Where should the therapist be when doing distration on a patient for bridging?

quality of movement, symmetry, full range, rotation of hip

4 things you should look at when patient is bridging

bridging

hooklying position with hips elevated off the mat

arm position

what in bridging influence stability and base of support?

stability

what stage of motor control is prone to valsalva?

hooklying

Which is more stable: bridging or hooklying?

COM is elevated

Why is bridging a little less stable than hooklying?

hip extensors, knee flexors

what muscles need to have fair strength to maintain a bridge?

No

Does a bridge require head and neck control?

No ER, extension past neutral, or abduction

anterior hip precautions

No flexion beyond 90, IR or adduction past midline

posterior hip precautions

apply resistance near ankles

How can you challenge foot and ankle muscles in hooklying?

positive support, STLR

Reflexes that can interfere with bridging

neutral

ATNR will not affect bridging or hook lying as long as the head is_____.

True

True or false: contraindications for bridging are the same as hooklying.

rhythmic initiation, dynamic reversals

What two treatment techniques in hooklying or bridging should you avoid for patients with any hip replacement

anterior THA

when should you be concerned about keeping a patient from going into extension beyond neutral in bridges?

True

True or false: you can allow anterior THA to do bridges as long as hip extension is a little below neutral

full hip extension

A patient should have ____ ___ _______ in a bridge: No saggy butts!

combination of isotonics

Controlled mobility technique that helps with pelvic elevation in bridging

pelvic elevation

anterior/ posterior combination of isotonics in bridging works on this

eccentric

type of control we are working on when doing A/P combination of isotonics in bridging

combination of isotonics

A patient being able to go into a bridge but “plops” down indication for:

tapping, distraction

A patient having issues going into a bridge is an indication for:

eccentric control

If a patient “plops” down during bridgeing activies, they should improve this:

stabilizing reversals, rhythmic stabilization

what techniques should be used if you want a patient to hold a bridge (techniques for holding activity)

anterior/posterior, medial/lateral

directions you can do stabilizing reversals in bridging

rhythmic stabilization

Adds a rotation component when working on holding a bridge

over ASIS and gluts

hand placement for anterior/posterior stabilizing reversals in bridging.

heel of hand in ASIS and cupping lateral side of iliac crest

hand placement for medial/ lateral stabilizing reversals in bridging.

digging

You should avoid doing this with you hand with medial/lateral stabiliznng reversals in bridges

Top of ASIS and beneath posterior iliac crest

hand placement for rhythmic stabilization in bridging

weight shifting

Dynamic reversals in bridging works on:

anterior/posterior, medial/lateral

directions dynamic reversals can be done in bridging

dynamic reversals

patient is moving, commands AFTER hands, no rests

anterior/posterior and medial/lateral stabilizng reversals

hand placement for anterior/posterior and medial/lateral dynamic reversals are the same as:

holding

In stabilizing reversals the patient is:

stabilizing reversals, dynamic reversals

You should be conscious of hand placement when you are doing these techniques on the opposite gender (people with male anatomy)

scooting, using bed pan

Functional activities improved by dynamic reversals

weight shifting

dynamic reversals in bridging addresses this:

anterior (ASIS)

Where should a hold for a P/A dynamic reversal hold in bridging be applied?

posterior (their bottom is resting on the mat: no challenge)

The least appropriate place to add a hold for dynamic reversal holds in bridging (why?)

combination of isotonics

This technique in bridging can improve both pelvic elevation and weight shifting (depending on direction you chose)

weight shifts

When doing combination of isotonics with emphasis on safety when doing sit to stands would work on this activity: (the activity, not the technique itself)

pelvic elevation

When doing combination of isotonics with emphasis of moving pelvis up and down would work on this activity:

medial/lateral

direction combination of isotonics is done in to work on weight shifting

anterior/posterior

direction combination of isotonics is done in to work on pelvic elevation

one

In combination of isotonics, resistance continues in ____ directon.

sag

When doing medial/lateral combination of isotonics in a bridge, you need to make sure the butt doesnt do this:

Both

If a patient is doing medial/lateral combination of isotonics and the concentric contraction is easy but not controlled, but the eccentric is hard for them them to, which side should you work on: concentric or eccentric?

static-dynamic

working on leg lifts using active movement (with no resistance) in bridging is working on which stage of motor control:

active movement

technique for static-dynamic where there is no resistance

single leg extension, marching, running in place, side steps

4 examples of active movement activities that can be done in bridging to work on leg lifts

ankle

A single leg bridge during the static-dynamic phase of motor controll can place demand on an injury at the:

agility

running in place in a bridge helps promote early_____.

ankle is protected: less weight bearing demands

why would you have a patient with an ankle injury to active motion in a bridge rather than in standing?

maintaining bridge, full knee extension and stabilizing leg (leg lifts), use of extrinsic muscles (toes)

what should you look for during active movement in bridging (leg lifts)?

arm placement, holds (leg lifts), ankle weight (resistance), stationary leg on foam pad (leg lift), put upper body on a ball, socks or no shoes

How could active motion in a bridge be made more difficult? (7)

quality, accuracy

when we increase speed during active movement activities in bridging, what do we trade off? (2)

advanced

active movement (leg lifts) in a bridge is considered to be _____ bridging activies.

advanced bridging activities (leg lifts)

may not be appropriate within the context of a progression of bed mobility activities

upright standing, gait, stair climbing

advanced bridging activities has important implications as lead up activities for: (3)

scooting

active movement is used in controlled mobility to work on this activity:

active movement

used for controlled mobility and static-dynamic stages of motor control

scooting

a great activity for stroke patients who have neglect

it makes them cross midline

why is scooting good for CVA patient who have neglect?

tactile input

what would be good input when doing scooting with stroke patients?