SIDE LAYING and SUPINE

large

side laying has a ____ BOS

supine

which is more stable: sidelaying or supine?

narrower BOS

why is sidelaying less stable than supine?

low

side laying has a ____ COM

bending the knees (knee flexion), flexing the hips

how can you increase stability in sidelaying?

flexion

the more hip and knee ____, there is in side laying, the more stable the patient will be

ATNR, STNR, STLR

abnormal reflexes that can interfer with side laying

stability, controlled mobility

stages of motor control that can be worked on in side laying

holding

activity when working on stability in side laying

SHRC, stabilizing reversals

2 techniques to work on stability in sidelaying

anterior/posterior, reciprical trunk patterns

ways stabilzing reversalscan be done in sidelaying

elevated, scapula

In stabilizing reversals using reciprical trunk patterns, when the pelvis is ____, the ___ is depressed

holding

Doing stabilzing reversals in an anterior/posterior direction in sidelaying works on this action

postural extensor

shortened held resisted contractions works on the____ ____ muscles.

shorten held resisted contractions (SHRC)

stability technique that can only be done in sidelaying

too unstable (will fall over easily)

Why should your patients hips and knees never be put in full extension in side laying?

use it as a brace

what should you keep an eye out for that a patient might do with the arm in order to cheat?

above head

where should a patient put their bottom arm in side laying if they have good shoulder ROM?

90 degree angle in front

where should a patient put their bottom arm in side laying if they have poor shoulder ROM or shoulder pain?

the head

What do you support at the start of SHRC?

extension

what is the starting position for the head in SHRC?

back of head, shoulder, pelvis

Places resistance is put in SHRC

proximal (at the head) distally (to the pelvis)

In SHRC, resistance starts ____ and moves _____.

hold their head

You should not progress distally in SHRC until the patient can:

unstacking legs to cheat

What should you watch for when progressing distally in SHRC?

on the patients side

in anterior/posterior stabilizing reversals, if the top arm cannot move overhead, where should it be?

posterior iliac crest and ASIS, scapular and over the clavicle or on the padding of the axilla

manual contacts for anterior/posterior stabilizing reversals

holding

what activity is the patient working on in anterior/posterior stabilizing reversals?

trunk extensors and core (postural extensors)

what muscles are the patient working on in anterior/posterior stabilizing reversals?

anterior/posterior stabilizing reversals in sidelaying

stability technique that can be done on back patients (in or out of brace)

rotation

in anterior/posterior stabilizing reversals in sidelaying, must be mindful you are not creating this:

anyone with decreased head control (Stroke, TBI, parkinson patients)

Patients who would benefit from SHRC

back surgery patients

Patients who would benefit from anterior/posterior stabilizing reversals

stabilizing reversals reciprical trunk patterns

would benefit parkinson patients who have little reciprical motion during gait and stroke patients with a retracted pelvis that causes foot drag (technique, too)

opposite

In stabilizing reversals reciprical trunk patterns, resistance is given in _____ directions

Hip, knees

stabilizing reversals reciprical trunk patterns needs more flexion at the_____ and ___ensure stability and to reach the ischial tuberosity

under their head (like a pillow)

where can the patient put their bottom arm for stabilizing reversals reciprical trunk patterns?

webscape inferior angle of the scapular and top of shoulder… iliac crest and ischial tuberosity

stabilizing reversals reciprical trunk patterns hand placements

hemporetic

in a stroke patient, stabilizing reversals reciprical trunk patterns should be done on what side?

serratus anterior weaknesss, scapula winging,

stabilizing reversals reciprical trunk patterns is good for: (it strengthens the muscle you don’t like)

move

In combination of isotonics reciprical trunk patterns the hand placement does not do this

moving

dynamic reversals reciprical trunk patterns the patient is:

reciprical trunk patterns

in sidelaying dynamic reversals, the patient is working on:

UE D2E, LE D1F

what PNF patterens are used for rolling when in supine?

away

When doing rolling from supine using PNF, the patient will roll away or towards you?

parkinsons, multiple sclerosis, cerebral palsy

popuations that would benefit from segmented rolling

back surgery, back pain

populations that would benefit from log rolls

rhythmic initiation and mobility

what technique and level of motor control is being used when working on rolling in supine using PNF patterns

rolling

when the patient is in supine, what activity are we using rhythmic initiation for?

eccentric

combination of isotonics does what kind of contraction

squeeze and stretch

actions you will tell the patient to do patient will do in COI in sidelaying while working on reciprical trunk patterns:

momentum, position of legs, position of head, using arms (reaching), lever arms, PNF patterns

6 ways to facilitate a roll

No

is resistance applied when initiating a roll with PNF patterns?

rhythmic initiation

Technique used to initiate a roll using PNF patterns

it would become dynamic reversals

why is resistance not applied when doing RI when rolling using PNF patterns?

UE D2E, LE D1F

PNF patterns for rolling from supine

supine to sidelaying

what is harder: supine to sidelaying or sidelaying to supine

resistance from gravity

why is supine to sidelaying harder than sidelaying to supine?

wedge or pillow on side to bolster them

how can rolling from supine to sidelaying be made easier??

bend one leg

when using UE D2E, what should you do with the legs?

be lifted up and watch extremity that is moving

what should the head do when rolling using PNF?

lift and turn head, push off with foot

what patient should do with body when using UE D2E when rolling?

LE D1F

what is more effective for rolling: UE D2E or LE D1F

clasp hands, lift and turn head

what patient does with body during LE D1F

pull leg up and across. let leg lead the motion

how to instruct patient to move leg for LE D1F?

parkinsons, MS, CP

patients who should do D1F of LE with nothing in the UE?

extensor spacitisty

MS patients have this: (say what muscle group)

rigid trunk extensors

parkinsons patients have this:

back surgery, back issues in general

patients who should do a log roll

platarflexion, hip extensors, hip adductors

where MS spactisty is located

LE D1F

MS should do: UE D2E or LE D1F

yes: as long as it is not flaccid

If a patient is neglectful/hemiporetic from a stroke, should they roll using the neglectful/ hemiporetic side?

yes

Can an anterior THA do LE D1F?

yes, as long as no hip flexion past 90 and pillow btw legs to avoid adduction

can a posterior THA do LE D1F?