Anterior Postural Assessment: Face Observation
404 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is an important aspect to observe when looking at your client's face during anterior postural assessment?

  • Facial expressions (correct)
  • Ear shape
  • Hair color
  • Shoe size
  • Which of the following is considered abnormal when assessing the face during an anterior postural assessment?

  • Variations in facial tone
  • Flaccidity in facial muscles (correct)
  • Spasming of facial muscles
  • Symmetrical facial features
  • What does the text imply about variations in facial features?

  • They are always indicative of health issues
  • They are uncommon and should be a cause for concern
  • They are only related to muscular spasms
  • They are normal, similar to variations in other parts of the anatomy (correct)
  • Why is it essential to observe if the client appears to be in pain or relaxed during a postural assessment?

    <p>To understand their emotional state and physical well-being</p> Signup and view all the answers

    Which of the following is NOT mentioned as a potential indicator of abnormality when assessing a client's face?

    <p>Symmetrical facial features</p> Signup and view all the answers

    During anterior postural assessment, it is important to observe your client's face for any signs of ______

    <p>asymmetry</p> Signup and view all the answers

    The client's face can provide insights into their overall health, including factors like skin tone and whether they appear ______ and nourished

    <p>healthy</p> Signup and view all the answers

    Observing the client's facial expressions can help determine if they are ______ or tired during the assessment

    <p>alert</p> Signup and view all the answers

    Abnormal signs like facial muscles being involuntarily clenched or ______ should be noted during the assessment

    <p>frowning</p> Signup and view all the answers

    Spasming or flaccidity in facial muscles is not considered ______ during anterior postural assessment

    <p>normal</p> Signup and view all the answers

    It is considered normal to have variations in facial features during an anterior postural assessment.

    <p>True</p> Signup and view all the answers

    Spasming or flaccidity in facial muscles is considered normal during an anterior postural assessment.

    <p>False</p> Signup and view all the answers

    It is essential to observe if the client appears relaxed or worried during a postural assessment.

    <p>True</p> Signup and view all the answers

    Skin tone and facial muscle tone are not key indicators of a client's overall health during an anterior postural assessment.

    <p>False</p> Signup and view all the answers

    Clenching of the jaw and spasming of facial muscles are considered normal variations during an anterior postural assessment.

    <p>False</p> Signup and view all the answers

    An altered head position may always indicate an injury to the neck.

    <p>False</p> Signup and view all the answers

    Severe lateral flexion combined with heightened tone in the sternocleidomastoid is a strong indicator of torticollis.

    <p>True</p> Signup and view all the answers

    If a person's nose is aligned with the manubrium, sternum, and umbilicus, there is no lateral deviation or rotation in the head position.

    <p>True</p> Signup and view all the answers

    An individual spending prolonged periods with their workstation directly in front of them is more likely to exhibit lateral flexion in their head position.

    <p>False</p> Signup and view all the answers

    Drawing a plumb line between specific body points helps assess the lateral tilting of the head.

    <p>True</p> Signup and view all the answers

    An altered head position always indicates that a client has sustained a neck injury.

    <p>False</p> Signup and view all the answers

    An altered head position may indicate that the client has suffered an injury to the ______.

    <p>neck</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______.

    <p>torticollis</p> Signup and view all the answers

    Rotation or lateral flexion to a minor degree is often observed in people who spend prolonged periods in a fixed position with their workstation to one side of them rather than directly in ______ of them.

    <p>front</p> Signup and view all the answers

    If you were to draw a plumb line between the man’s medial malleoli, between his knees, and through his umbilicus, the position of this man’s head may indicate lateral tilting or shifting his body weight to his ______.

    <p>right</p> Signup and view all the answers

    An altered head position is important to consider the inter-connectedness of the ______.

    <p>body</p> Signup and view all the answers

    Observing the client's facial expressions can help determine if they are relaxed or ______ during the assessment.

    <p>tired</p> Signup and view all the answers

    What could severe lateral flexion with heightened tone in the sternocleidomastoid indicate?

    <p>Torticollis</p> Signup and view all the answers

    Why is it important to consider the inter-connectedness of the body when observing head position?

    <p>To identify underlying health conditions</p> Signup and view all the answers

    In what scenario is rotation or lateral flexion commonly observed in people?

    <p>When their workstation is directly in front of them</p> Signup and view all the answers

    What does an altered head position potentially indicate?

    <p>Recent neck injury</p> Signup and view all the answers

    How can drawing a plumb line between specific body points aid in assessing head position?

    <p>Assess lateral tilting of the head</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people, while scalenes might appear particularly prominent in individuals with long-term respiratory conditions such as chronic obstructive pulmonary disease. Atrophy, on the other hand, indicates ______.

    <p>disuse</p> Signup and view all the answers

    A muscle that appears more prominent suggests an increase in tone in that muscle, which, if prolonged, could contribute to pain in that area. This raises the question, What is the client doing to increase tone in that muscle? Hypertrophy of the pectorals (and many other muscles) is commonly observed in ______.

    <p>bodybuilders</p> Signup and view all the answers

    You might observe atrophied neck muscles when assessing a client who has been immobilized in a collar after ______ trauma.

    <p>cervical</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______.

    <p>torticollis</p> Signup and view all the answers

    Abnormal signs like facial muscles being involuntarily clenched or ______ should be noted during the assessment.

    <p>spasming</p> Signup and view all the answers

    Rotation or lateral flexion to a minor degree is often observed in people who spend prolonged periods in a fixed position with their workstation to one side of them rather than directly in ______ of them.

    <p>front</p> Signup and view all the answers

    Severe lateral flexion with heightened tone in the sternocleidomastoid is a strong indicator of ______

    <p>torticollis</p> Signup and view all the answers

    Rotation or lateral flexion to a minor degree is often observed in people who spend prolonged periods in a fixed position with their workstation to one side of them rather than directly in ______ of them

    <p>front</p> Signup and view all the answers

    You might observe atrophied neck muscles when assessing a client who has been immobilized in a collar after cervical ______

    <p>trauma</p> Signup and view all the answers

    Abnormal signs like facial muscles being involuntarily clenched or ______ should be noted during the assessment

    <p>spasming</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people, while scalenes might appear particularly prominent in individuals with long-term respiratory conditions such as chronic obstructive pulmonary disease. Atrophy, on the other hand, indicates ______

    <p>disuse</p> Signup and view all the answers

    A muscle that appears more prominent suggests an increase in tone in that muscle, which, if prolonged, could contribute to pain in that area. This raises the question, What is the client doing to increase tone in that muscle? Hypertrophy of the pectorals (and many other muscles) is commonly observed in ______

    <p>bodybuilders</p> Signup and view all the answers

    What does sharply angled clavicles indicate?

    <p>Elevated shoulders</p> Signup and view all the answers

    Why is it normal for the clavicle on the dominant side to be lower than the non-dominant side?

    <p>To accommodate variations in muscle use and development</p> Signup and view all the answers

    What could uneven contours of the clavicles indicate?

    <p>Healed fracture in mal-alignment</p> Signup and view all the answers

    What does a steeper angle of the clavicle indicate when shrugging the shoulders?

    <p>Elevated shoulders</p> Signup and view all the answers

    What is the significance of observing the AC joint when assessing the clavicles?

    <p>Provides additional information about shoulder health</p> Signup and view all the answers

    Why do smoothly contoured clavicles play a role in assessing shoulder health?

    <p>Provide a baseline for comparing joint positions</p> Signup and view all the answers

    It is normal for the clavicle on the dominant side to be lower than that on the non-dominant side. Uneven contours could indicate a fracture that has healed in mal-alignment, or a more recent injury such as a ruptured ______ joint.

    <p>AC</p> Signup and view all the answers

    What does sharply angled clavicles indicate? Sharply angled clavicles indicate elevated ______.

    <p>shoulders</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people. Atrophy, on the other hand, indicates ______.

    <p>weakness</p> Signup and view all the answers

    A muscle that appears more prominent suggests an increase in tone in that muscle. Hypertrophy of the pectorals (and many other muscles) is commonly observed in ______.

    <p>exercises</p> Signup and view all the answers

    Severe lateral flexion with heightened tone in the sternocleidomastoid is a strong indicator of ______.

    <p>torticollis</p> Signup and view all the answers

    Drawing a plumb line between specific body points helps assess the lateral tilting of the head. How can drawing a plumb line between specific body points aid in assessing head position? Drawing a plumb line between specific body points helps assess the lateral tilting of the ______.

    <p>head</p> Signup and view all the answers

    Abnormal signs like facial muscles being involuntarily clenched or ______ should be noted during the assessment

    <p>spasming</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people. Atrophy, on the other hand, indicates ______

    <p>weakness</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______

    <p>torticollis</p> Signup and view all the answers

    Smoothly contoured clavicles play a role in assessing shoulder health because uneven contours could indicate a fracture that has healed in mal-alignment, or a more recent injury such as a ruptured ______ joint

    <p>AC</p> Signup and view all the answers

    An altered head position may indicate that the client has suffered an injury to the ______

    <p>neck</p> Signup and view all the answers

    Drawing a plumb line between specific body points helps assess the lateral tilting of the head. If a person's nose is aligned with the manubrium, sternum, and umbilicus, there is no lateral deviation or rotation in the head position. This can aid in identifying potential issues with the ______

    <p>spine</p> Signup and view all the answers

    What might the elevation of a shoulder in a client indicate?

    <p>Protection of an injured or painful joint in the neck or shoulder</p> Signup and view all the answers

    Why might a client exhibit depression of the shoulder and indentation in the deltoid muscle?

    <p>As a response to subluxation at the glenohumeral joint</p> Signup and view all the answers

    What is a common observation regarding the shoulders of many individuals?

    <p>The non-dominant side shoulder is often lower than the dominant side</p> Signup and view all the answers

    In individuals spending prolonged periods in a fixed position with their workstation to one side, what observation might be made about their head position?

    <p>Increased forward head posture</p> Signup and view all the answers

    Why might one clavicle appear more raised than the other in an individual?

    <p>Indication of a fractured clavicle that healed incorrectly</p> Signup and view all the answers

    The client may elevate a shoulder to protect an injured or painful joint in the shoulder or in the ______

    <p>neck</p> Signup and view all the answers

    Depression of the shoulder plus indentation in the contour of the deltoid is observed in people with subluxation at the ______ joint

    <p>glenohumeral</p> Signup and view all the answers

    An altered head position is important to consider the inter-connectedness of the ______

    <p>body</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______

    <p>torticollis</p> Signup and view all the answers

    The client's face can provide insights into their overall health, including factors like skin tone and whether they appear ______ and nourished

    <p>relaxed</p> Signup and view all the answers

    The text implies that a person's shoulders are always perfectly level and symmetrical.

    <p>False</p> Signup and view all the answers

    Elevation of a shoulder is never related to protecting an injured or painful joint.

    <p>False</p> Signup and view all the answers

    Subluxation at the glenohumeral joint is not associated with depression of the shoulder and indentation in the deltoid muscle.

    <p>False</p> Signup and view all the answers

    Uneven contours of the trapezius muscles can be observed between the left and right sides of individuals in photographs.

    <p>True</p> Signup and view all the answers

    A raised clavicle on the left side is never mentioned in the text.

    <p>False</p> Signup and view all the answers

    What might be indicated if a client's shoulders are internally rotated, causing the dorsal surface of the hand to be more visible during the anterior assessment?

    <p>Impingement of anterior shoulder structures</p> Signup and view all the answers

    In individuals with rounded shoulders, what is likely to be tight and contribute to this posture?

    <p>Anterior chest muscles</p> Signup and view all the answers

    What postural issue is often associated with rounded shoulders?

    <p>Kyphotic posture</p> Signup and view all the answers

    What effect might an internally rotated humerus have on the hands during postural assessments?

    <p>More visible palm surface during anterior assessment</p> Signup and view all the answers

    Why are rounded shoulders often associated with tightness in the anterior chest muscles?

    <p>To enhance shoulder stability</p> Signup and view all the answers

    The woman in the first photograph demonstrates internally rotated shoulders.

    <p>True</p> Signup and view all the answers

    A client with rounded shoulders is likely to have tightness in the posterior chest muscles.

    <p>False</p> Signup and view all the answers

    Internally rotated shoulders can contribute to impingement of anterior shoulder structures.

    <p>True</p> Signup and view all the answers

    Observing facial expressions is crucial to determine if a client is relaxed or worried during a postural assessment.

    <p>False</p> Signup and view all the answers

    Smoothly contoured clavicles are essential for assessing shoulder health as uneven contours could indicate a recent injury.

    <p>False</p> Signup and view all the answers

    A client with rounded shoulders is likely to have tightness in the ______ chest muscles

    <p>anterior</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people, while atrophy indicates ______

    <p>weakness</p> Signup and view all the answers

    An altered head position is important to consider the inter-connectedness of the ______

    <p>body</p> Signup and view all the answers

    If a client's shoulders are internally rotated, causing the dorsal surface of the hand to be more visible during the anterior assessment, it may indicate internal rotation at the ______

    <p>humerus</p> Signup and view all the answers

    Drawing a plumb line between specific body points can aid in assessing head position by helping to identify lateral tilting or shifting of body weight to one ______

    <p>side</p> Signup and view all the answers

    What is a potential reason for observing shifts in the thorax as described in the text?

    <p>Sciatica or muscle imbalances</p> Signup and view all the answers

    How can one assess potential thoracic shifts in a client based on the text?

    <p>Checking if the rib cage sits squarely over the pelvis</p> Signup and view all the answers

    What compensatory changes occur when the thorax rotates according to the text?

    <p>Compensatory changes in the neck and lumbar spine</p> Signup and view all the answers

    What does rotating the chest to the right while keeping the head and hips forward help understand, as per the text?

    <p>The tension in neck muscles during rotation</p> Signup and view all the answers

    What is a potential cause for lateral curvatures in the spine as mentioned in the text?

    <p>Muscle imbalances</p> Signup and view all the answers

    Why might a client with thoracic shift not necessarily be suffering from sciatica, according to the text?

    <p>Different factors like muscle imbalances contributing to posture</p> Signup and view all the answers

    The client in the illustration has shifted the thorax and head to the left.

    <p>False</p> Signup and view all the answers

    Lateral curvatures in the spine can lead to the same kind of thoracic shift observed in a client with sciatica.

    <p>True</p> Signup and view all the answers

    Clenching of jaw and facial muscle spasms are considered normal observations during an anterior postural assessment.

    <p>False</p> Signup and view all the answers

    A muscle that appears more prominent suggests a decrease in tone in that muscle.

    <p>False</p> Signup and view all the answers

    Increased tone in respiratory muscles such as scalenes is often observed in individuals with short-term respiratory conditions.

    <p>False</p> Signup and view all the answers

    Observing facial expressions is not crucial to determine if a client is relaxed or worried during a postural assessment.

    <p>False</p> Signup and view all the answers

    To check for shifts in the thorax, ask yourself questions such as, Does the sternum appear in the ______?

    <p>midline</p> Signup and view all the answers

    When the thorax rotates, compensatory changes occur in the neck and ______ spine.

    <p>lumbar</p> Signup and view all the answers

    You can observe the effect rotation of the thorax has on the neck by rotating your chest to the right while keeping your head, neck and hips in the same position, facing forwards, while standing. Notice where you experience an increase in tension. You will find that to keep your head facing forwards as you rotate your trunk to the right, you need to contract the muscles of your neck that rotate your head to the ______.

    <p>left</p> Signup and view all the answers

    Shifts of the chest occur for many reasons. For example, the illustration above represents the kind of thoracic shift that is sometimes observed in a client with ______.

    <p>sciatica</p> Signup and view all the answers

    Lateral curvatures in the spine as well as muscle imbalances can also contribute to this ______.

    <p>posture</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______.

    <p>issues</p> Signup and view all the answers

    What is the angle formed between the long axis of the humerus and the forearm in females according to the text?

    <p>15 degrees</p> Signup and view all the answers

    Why might an abnormal carrying angle after an elbow fracture affect a person's ability to bear weight through the upper limb?

    <p>It decreases weight-bearing ability</p> Signup and view all the answers

    What effect can a carrying angle much greater or smaller than the norm have following an elbow fracture?

    <p>Abnormal weight distribution</p> Signup and view all the answers

    In males, what is considered a normal carrying angle according to Levangie and Norkin?

    <p>5 degrees</p> Signup and view all the answers

    How does the carrying angle differ between males and females based on the information provided?

    <p>Males have a larger angle</p> Signup and view all the answers

    What is the significance of the carrying angle in the upper body?

    <p>Affects a person's ability to bear weight through the upper limb</p> Signup and view all the answers

    Why is an abnormal carrying angle following an elbow fracture concerning?

    <p>Affects the ability to perform press-ups</p> Signup and view all the answers

    In what scenario might a client have a carrying angle much different from the norm?

    <p>After an elbow fracture</p> Signup and view all the answers

    How does the carrying angle differ between males and females according to the text?

    <p>Females have a greater carrying angle than males</p> Signup and view all the answers

    What impact can a significantly smaller or larger carrying angle than normal have on an individual?

    <p>Impair the ability to lift heavy objects</p> Signup and view all the answers

    What angle is formed between the long axis of the humerus and the long axis of the forearm during the carrying angle assessment?

    <p>45 degrees</p> Signup and view all the answers

    What is the normal carrying angle range in females according to Levangie and Norkin?

    <p>10 to 15 degrees</p> Signup and view all the answers

    How does an abnormal carrying angle following an elbow fracture potentially affect a person's ability to bear weight through the upper limb?

    <p>Decreases weight-bearing ability</p> Signup and view all the answers

    What might be a consequence of having a carrying angle much greater than the normal range?

    <p>Increased risk of elbow dislocation</p> Signup and view all the answers

    How does a significantly smaller carrying angle compared to the norm impact a person's upper limb function?

    <p>Reduces strength for certain upper limb movements</p> Signup and view all the answers

    Increased bulk in the arm muscles indicates increased use of that limb; decreased bulk or even atrophy indicates ______

    <p>disuse</p> Signup and view all the answers

    An arm held close to the side of the body, or even across the body, indicates protectiveness of that ______

    <p>limb</p> Signup and view all the answers

    Increased abduction of the arm ties in with step 14, upper limb position, in the posterior postural assessment, indicating the position of the ______

    <p>arm</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______

    <p>torticollis</p> Signup and view all the answers

    Uneven contours of the trapezius muscles can be observed between the left and right sides of individuals in photographs, indicating potential ______

    <p>asymmetry</p> Signup and view all the answers

    Observing the bulk of the arm muscles can provide insights into the use of that limb.

    <p>True</p> Signup and view all the answers

    Increased abduction of the arm indicates a protective stance of that limb.

    <p>False</p> Signup and view all the answers

    A client allowing the upper limb to hang loose often suggests a relaxed posture.

    <p>True</p> Signup and view all the answers

    Atrophy in the arm muscles is usually a result of increased use of that limb.

    <p>False</p> Signup and view all the answers

    Increased tone in respiratory muscles like scalenes is often observed in individuals with long-term respiratory conditions.

    <p>False</p> Signup and view all the answers

    Why is it important to pay particular attention to the thumbs and muscle wasting in the thenar or hypothenar eminence?

    <p>To assess for signs of rheumatoid arthritis</p> Signup and view all the answers

    What does discolouration in the hands or wrists potentially indicate?

    <p>Poor blood flow to the extremities</p> Signup and view all the answers

    Why is observing abnormalities like swellings or bruising in the hands or wrists important?

    <p>To identify underlying health conditions</p> Signup and view all the answers

    What might muscle wasting in the thenar or hypothenar eminence indicate?

    <p>Nerve damage or impairment</p> Signup and view all the answers

    How might swollen, inflamed, and misshapen joints in the fingers indicate a certain condition?

    <p>Reveals signs of rheumatoid arthritis</p> Signup and view all the answers

    Why is it essential to assess the levelness of the wrist joints?

    <p>To identify abnormalities or conditions like rheumatoid arthritis</p> Signup and view all the answers

    A detailed analysis of hands and wrists is usually best performed with the client in a ______ position

    <p>sitting</p> Signup and view all the answers

    Notice whether the wrist joints themselves are ______

    <p>level</p> Signup and view all the answers

    Obvious muscle wasting may be due to nerve damage or ______

    <p>impairment</p> Signup and view all the answers

    Discolouration can indicate poor blood flow to the extremities, which is common in conditions such as ______

    <p>diabetes</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people. Atrophy, on the other hand, indicates ______

    <p>weakness</p> Signup and view all the answers

    Severe lateral flexion with heightened tone in the sternocleidomastoid is a strong indicator of ______

    <p>torticollis</p> Signup and view all the answers

    It is not necessary to observe the hands and wrists in detail when assessing a client for problems in these areas.

    <p>False</p> Signup and view all the answers

    Noticing abnormalities like swelling, bruising, or discolouration in the hands or wrists is not significant during an assessment.

    <p>False</p> Signup and view all the answers

    Muscle wasting in the thenar or hypothenar eminence does not indicate possible nerve damage or impairment.

    <p>False</p> Signup and view all the answers

    Discolouration in the hands or wrists indicates good blood flow to the extremities.

    <p>False</p> Signup and view all the answers

    Rheumatoid arthritis can be identified by normal, non-inflamed joints in the fingers.

    <p>False</p> Signup and view all the answers

    Observing the position of fingers is not crucial when assessing clients for hand or wrist problems.

    <p>False</p> Signup and view all the answers

    What does a rotated umbilicus to the right potentially indicate?

    <p>Shortening of the iliopsoas muscles on the left</p> Signup and view all the answers

    What is the potential significance of an umbilicus not falling in the midline?

    <p>Ties in with rotation of the thorax and pelvis</p> Signup and view all the answers

    What is a common belief regarding rotation of the umbilicus to the left?

    <p>Shortening of the iliopsoas muscles on the left</p> Signup and view all the answers

    According to therapists, what could be a cause of rotation of the umbilicus to the right?

    <p>Shortening of the iliopsoas muscles on the left</p> Signup and view all the answers

    In postural assessment, rotation of the umbilicus to the left could potentially result in what?

    <p>Shortening of abdominal muscles on the left</p> Signup and view all the answers

    An ______ that does not fall in the midline ties in with rotation of the thorax and pelvis. Some therapists believe that rotation of the ______ to the right indicates a shortening in the iliopsoas muscles on the left, and that rotation to the left results in shortening of the iliopsoas muscles on the right. However, as with each of the steps in your postural assessment, it is important to keep an open mind as to causal factors.

    <p>umbilicus</p> Signup and view all the answers

    Rotation or lateral flexion to a minor degree is often observed in people who spend prolonged periods in a fixed position with their workstation to one side of them rather than directly in ______ of them

    <p>front</p> Signup and view all the answers

    What is the angle formed between the long axis of the humerus and the forearm in females according to the text?

    <p>carrying</p> Signup and view all the answers

    Observing facial expressions is not crucial to determine if a client is relaxed or worried during a postural assessment. Why might an abnormal carrying angle after an ______ fracture affect a person's ability to bear weight through the upper limb?

    <p>elbow</p> Signup and view all the answers

    Why is it important to pay particular attention to the thumbs and ______ wasting in the thenar or hypothenar eminence?

    <p>muscle</p> Signup and view all the answers

    What does a rotated umbilicus to the right potentially indicate in postural assessment?

    <p>Shortening of iliopsoas muscles on the right</p> Signup and view all the answers

    What is the potential significance of an umbilicus not falling in the midline during postural assessment?

    <p>Indicates rotation of the thorax and pelvis</p> Signup and view all the answers

    Why is it important to keep an open mind regarding causal factors during postural assessment?

    <p>To consider all possible issues influencing the postural findings</p> Signup and view all the answers

    What potential issue might be indicated by observing atrophied neck muscles in a client post-immobilization trauma?

    <p>Neck injury</p> Signup and view all the answers

    What would a client's face potentially reveal during anterior postural assessment?

    <p>Level of stress or relaxation</p> Signup and view all the answers

    What can a lateral tilt in the pelvis correspond with?

    <p>A lateral curve in the lumbar spine</p> Signup and view all the answers

    In a client who is hip hitched on the right, what could be shorter than the left side?

    <p>Right quadratus lumborum muscle</p> Signup and view all the answers

    What position is the right hip likely to be in when a client is hip hitched on the right side?

    <p>Adducted</p> Signup and view all the answers

    What muscle may exhibit shortening when a client's right hip is adducted?

    <p>Right adductor muscles</p> Signup and view all the answers

    In a client with a higher ASIS on the right side, what muscle on the left may be shortened?

    <p>Gluteus medius</p> Signup and view all the answers

    A lateral tilt in the pelvis corresponds with a lateral curve in the ______ spine

    <p>lumbar</p> Signup and view all the answers

    When a client is hip hitched on the right, with a higher ASIS on that side, the right quadratus lumborum muscle could be shorter than the ______

    <p>left</p> Signup and view all the answers

    The right hip will be adducted, whereas the left hip is in an ______ position

    <p>abducted</p> Signup and view all the answers

    Rotation or lateral flexion to a minor degree is often observed in people who spend prolonged periods in a fixed position with their workstation to one side of them rather than directly in ______ of them

    <p>front</p> Signup and view all the answers

    Increased bulk in the arm muscles indicates increased use of that limb; decreased bulk or even atrophy indicates ______

    <p>weakness</p> Signup and view all the answers

    A hip hitched to the right side, with a higher ASIS on that side, could indicate a shorter right quadratus lumborum muscle.

    <p>True</p> Signup and view all the answers

    If a client has a lateral tilt in the pelvis with one ASIS lower than the other, it corresponds to a lateral curve in the thoracic spine.

    <p>False</p> Signup and view all the answers

    When a client is hip hitched to the right, the left hip is adducted and the right hip is abducted.

    <p>False</p> Signup and view all the answers

    A lateral tilt in the pelvis can lead to shortening of the gluteus medius muscle on the side with the higher ASIS.

    <p>False</p> Signup and view all the answers

    In postural assessment, a higher ASIS on one side of the pelvis always indicates a shorter muscle on the opposite side of the body.

    <p>False</p> Signup and view all the answers

    How can rotation of the pelvis affect the feet and knees?

    <p>Increased pressure on the lateral side of the left foot</p> Signup and view all the answers

    In the posterior postural assessment, what indicates that the whole pelvis is rotated to the right?

    <p>Increased pressure on the medial side of the left foot</p> Signup and view all the answers

    How does rotation of the pelvis affect the thorax?

    <p>Makes the thorax rotate to the same side as the pelvis</p> Signup and view all the answers

    What is the impact on knee orientation when the whole pelvis is rotated to the right?

    <p>Knees face backwards</p> Signup and view all the answers

    What happens to the pressure distribution under the feet when there is a normal pelvis with both ASIS aligned?

    <p>Equal pressure beneath both feet</p> Signup and view all the answers

    In the posterior postural assessment, what indicates that the whole pelvis is rotated to the right? Increased pressure on the ______ side of the right foot.

    <p>lateral</p> Signup and view all the answers

    When a client has a lateral tilt in the pelvis with one ASIS lower than the other, it corresponds to a lateral curve in the ______ spine.

    <p>thoracic</p> Signup and view all the answers

    If a client's nose is aligned with the manubrium, sternum, and umbilicus, there is no lateral deviation or rotation in the head position. This can aid in identifying potential issues with the ______.

    <p>head</p> Signup and view all the answers

    Abnormal signs like facial muscles being involuntarily clenched or ______ should be noted during the assessment.

    <p>spasming</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people, while scalenes might appear particularly prominent in individuals with long-term respiratory conditions such as chronic obstructive pulmonary disease. Atrophy, on the other hand, indicates ______.

    <p>weakness</p> Signup and view all the answers

    In posterior postural assessment, if the whole pelvis is rotated to the right, the knees no longer face forwards.

    <p>True</p> Signup and view all the answers

    Rotation of the pelvis does not affect the feet and knees according to the text.

    <p>False</p> Signup and view all the answers

    A rotated umbilicus to the right is commonly believed to indicate a postural issue.

    <p>True</p> Signup and view all the answers

    Severe lateral flexion with heightened tone in the sternocleidomastoid is not a strong indicator of postural issues.

    <p>False</p> Signup and view all the answers

    Rotation or lateral flexion to a minor degree is rarely observed in individuals who spend prolonged periods in a fixed position.

    <p>False</p> Signup and view all the answers

    How does pelvic rotation to the left affect the pressure distribution on the feet?

    <p>Equal pressure distribution on both sides of the foot</p> Signup and view all the answers

    What happens to foot pressure when the pelvis is rotated to the right?

    <p>Increased pressure on the lateral side of the foot</p> Signup and view all the answers

    How is foot pressure affected by increased supination?

    <p>Increased pressure on both sides of the foot</p> Signup and view all the answers

    When rotating to the left, what is the effect of increased inversion of the forefoot?

    <p>Decreased pressure on the lateral side of the foot</p> Signup and view all the answers

    What is a noticeable effect of pelvic rotation on foot supination?

    <p>Equal pressure distribution on both sides of the foot</p> Signup and view all the answers

    How does increased pronation influence foot pressure distribution?

    <p>Equal pressure distribution on both sides of the foot</p> Signup and view all the answers

    Increased supination leads to increased pressure on the ______ side of the foot

    <p>lateral</p> Signup and view all the answers

    A client's pelvis is higher on the ______ side in the photograph

    <p>left</p> Signup and view all the answers

    Increased pronation results in equal pressure on the ______ sides of the foot

    <p>lateral and medial</p> Signup and view all the answers

    Rotation of the pelvis to the right causes increased ______ on the lateral side of the foot

    <p>supination</p> Signup and view all the answers

    You can test the effect pelvic rotation has on the feet by rotating to the left and right and feeling the contact points of the soles of your feet and the ______

    <p>floor</p> Signup and view all the answers

    Increased pronation leads to equal pressure on the lateral and medial sides of the ______

    <p>foot</p> Signup and view all the answers

    Why might a client stand in a wide stance according to the text?

    <p>Due to feeling unbalanced</p> Signup and view all the answers

    What is the purpose of asking a client in a wide stance to stand with their feet together?

    <p>To test hip adductor strength</p> Signup and view all the answers

    Which muscle weakness might lead a client to dislike standing with feet together?

    <p>Hip adductor muscles</p> Signup and view all the answers

    What can standing with feet together help determine about a client according to the text?

    <p>Balance perception</p> Signup and view all the answers

    Why should a fitness professional observe if a client naturally stands with legs together or in a wide stance?

    <p>To determine posture issues</p> Signup and view all the answers

    When a client stands in a wide stance, they create a wide base of support for themselves in order to feel more ______.

    <p>balanced</p> Signup and view all the answers

    Clients who stand in a wide stance may have weak hip adductor muscles relative to their abductor muscles, leading to a feeling of ______.

    <p>unbalanced</p> Signup and view all the answers

    Standing with feet together can help assess the strength of the hip ______ muscles.

    <p>adductor</p> Signup and view all the answers

    A wide base of support during standing can indicate a need for the client to engage their hip ______ muscles more.

    <p>adductor</p> Signup and view all the answers

    Standing with feet together can reveal if a client has weak hip adductor muscles and feels ______ in that position.

    <p>unbalanced</p> Signup and view all the answers

    Clients who stand in a wide stance create a narrow base of support for themselves.

    <p>False</p> Signup and view all the answers

    Standing with feet together can help identify if a client has weak hip adductor muscles.

    <p>True</p> Signup and view all the answers

    Standing in a wide stance indicates strong hip abductor muscles relative to the adductor muscles.

    <p>False</p> Signup and view all the answers

    A client standing with feet close together may suggest they have strong hip adductor muscles.

    <p>True</p> Signup and view all the answers

    If a client prefers a wide stance, it is always due to feeling balanced and stable.

    <p>False</p> Signup and view all the answers

    What does an increase in muscle bulk in the lower limb suggest?

    <p>Increased usage or weight bearing on that side</p> Signup and view all the answers

    In the context of muscle bulk assessment, what does atrophy of muscles in a healthy person suggest?

    <p>Disuse</p> Signup and view all the answers

    Following a prolonged period of bed rest, what is a common outcome regarding muscle in the lower limb?

    <p>Atrophy of muscles</p> Signup and view all the answers

    Why might observing an increase in bulk in the arm muscles be significant?

    <p>Suggests increased usage of that limb</p> Signup and view all the answers

    What could be inferred from observing atrophy in arm muscles?

    <p>Disuse</p> Signup and view all the answers

    An increase in muscle bulk in the lower limb suggests increased ______ or weight bearing on that side

    <p>usage</p> Signup and view all the answers

    Atrophy in muscles of the lower limb is common following immobilisation of the limb or a prolonged period of ______ rest

    <p>bed</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______

    <p>issues</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people, while scalenes might appear particularly prominent in individuals with long-term respiratory conditions such as chronic obstructive pulmonary disease. Atrophy, on the other hand, indicates ______

    <p>weakness</p> Signup and view all the answers

    Severe lateral flexion with heightened tone in the sternocleidomastoid is a strong indicator of ______

    <p>strain</p> Signup and view all the answers

    Structurally, with genu valgum, the muscles of the lateral thigh are ______ relative to the muscles of the medial side of the thigh.

    <p>shorter</p> Signup and view all the answers

    In genu varum, there is increased pressure on the ______ side of the knee joint.

    <p>medial</p> Signup and view all the answers

    Osteoarthritic changes or degradation of menisci may be more likely to occur on the side of the knee subject to greater ______ forces.

    <p>compressive</p> Signup and view all the answers

    Overstretching of soft tissues is likely on the ______ side of the knee in cases of genu valgum.

    <p>opposite</p> Signup and view all the answers

    In genu valgum, increased pressure on the lateral side of the knee joint may lead to degenerative changes on that side of the knee occurring before degenerative changes on the ______ side of the knee.

    <p>medial</p> Signup and view all the answers

    With genu varum, the muscles of the medial side of the thigh are ______ relative to the muscles of the lateral thigh.

    <p>shorter</p> Signup and view all the answers

    What structural difference between the thigh muscles is associated with genu valgum?

    <p>Shorter gracilis, semimembranosus, and semitendinosus compared to iliotibial band and biceps femoris</p> Signup and view all the answers

    Which side of the knee joint experiences increased pressure in genu varum?

    <p>Medial side</p> Signup and view all the answers

    What is a potential consequence of overstretching soft tissues in the knee due to genu valgum?

    <p>Degenerative changes on the lateral side of the knee</p> Signup and view all the answers

    Which condition is more likely to cause osteoarthritic changes or meniscal degradation in the knee?

    <p>Genu valgum</p> Signup and view all the answers

    In genu varum, which muscles are structurally shorter relative to the lateral thigh muscles?

    <p>Gracilis, semimembranosus, and semitendinosus</p> Signup and view all the answers

    In genu valgum, the muscles of the lateral thigh are longer relative to the muscles of the medial thigh.

    <p>False</p> Signup and view all the answers

    Genu varum results in increased pressure on the lateral side of the knee joint.

    <p>False</p> Signup and view all the answers

    A rotated umbilicus to the right indicates a postural issue.

    <p>True</p> Signup and view all the answers

    Increased tone in respiratory muscles like scalenes is often observed in individuals with short-term respiratory conditions.

    <p>False</p> Signup and view all the answers

    Observing abnormalities like swellings or bruising in the hands or wrists is not important according to postural assessment.

    <p>False</p> Signup and view all the answers

    Standing with feet together can help identify if a client has weak hip abductor muscles.

    <p>False</p> Signup and view all the answers

    Because the patellae are housed within the quadriceps tendon, and this in turn is housed in fascia connected to other structures, could an increase in tension in the muscles or the fascia of the medial or lateral sides of the knee (or both) contribute to ______?

    <p>maltracking</p> Signup and view all the answers

    For example, could lateral maltracking be due to increased tension in the lateral retinaculum of the knee and the iliotibial band? Could medial maltracking be due to increased tension in the vastus ______?

    <p>medialis</p> Signup and view all the answers

    Patellae that appear compressed against the knee joint are sometimes observed in clients who hyperextend their knees in standing, something you will have looked for in step 3 of your lower body lateral assessment (page 84). Anterior knee pain can sometimes be explained by patellae tilting such that their inferior poles stick into the fat pad beneath the knee, a condition perhaps aggravated by forced or prolonged knee ______.

    <p>extension</p> Signup and view all the answers

    Increased pronation results in equal pressure on the ______ sides of the foot.

    <p>medial</p> Signup and view all the answers

    Overstretching of soft tissues is likely on the ______ side of the knee in cases of genu valgum.

    <p>lateral</p> Signup and view all the answers

    A wide base of support during standing can indicate a need for the client to engage their hip ______ muscles more.

    <p>abductor</p> Signup and view all the answers

    An altered head position may indicate that the client has suffered an injury to the ______

    <p>neck</p> Signup and view all the answers

    Increased tone in respiratory muscles like scalenes is often observed in individuals with ______ respiratory conditions

    <p>short-term</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______

    <p>torticollis</p> Signup and view all the answers

    A lateral tilt in the pelvis corresponds with a lateral curve in the ______ spine

    <p>lumbar</p> Signup and view all the answers

    An increase in muscle bulk in the lower limb suggests increased ______ or weight bearing on that side

    <p>loading</p> Signup and view all the answers

    What is a potential consequence of overstretching soft tissues in the knee due to ______?

    <p>genu valgum</p> Signup and view all the answers

    What should be the position of the patella in relation to the tibial tuberosity?

    <p>In line with it</p> Signup and view all the answers

    Which condition is associated with patellae that appear compressed against the knee joint?

    <p>Hyperextension of knees</p> Signup and view all the answers

    What could contribute to lateral maltracking of the patella?

    <p>Increased tension in lateral retinaculum and iliotibial band</p> Signup and view all the answers

    How can anterior knee pain be related to patellar positioning?

    <p>Patellae tilting into the fat pad beneath the knee</p> Signup and view all the answers

    Which structure houses the patellae within the knee?

    <p>Quadriceps tendon</p> Signup and view all the answers

    What could increased tension in the vastus medialis potentially contribute to?

    <p>Medial maltracking of patella</p> Signup and view all the answers

    The patella should always point straight ahead with respect to the tibiofemoral joint.

    <p>False</p> Signup and view all the answers

    A laterally rotated patella could correspond with a medially rotated femur on that side.

    <p>False</p> Signup and view all the answers

    Clients who stand with hyperextended knees often compress the patellae against the femurs, causing them to face straight ahead.

    <p>False</p> Signup and view all the answers

    A medially rotated patella could correspond with medial tibial torsion.

    <p>True</p> Signup and view all the answers

    Rotation of the femur can cause the patella to no longer face forwards.

    <p>True</p> Signup and view all the answers

    A very simple test to assess for tibial torsion is to examine where the fibular tuberosity lies.

    <p>False</p> Signup and view all the answers

    A very simple test to assess for tibial torsion is to examine where the ______ lies.

    <p>tibial tuberosity</p> Signup and view all the answers

    Clients who stand with the knees hyperextended often compress the patellae against the femurs, and the patellae slant downwards rather than facing straight ahead. Consequently, an imaginary headlight from the knees of these clients would illuminate the floor closer to the client than normal. In addition to your postural assessment, you may want to carry out tests to confirm your ______.

    <p>diagnosis</p> Signup and view all the answers

    A medially rotated patella could correspond with a medially rotated femur on that side, medial tibial torsion or both. Clients who stand with the knees hyperextended often compress the patellae against the femurs, and the patellae slant downwards rather than facing straight ahead. Consequently, an imaginary headlight from the knees of these clients would illuminate the floor closer to the client than normal. In addition to your postural assessment, you may want to carry out tests to confirm your ______.

    <p>diagnosis</p> Signup and view all the answers

    Drawing a plumb line between specific body points helps assess the lateral tilting of the head. If a person's nose is aligned with the manubrium, sternum, and umbilicus, there is no lateral deviation or rotation in the head position. This can aid in identifying potential issues with the ______.

    <p>head position</p> Signup and view all the answers

    Patellae that appear compressed against the knee joint are sometimes observed in clients who hyperextend their knees in standing, something you will have looked for in step 3 of your lower body lateral assessment (page 84). Anterior knee pain can sometimes be explained by patellae tilting such that their inferior poles stick into the fat pad beneath the knee, a condition perhaps aggravated by forced or prolonged knee ______.

    <p>hyperextension</p> Signup and view all the answers

    Increased supination leads to increased pressure on the ______ side of the foot.

    <p>lateral</p> Signup and view all the answers

    How can a medially rotated patella correspond in terms of rotation in the femur or tibia?

    <p>Medial femur and medial tibia rotation</p> Signup and view all the answers

    In what scenario might a laterally rotated patella be observed in a client?

    <p>Lateral tibial torsion</p> Signup and view all the answers

    What could cause patellae to slant downwards rather than face straight ahead?

    <p>Hyperextension of the knees</p> Signup and view all the answers

    What does the analogy of 'headlights of a car' help in assessing?

    <p>Knee alignment</p> Signup and view all the answers

    What can an anteriorly rotated patella indicate about the femur and tibia?

    <p>Medial femur and lateral tibia rotation</p> Signup and view all the answers

    What is the potential consequence of maltracking of the patella due to an abnormal Q angle?

    <p>Degradation of the patellofemoral cartilage</p> Signup and view all the answers

    How might prolonged internal rotation of the tibia contribute to abnormal Q angle in clients?

    <p>By causing an abnormal increase in Q angle</p> Signup and view all the answers

    What could be a likely outcome of increased stress on the knee joint due to abnormal Q angle?

    <p>Development of more serious knee problems</p> Signup and view all the answers

    Why might individuals with increased pronation of the foot have an abnormal Q angle?

    <p>As a result of prolonged tibial rotation</p> Signup and view all the answers

    What does an abnormal Q angle NOT necessarily indicate for a client?

    <p>Increased pronation of the foot</p> Signup and view all the answers

    What is the Q angle used for assessing?

    <p>Knee problems</p> Signup and view all the answers

    Why is measuring the Q angle more accurate when the client is standing?

    <p>The patella is under normal weight-bearing stresses</p> Signup and view all the answers

    What causes women to typically have a greater Q angle than men?

    <p>Wider pelvis</p> Signup and view all the answers

    What does the Q angle measure the angle between?

    <p>Patellar tendon and rectus femoris</p> Signup and view all the answers

    What is the typical range for the Q angle in degrees?

    <p>15-20 degrees</p> Signup and view all the answers

    Where should a line be drawn from to determine the Q angle?

    <p>Patella to tibial tuberosity</p> Signup and view all the answers

    The Q angle measures the angle between the rectus femoris quadriceps muscle and the ______ tendon.

    <p>patellar</p> Signup and view all the answers

    Women typically have a greater Q angle than men due to a wider ______.

    <p>pelvis</p> Signup and view all the answers

    The Q angle is usually around 15 to 20 degrees and is more accurate to measure when the client is ______ rather than supine.

    <p>standing</p> Signup and view all the answers

    A client with hyperextended knees may compress the patellae against the femurs, causing the patellae to slant downwards rather than face ______.

    <p>straight</p> Signup and view all the answers

    The Q angle can help predict the likelihood of some knee problems and indicate the need for prophylactic ______.

    <p>treatment</p> Signup and view all the answers

    Drawing a line from the midpoint of the patella to the tibial tuberosity helps determine the Q angle by creating an angle with a line drawn from the patella to the ASIS (anterior superior iliac ______).

    <p>spine</p> Signup and view all the answers

    An abnormal Q angle could lead to maltracking of the __________

    <p>patella</p> Signup and view all the answers

    Clients with increased pronation of the foot may have an abnormal Q angle due to internal rotation of the __________

    <p>tibia</p> Signup and view all the answers

    Rotation of the pelvis can result in increased stress on the ________ joint

    <p>knee</p> Signup and view all the answers

    Anterior knee pain can be explained by patellae tilting into the fat pad beneath the knee, a condition perhaps aggravated by forced or prolonged knee ________

    <p>extension</p> Signup and view all the answers

    An altered head position may indicate that the client has suffered an injury to the ________

    <p>neck</p> Signup and view all the answers

    If a client has an abnormal Q angle, it is guaranteed that they will experience knee problems.

    <p>False</p> Signup and view all the answers

    Increased pronation of the foot contributes to a higher Q angle due to external rotation of the tibia.

    <p>False</p> Signup and view all the answers

    An abnormal Q angle can cause maltracking of the patella, leading to smooth gliding on the femoral grooves.

    <p>False</p> Signup and view all the answers

    Microtrauma from an abnormal Q angle can eventually result in patellofemoral cartilage hypertrophy.

    <p>False</p> Signup and view all the answers

    Prolonged internal rotation of the tibia due to increased pronation can lead to normal biomechanics and decreased stress on the knee joint.

    <p>False</p> Signup and view all the answers

    The Q angle is measured by the angle between the rectus quadriceps muscle and the femoral nerve.

    <p>False</p> Signup and view all the answers

    Measuring the Q angle when the client is supine is more accurate than measuring it when the client is standing.

    <p>False</p> Signup and view all the answers

    The Q angle varies between individuals but is consistently around 30 degrees for both males and females.

    <p>False</p> Signup and view all the answers

    Women typically have a lesser Q angle than men due to differences in pelvis width.

    <p>False</p> Signup and view all the answers

    Drawing a line from the midpoint of the patella to the tibial tuberosity creates an angle that helps determine the Q angle.

    <p>True</p> Signup and view all the answers

    The Q angle indicates the likelihood of shoulder problems rather than knee problems.

    <p>False</p> Signup and view all the answers

    What does lateral tibial torsion produce in terms of foot position?

    <p>Toe-out</p> Signup and view all the answers

    What could bowing of the tibia indicate?

    <p>Osteomalacia</p> Signup and view all the answers

    What is a characteristic associated with medial tibial torsion?

    <p>Decrease in the longitudinal arch</p> Signup and view all the answers

    What foot changes are associated with medial tibial torsion per Table 5.3?

    <p>Decreased longitudinal arch</p> Signup and view all the answers

    What is the characteristic change within the foot itself due to lateral tibial torsion?

    <p>Accentuated medial longitudinal arch</p> Signup and view all the answers

    What does lateral tibial torsion produce in terms of pressure on the foot?

    <p>Increased pressure on the lateral side</p> Signup and view all the answers

    Bowing of the tibia could indicate osteomalacia or increased compressive forces on the concave side of the bone. Lateral tibial torsion produces the toe-out position and is associated with increased supination with the medial longitudinal arch of the foot being accentuated and the heel being inverted. Medial tibial torsion produces toe-in (pigeon-toed) feet, a decrease in the longitudinal arch, plus eversion of the heel. Table 5.3 summarises this information. Table 5.3 tibial torsion and Corresponding Changes in the Foot lateral tibial torsion Medial tibial torsion Overall foot position Toe-out Toe-in Changes within the foot itself There is increased supination, the heel is inverted, and the medial longitudinal arch is accentuated. There is increased pronation, the heel is everted, and the medial longitudinal arch is decreased.

    <p>Step</p> Signup and view all the answers

    Look at the leg now and compare the tibial tuberosities. Use them to determine whether there is any tibial torsion. There is usually a slight lateral rotation of the tibiae, corresponding with a turned-out foot position. Also look at the shape of the tibiae and whether either is bowed. Lower Body What Your Findings Mean.

    <p>9</p> Signup and view all the answers

    Bowing of the tibia could indicate osteomalacia or increased compressive forces on the concave side of the bone. Lateral tibial torsion produces the toe-out position and is associated with increased supination with the medial longitudinal arch of the foot being accentuated and the heel being inverted.

    <p>rotation</p> Signup and view all the answers

    Medial tibial torsion produces toe-in (pigeon-toed) ______, a decrease in the longitudinal arch, plus eversion of the heel.

    <p>feet</p> Signup and view all the answers

    Table 5.3 summarises this information. Table 5.3 tibial torsion and Corresponding Changes in the Foot lateral tibial torsion Medial tibial torsion Overall foot position Toe-out Toe-in Changes within the foot itself There is increased ______, the heel is inverted, and the medial longitudinal arch is accentuated.

    <p>supination</p> Signup and view all the answers

    There is increased ______, the heel is everted, and the medial longitudinal arch is decreased.

    <p>pronation</p> Signup and view all the answers

    What might an observer infer from a client demonstrating eversion during the assessment of the ankles?

    <p>Increased stress on the lateral side of the foot</p> Signup and view all the answers

    In the context of the text, why is it important to check for any swelling or discolouration around the ankles?

    <p>To observe potential childhood musculoskeletal injuries</p> Signup and view all the answers

    What may rolling in onto the medial side of the foot suggest during ankle assessment?

    <p>Greater pressure on the outside of the foot</p> Signup and view all the answers

    Why is it crucial for ankles to have their medial and lateral malleoli level with each other during observation?

    <p>To maintain normal biomechanics of the lower body</p> Signup and view all the answers

    Based on the text, what could a significant increase in space between the medial side of the foot and the floor indicate?

    <p>Decreased stress on the lateral side of the foot</p> Signup and view all the answers

    Severe lateral flexion with or without rotation, combined with heightened tone in the sternocleidomastoid, could indicate ______

    <p>issues</p> Signup and view all the answers

    A wide base of support during standing can indicate a need for the client to engage their hip ______ muscles more.

    <p>adductor</p> Signup and view all the answers

    Increased pronation leads to equal pressure on the lateral and medial sides of the ______

    <p>foot</p> Signup and view all the answers

    Drawing a plumb line between specific body points helps assess the lateral tilting of the head. If a person's nose is aligned with the manubrium, sternum, and umbilicus, there is no lateral deviation or rotation in the head position. This can aid in identifying potential issues with the ______

    <p>head</p> Signup and view all the answers

    In genu varum, which muscles are structurally shorter relative to the lateral thigh muscles?

    <p>medial</p> Signup and view all the answers

    What is the main purpose of observing the ankles for eversion or inversion during a postural assessment?

    <p>To evaluate the alignment of the feet and potential musculoskeletal issues.</p> Signup and view all the answers

    What would it mean if a client is observed rolling in onto the medial side of their foot during a postural assessment?

    <p>The client has weak hip adductor muscles.</p> Signup and view all the answers

    In what condition might observing eversion during an ankle assessment be expected?

    <p>Pronation of the foot</p> Signup and view all the answers

    Why should a postural assessor check for swelling or discoloration around the ankles?

    <p>To assess for possible soft tissue damage.</p> Signup and view all the answers

    If a client appears to be rolling out with greater pressure on the outside of the foot during an assessment, what implication might this have?

    <p>The client has weak hip abductor muscles.</p> Signup and view all the answers

    Feet turned out in a ballet-type stance could result from external rotation at the hip joint, lateral tibial torsion or both. External hip rotation could indicate shortening of the gluteus maximus and the posterior fibers of the gluteus medius, along with the iliotibial band. A client who stands with her feet turned inwards (pigeon-toed) may have shortened internal rotators of the hip, a medially rotated tibia or both. Table 5.4 summarises this information. Toe-out position Toe-in position Possible position of the hip joint Externally rotated Internally rotated Possible position of the tibia Lateral tibial torsion Medial tibial torsion Muscles that might be shortened External rotators of the femur; iliotibial band Internal rotators of the femur

    <p>Both</p> Signup and view all the answers

    Standing with feet together can help identify if a client has weak hip adductor muscles.

    <p>Weak</p> Signup and view all the answers

    Increased tone in respiratory muscles like scalenes is often observed in individuals with long-term respiratory conditions.

    <p>Scalenes</p> Signup and view all the answers

    The patella should always point straight ahead with respect to the tibiofemoral joint.

    <p>Tibiofemoral</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people, while atrophy indicates ______.

    <p>Weakness</p> Signup and view all the answers

    Rheumatoid arthritis can be identified by normal, non-inflamed joints in the fingers.

    <p>Non-inflamed</p> Signup and view all the answers

    Feet should be positioned turned out to the same angle, equidistant from an imaginary plumb line.

    <p>True</p> Signup and view all the answers

    A client who stands with her feet turned inwards (pigeon-toed) may have shortened external rotators of the hip.

    <p>False</p> Signup and view all the answers

    Toe-out foot position could indicate shortening of the gluteus maximus and posterior fibers of the gluteus medius.

    <p>True</p> Signup and view all the answers

    A client with lateral tibial torsion may have feet turned inwards.

    <p>False</p> Signup and view all the answers

    Having a ballet-type stance with feet turned out can result from internal rotation at the hip joint.

    <p>False</p> Signup and view all the answers

    Shortening of external rotators of the femur could be associated with toe-in foot positions.

    <p>True</p> Signup and view all the answers

    Pes planus is also known as ______ foot

    <p>flat</p> Signup and view all the answers

    Pes cavus is characterized by a higher-than-normal ______ arch

    <p>high</p> Signup and view all the answers

    In pes planus, the medial side of the foot might even be touching the floor completely, leaving no ______ at all

    <p>gap</p> Signup and view all the answers

    Pes cavus results in a greater-than-normal space between the floor and the ______ side of the foot

    <p>medial</p> Signup and view all the answers

    Many providers of sport footwear now have pressure plates on site to assess how potential buyers distribute their ______

    <p>weight</p> Signup and view all the answers

    A crude way to determine weight bearing in standing is simply to take ______

    <p>footprints</p> Signup and view all the answers

    Pes planus is characterized by a higher longitudinal arch than normal.

    <p>False</p> Signup and view all the answers

    Pes cavus results in a greater-than-normal space between the floor and the medial side of the foot.

    <p>True</p> Signup and view all the answers

    Pes planus can cause leg and foot pain due to overstretching of the long muscles of the sole of the foot.

    <p>True</p> Signup and view all the answers

    Pes cavus corresponds with the supination of the talus bone.

    <p>False</p> Signup and view all the answers

    A crude way to assess weight distribution on the feet is by using pressure plates to measure standing and running weight distribution.

    <p>False</p> Signup and view all the answers

    Pes cavus can result from weak intrinsic plantar muscles and overextension of ligaments in the foot.

    <p>False</p> Signup and view all the answers

    Pes planus is also known as flat ______

    <p>foot</p> Signup and view all the answers

    Pes cavus is characterized by a higher-than-normal longitudinal ______

    <p>arch</p> Signup and view all the answers

    In pes planus, the medial side of the foot might even be touching the floor completely, leaving no ______ at all

    <p>gap</p> Signup and view all the answers

    Many providers of sport footwear now have pressure plates on site to assess how potential buyers distribute their weight both in standing and ______

    <p>running</p> Signup and view all the answers

    Pes cavus represents a higher longitudinal arch than ______

    <p>normal</p> Signup and view all the answers

    Over time, the development of a flat foot might cause leg and foot pain as a result of overstretching of the long muscles of the sole of the ______

    <p>foot</p> Signup and view all the answers

    What is the primary change associated with pes planus (flat foot)?

    <p>Loss of the plantar arch</p> Signup and view all the answers

    Which movement occurs in the foot bones in pes cavus (high arches)?

    <p>The calcaneus supinates</p> Signup and view all the answers

    What soft tissue change is associated with pes planus?

    <p>Overstretching of the long muscles of the sole of the foot</p> Signup and view all the answers

    In pes cavus, what happens to the relationship between trunk rotation and foot position?

    <p>Trunk rotation to the right increases supination on both feet</p> Signup and view all the answers

    How are trunk rotation and foot pressure related in pes cavus?

    <p>Trunk rotation to the left increases pressure through the medial side of the left foot</p> Signup and view all the answers

    Which statement is true regarding pes planus and pes cavus?

    <p>Pes cavus is due to shortening of intrinsic foot muscles</p> Signup and view all the answers

    Pes planus is characterized by the loss of the ______ arch

    <p>plantar</p> Signup and view all the answers

    Pes cavus is characterized by a higher-than-normal plantar ______

    <p>arch</p> Signup and view all the answers

    In pes planus, there is weakness in the intrinsic plantar muscles and overstretching of the long muscles of the sole of the ______

    <p>foot</p> Signup and view all the answers

    Trunk rotation to the left increases pronation on the right foot; trunk rotation to the right increases pronation in the left ______

    <p>foot</p> Signup and view all the answers

    Lateral tibial torsion produces a toe-out position and increased ______ with the medial longitudinal arch of the foot being accentuated

    <p>supination</p> Signup and view all the answers

    Medial tibial torsion produces toe-in (pigeon-toed) feet, a decrease in the longitudinal arch, plus eversion of the ______

    <p>heel</p> Signup and view all the answers

    A wide base of support during standing can indicate a need for the client to engage their hip ______ muscles more.

    <p>adductor</p> Signup and view all the answers

    Increased tone in respiratory muscles such as the scalenes and the sternocleidomastoid is often observed in many people, while atrophy indicates ______.

    <p>weakness</p> Signup and view all the answers

    What is the angle formed between the long axis of the humerus and the forearm in females according to the text?

    <p>30 degrees</p> Signup and view all the answers

    A medially rotated patella could correspond with a medially rotated femur on that side, medial tibial torsion or both. Clients who stand with the knees hyperextended often compress the patellae against the femurs, and the patellae slant downwards rather than facing straight ahead. Consequently, an imaginary headlight from the knees of these clients would illuminate the floor closer to the client than normal. In addition to your postural assessment, you may want to carry out tests to confirm your ______.

    <p>findings</p> Signup and view all the answers

    Rotation of the pelvis does not affect the feet and knees according to the text.

    <p>true</p> Signup and view all the answers

    What should the observer pay particular attention to in the lower body during postural observation?

    <p>Swelling around the joints</p> Signup and view all the answers

    In the context of postural observation, what might swelling around the joints indicate?

    <p>Injury or inflammation</p> Signup and view all the answers

    What could be a reason for increased tension in the tendon of a muscle during postural observation?

    <p>Correcting postural sway</p> Signup and view all the answers

    What is the significance of observing skin discoloration during postural assessment?

    <p>Could indicate underlying health issues</p> Signup and view all the answers

    What might significant differences between tendons of a muscle on the left and right sides indicate?

    <p>Imbalance in muscle tone</p> Signup and view all the answers

    In the text, it is mentioned that the person's right tibialis anterior muscle is under tension due to postural correction.

    <p>True</p> Signup and view all the answers

    Swelling around the joints, skin discoloration, and scars are not areas of focus when making additional observations in postural assessment.

    <p>False</p> Signup and view all the answers

    Observing a significant difference between the tendons of the tibialis anterior muscle on the left and right legs is not highlighted as a point of interest in the text.

    <p>False</p> Signup and view all the answers

    Postural sway correction is not mentioned as a potential reason for the increase in tension in the tendon of the right tibialis anterior muscle in the text.

    <p>False</p> Signup and view all the answers

    The focus on posterior and lateral observations in postural assessment excludes any possibility of documenting anything else not yet noted.

    <p>False</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Browser