Human Anatomy: Spine Overview
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Questions and Answers

What is the primary function of the intervertebral disc?

  • It acts as a shock absorber for the vertebrae.
  • It produces synovial fluid for lubrication.
  • It protects the spinal cord from injury.
  • It serves as an interface for nutrient diffusion from the vertebral bone to the disc. (correct)
  • Which part of the intervertebral disc is responsible for distributing mechanical loads?

  • Spinal canal
  • Annulus fibrosus (correct)
  • Annular wall
  • Nucleus pulposus
  • Why is the anterior wall of the annulus fibrosus thicker than the posterior wall?

  • To reduce the risk of herniation.
  • To better handle compressive forces. (correct)
  • To provide flexibility during rotation.
  • To maintain the disc's jelly-like structure.
  • What effect does forward bending have on the annulus fibrosus?

    <p>It results in stretching of the back (posterior) annulus. (C)</p> Signup and view all the answers

    How does the structural arrangement of fibers in the annulus fibrosus contribute to resistance against forces?

    <p>Fibers have alternating obliquities. (C)</p> Signup and view all the answers

    What characteristic of the annular wall contributes to spinal stability?

    <p>Its layered structure. (D)</p> Signup and view all the answers

    Why are the posterior wall fibers of the annulus fibrosus more prone to herniation?

    <p>They are thinner compared to the anterior wall. (B)</p> Signup and view all the answers

    When twisting occurs, what happens to the annulus fibers aligned in the direction of the twist?

    <p>They tighten and provide stability. (C)</p> Signup and view all the answers

    What is the primary function of the lordotic curve in the spine?

    <p>Distributes weight and absorbs shock. (D)</p> Signup and view all the answers

    Which spinal region is characterized by relatively immobile vertebrae?

    <p>Thoracic region (D)</p> Signup and view all the answers

    What might occur as a result of chronic back pain?

    <p>Recruitment of larger muscles at the expense of mobility. (B)</p> Signup and view all the answers

    Which of the following components is NOT part of the functional spinal unit?

    <p>Spinal cord (D)</p> Signup and view all the answers

    What does a higher ratio between the vertebral body and disc indicate?

    <p>Thicker discs and greater motion. (D)</p> Signup and view all the answers

    How does the structure of intervertebral discs contribute to their function?

    <p>The outer layer absorbs shock while the inner gel maintains space. (B)</p> Signup and view all the answers

    What structural characteristic differentiates lumbar vertebrae from cervical vertebrae?

    <p>Lumbar vertebrae have larger muscle attachments for carrying weight. (A)</p> Signup and view all the answers

    What is the role of the sacrum in the spinal column?

    <p>It connects the spine to the pelvis and delivers nerves to pelvic organs. (D)</p> Signup and view all the answers

    What happens to the height of the vertebral column throughout the day?

    <p>It decreases in height by the end of the day due to compression. (B)</p> Signup and view all the answers

    What primarily initiates side bending in the lumbar region?

    <p>Ipsilateral abs and erectors (B)</p> Signup and view all the answers

    Which lumbar vertebrae are commonly injured due to their anatomical structure?

    <p>L4 and L5 (A)</p> Signup and view all the answers

    In lumbar extension, which muscle group is primarily responsible for extension?

    <p>Erector spinae and multifidus (B)</p> Signup and view all the answers

    Which of the following muscles is considered an efficient stabilizer for spinal stability?

    <p>Obliques (C)</p> Signup and view all the answers

    What type of contraction occurs on the opposite side during lateral flexion?

    <p>Eccentric contraction (C)</p> Signup and view all the answers

    Which action does the rectus abdominis primarily resist?

    <p>Hyperextension (D)</p> Signup and view all the answers

    In which scenario does the psoas muscle facilitate hip flexion?

    <p>While performing a sit-up with feet held down (D)</p> Signup and view all the answers

    Which muscle is primarily responsible for controlling the lumbar spine against extension forces?

    <p>Rectus abdominis (D)</p> Signup and view all the answers

    What is the primary role of the Transverse Abdominis?

    <p>Compresses the abdominal cavity to support internal organs (B)</p> Signup and view all the answers

    Which statement accurately describes the Quadratus Lumborum's functions?

    <p>It laterally flexes the vertebral column when activated unilaterally. (A)</p> Signup and view all the answers

    What typically occurs when the lumbosacral angle is increased?

    <p>Increased lordosis leading to potential compression (D)</p> Signup and view all the answers

    Which muscle acts as an antagonist to the diaphragm?

    <p>Internal Oblique (B)</p> Signup and view all the answers

    What measurement is considered a key indicator of major body systems' functionality?

    <p>Walking speed (B)</p> Signup and view all the answers

    What is the effect of degenerative disc disease on the discs over time?

    <p>Disc flattening and potential fissures (D)</p> Signup and view all the answers

    In terms of gait mechanics, which factor does NOT directly impact walking speed?

    <p>Walking surface texture (B)</p> Signup and view all the answers

    What can high joint reaction forces (JRF) on the spine lead to?

    <p>Increased compression force on the spine (A)</p> Signup and view all the answers

    What is the typical lumbosacral angle for an adult?

    <p>30° (C)</p> Signup and view all the answers

    What happens to intradiscal pressure in the sitting position with a forward lean?

    <p>Increases to the highest level (D)</p> Signup and view all the answers

    What characterizes the terminal stance phase of the gait cycle?

    <p>The center of mass travels anterior to the ankle of the planted limb. (C)</p> Signup and view all the answers

    During which phase of the gait cycle does the weight transfer primarily occur?

    <p>Loading Response (C)</p> Signup and view all the answers

    What is the knee flexion angle during the initial swing phase?

    <p>60° (C)</p> Signup and view all the answers

    Which of the following describes the ankle position during the mid stance phase?

    <p>Neutral (B)</p> Signup and view all the answers

    What is the total range of motion (ROM) of the foot in the frontal plane?

    <p>13° (D)</p> Signup and view all the answers

    What is the position of the thigh during the terminal swing phase?

    <p>25° extension (A)</p> Signup and view all the answers

    Which phase indicates the end of the pre-swing and the start of the swing phase?

    <p>Pre-Swing (D)</p> Signup and view all the answers

    During which phase of the gait cycle is the ankle at 5° dorsiflexion?

    <p>Mid Stance (C)</p> Signup and view all the answers

    What is the relationship between hip flexion and toe clearance during the initial swing phase?

    <p>Increased hip flexion improves toe clearance. (A)</p> Signup and view all the answers

    What is the ankle position at the loading response phase?

    <p>5° plantar flexion (D)</p> Signup and view all the answers

    Which statement best describes the primary motion of the thoracic spine?

    <p>Limits flexion and extension while permitting some rotation and side bending. (A)</p> Signup and view all the answers

    What is the primary function of the cervical spine?

    <p>Balance the head as a first-class lever. (C)</p> Signup and view all the answers

    Which joint is responsible for the 'YES' nodding motion?

    <p>Atlanto-Occipital joint. (A)</p> Signup and view all the answers

    What is the primary role of the multifidi muscles?

    <p>Contribute to contralateral rotation. (B)</p> Signup and view all the answers

    Which anatomical structure stabilizes the C1-C2 joint?

    <p>Transverse ligament. (A)</p> Signup and view all the answers

    Which motion is primarily accounted for by the C1-C2 joint?

    <p>Transverse plane rotation. (C)</p> Signup and view all the answers

    What is the classification of true ribs?

    <p>Ribs that directly attach to the sternum. (B)</p> Signup and view all the answers

    What motion do the muscles of the rectus capitis group primarily facilitate?

    <p>Flexion of the cervical spine. (A)</p> Signup and view all the answers

    What is the curvature of the thoracic spine described as?

    <p>Kyphotic curve. (B)</p> Signup and view all the answers

    Which of the following best describes lumbar motion?

    <p>Supports flexion and extension but limits rotation. (C)</p> Signup and view all the answers

    How does the thoracic spine's structure aid in stability?

    <p>Due to the presence of ribs. (A)</p> Signup and view all the answers

    What do the Alar ligaments connect?

    <p>Occiput and axis. (C)</p> Signup and view all the answers

    What muscle group primarily assists with cervical extension?

    <p>Erector spinae group. (A)</p> Signup and view all the answers

    What happens to the lower thoracic vertebral bodies as you move downward?

    <p>The end plates become larger to support weight. (D)</p> Signup and view all the answers

    Flashcards

    Intervertebral Disc Interface

    The area where nutrients diffuse from the vertebra to the disc.

    Annulus Fibrosus

    The outer fibrous ring of the intervertebral disc, made of collagen and fibrocartilage.

    Annular Wall

    The outermost layer of the annulus fibrosus.

    Annulus Layer Orientation

    Alternating layers of the annulus fibrosus have oblique angles (around 30 degrees).

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    Anterior Annulus Thickness

    The anterior portion of the annulus fibrosus is thicker than the posterior portion.

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    Posterior Annulus Weakness

    The posterior annulus fibrosus is thinner and more susceptible to herniation.

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    Disc Load Distribution

    The thicker anterior annulus handles compressive forces better, distributing load.

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    Disc Stability and Movement

    The layered structure of the annulus fibrosus supports motion while maintaining disc integrity.

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    Lordosis

    Inward curve of the spine in the cervical and lumbar regions.

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    Kyphosis

    Outward curve of the spine in the thoracic and sacral regions.

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    Cervical Spine

    The neck region of the spine (C1-C7), highly flexible.

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    Thoracic Spine

    The upper back region (T1-T12), relatively immobile.

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    Lumbar Spine

    The lower back region (L1-L5), supports most weight.

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    Functional Spinal Unit

    Two adjacent vertebrae, intervertebral disc, and ligaments working together for movement.

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    Intervertebral Disc

    Fluid-filled disc between vertebrae, absorbing shock and maintaining space.

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    Vertebral Column Stability

    Protecting the spinal cord, maintaining posture, transmitting weight to limbs.

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    Vertebral Column Mobility

    Allowing head and trunk motion, absorbing forces, and providing muscle attachment points.

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    Intervertebral Joints

    Joints allowing small motions between vertebrae, separated by fibrous-cartilaginous discs.

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    Side Bending Muscles

    Internal and external obliques work together to maintain a neutral position during side bending. Internal obliques rotate the trunk to the same side, while external obliques rotate the trunk to the opposite side.

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    L5-S1 Motion

    The L5-S1 joint is the most flexible and least stable region of the lumbar spine, creating the greatest amount of sagittal plane movement.

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    Lumbar Flexion - Primary Muscle

    The primary muscle responsible for lumbar flexion is the rectus abdominis.

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    Lumbar Extension - Muscle Layers

    Lumbar extension involves two muscle layers: Erector spinae, spanning multiple segments, and deep spinal muscles, connecting adjacent segments.

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    Lateral Flexion - Unilateral Action

    Muscles like quadratus lumborum and psoas major are responsible for unilateral flexion (side bending). The opposite side of the motion causes an eccentric contraction.

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    Lumbar Stability - Efficient Stabilizers

    Efficient lumbar stabilizers include obliques, transverse abdominis, multifidus, and quadratus lumborum.

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    Rectus Abdominis - Function

    The rectus abdominis muscle increases abdominal pressure during isometric contraction. This resists extension forces and controls against hyperextension.

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    Psoas Function - Hip Flexion

    The psoas major muscle contributes to hip flexion and external rotation, especially when the lumbar spine is fixed.

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    Neutralizer Muscles

    Muscles that work to counteract or neutralize the actions of other muscles, preventing unwanted movements.

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    Internal Oblique Role

    Compresses the abdominal cavity, assists with exhalation, and rotates the trunk (same side as the muscle).

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    Quadratus Lumborum Function

    Flexes the spine laterally (one side) and extends it (both sides).

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    Transverse Abdominis Function

    Provides compression and support for the abdominal wall, acts as an internal 'corset'.

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    Multifidus Muscle: Deep Fibers

    Stabilize individual segments of the spine during movement without changing length.

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    Lumbosacral Angle

    The angle between the sacrum and the lumbar spine, indicating spine curvature.

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    Spine Load Distribution

    Body weight puts a forward bending load on the spine, requiring muscles to counteract the torque.

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    Disc Herniation Factors

    Activities like bending, coughing, or sneezing increase pressure on the intervertebral disc, potentially leading to herniation.

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    Degenerative Disc Disease

    The disc flattens over time, and fissures can develop in the outer layer.

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    Gait Speed as a Vital Sign

    Walking speed is a key indicator of overall health, reflecting the function of major bodily systems.

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    Thoracic Spine Motion

    Limited flexion/extension, some rotation and side bending due to rib attachments.

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    What is the difference between step and stride?

    A step is the initial contact of one foot to the ground while a stride is two steps; the initial contact of one limb to then the initial contact of the same limb again.

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    What are the two double support phases in the gait cycle?

    Initial Contact and Loading Response are the two phases where both feet are in contact with the ground during the gait cycle.

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    Lumbar Spine Motion

    Primarily supports flexion/extension, limits rotation for stability under load.

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    Facet Joint Flexion

    Superior facet moves forward and up, and the inferior facet moves backward and down.

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    What happens during Mid Stance?

    Mid Stance occurs when the center of mass travels directly over the planted foot.

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    Facet Joint Extension

    Superior facet moves down and backward, inferior facet moves upward and forward.

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    What is the main purpose of the Initial Swing phase?

    The Initial Swing phase begins when the foot lifts from the ground and the limb starts to advance forward.

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    Facet Joint Rotation

    Rotation occurs around the vertebral column axis, with facet impaction and gapping. Gapping occurs on the same side as the rotation, impact occurs on opposite.

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    What are the four rockers of normal gait?

    The four rockers of normal gait are the heel, ankle, forefoot, and toe.

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    What is the most important factor in determining minimal toe clearance during Initial Swing?

    Knee flexion is the most important factor in determining minimal toe clearance during Initial Swing, which is typically about 60° of flexion.

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    Cervical Spine Function

    Balances the head, acting as a first-class lever, requiring suboccipital muscles to counterbalance gravity.

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    What does supination during gait mean?

    Supination of the foot during gait refers to a rigid foot with less flexibility. This contrasts with pronation, which is more flexible.

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    Atlanto-Occipital Joint

    Concave/convex joint that allows nodding (flexion and extension).

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    C1-C2 Joint

    Pivot joint enabling significant transverse plane rotation (about 50%).

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    What happens to the subtalar joint during Loading Response in gait?

    During Loading Response, the subtalar joint becomes more flexible (pronates) to unlock and allow for shock absorption.

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    Cervical Spinal Mobility

    High flexibility, allowing about 80° extension and 50° flexion from anatomical position.

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    What is the peak of ankle eversion during gait?

    The peak ankle eversion occurs during Early Mid Stance, reaching 7° of eversion.

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    Lateral Cervical Flexion

    Side-bending producing a down and back movement to the same side.

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    Describe the subtalar motion and ankle motion during Terminal Stance.

    During Terminal Stance, the subtalar joint becomes rigid (supinated) and the ankle inverts from eversion to inversion, returning to neutral or 5° of inversion.

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    Cervical Coupling

    Lateral flexion coupled with rotation to the same side (except in C1-C2)

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    Alar Ligament

    Stabilizes C1 and C2, stretching across from axis to occiput.

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    Thoracic Spine Stability

    Less mobile than other regions, sacrificed mobility for stability, due to attachment with ribs.

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    Thoracic Spine Curve

    40-degree kyphotic curve, formed by wedge-shapes vertebral bodies.

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    Rib Classifications

    True (directly connected to sternum), False (connected via cartilage), Floating (no connection).

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    Study Notes

    Normal Spine Curves

    • Lordotic: Inward curvature of the spine
      • Located in the cervical (neck) and lumbar (lower back) regions
      • Normal function: Helps distribute weight and absorb shock
      • Excessive curve: May lead to lordosis (swayback)
    • Kyphotic: Outward curvature of the spine
      • Located in the thoracic (upper back) and sacral (pelvic) regions
      • Normal function: Provides stability and supports the body's upright posture
      • Excessive curve: May lead to kyphosis (hunchback)

    Spine Segments

    • 7 cervical, 12 thoracic, 5 lumbar, 5 sacrum (fused), 4 coccygeal (fused)
    • Cervical (C1-C7)
      • More flexible, supporting the head
      • Wide range of motion
      • Flexion: 45-50°
      • Extension: 60-70°
      • Lateral flexion (side bending): 40-45°
      • Rotation: 70-90°
    • Thoracic (T1-T12)
      • Relatively immobile
      • Ribs attach
      • Plays with the balance of mobility vs. stability
    • Lumbar (L1-L5)

    Sacrum and Coccyx

    • Sacrum: Triangle base of spine connects spine to pelvis
    • Coccyx: Delivers nerves to pelvic organs, few small bones, remnant of tail

    Mobility and Stability

    • 3 aspects
      • Neurological control
      • Bone structure (passive)
      • Muscle (active)
    • Body is great at compensating, making it difficult to diagnose chronic back pain.
    • Recruiting bigger muscles instead of smaller stabilizers sacrifices mobility.

    Spinal Column

    • Stability
      • Protect spinal cord
      • Maintain upright posture
      • Transmit weight to lower limbs
    • Mobility
      • Provide motion for head and trunk
      • Absorb force
      • Provide space for muscle attachments
    • Functional spinal unit
      • Allows for movement
        • 2 adjacent vertebrae, Intervertebral disc, Intervening disc, Intervening ligaments

    Vertebrae Motion

    • 6 degrees of freedom
      • Distraction, Compression, Translation, Extension, Side flexion

    Intervertebral Joints

    • Allow for small motion between segments
    • Separated by fibrous-cartilaginous discs
    • Ratio between vertebral body and disc dictates mobility
      • Higher ratios = thicker discs = more motion, especially in cervical regions
      • Lower ratios = thinner discs = limited motion, especially in thoracic regions
    • Also, motion can vary during the day

    Vertebral Disc

    • Fluid-filled (jelly donut)
      • Outer layer: annulus fibrosus (fibrous ring)
      • Inner layer: nucleus pulposus (gel)
    • Shock absorption: maintains space between vertebrae and maintains height
    • Avascular (nutrition via endplate) = thin cartilage layer between vertebral body and intervertebral disc

    Disc Anatomy

    • Spongy center = nucleus pulposus
    • Fibrous ring = annulus fibrosus
    • Annulus = whole thing
      • Annulus Fibrosus: entire outer fibrous ring
        • Concentric layers of collagen and fibrocartilage
      • Annular Wall: outer layer
        • 12-14 layers altering obliquities of about 30°

    Disc Under Compressive Loads

    • Nucleus pulposus absorbs water and expands
    • Hydration decreases with increased load, increasing internal pressure
    • Compressive stress on disc causes tensile stress in annulus fibrosis
    • Increased stiffness = stability but sacrifices mobility
    • Laterally against annulus, and against end vertebrae
    • Increased stiffness superiorly/inferiorly

    Disc Kinematics

    • Nucleuses flatten under axial compression
    • Forces are distributed throughout the layers.
    • Protects the spine from localized damage

    Intradiscal Pressure

    • Rises with annular stress increases and uneven loading
    • Nuclei are driven away from closure of space to allow material to distribute evenly

    Anterior Longitudinal Ligament

    • Resists extension forces, limits excessive lordosis
      • Fiber span: several segments (superficial) and single segment (deep)

    Posterior Longitudinal Ligament

    • Resists flexion

    Atlanto-occipital Joint & C1-C2

    • “Yes” nodding motion
      • Condyles of occipital bone (convex)
      • Facets of atlas (concave)
    • “No” head joint- rotation
      • Atlas = bony ring without body, pivot joint
      • 50% rotation of transverse plane

    Cervical Motion

    • Most flexible region
    • Anatomical position: approximately 80° extension, 50° flexion, 30-35° lordosis, and 20-25° sagittal plane motion

    Lateral Flexion

    • Down and back slide = same side we're going to
    • Rotation is still down and back

    Cervical Coupling

    • Combines all motions
    • C1-C2 not involved

    Cervical Flexion Muscles

    • Rectus capitis anterior, Rectus capitis lateralis, Longus capitis, Longus colli, Sternocleidomastoid, Scalenes

    Cervical Extension Muscles

    • Rotators, Splenius capitis, Splenius cervicis, Rectus capitis posterior major/minor, Obliquus capitis superior/inferior

    Thoracic Spine

    • Least mobile due to ribs
    • Sacrifices mobility for stability
    • Articulates with ribs

    Thoracic Spine Curve

    • 40° kyphotic curve
    • Curve from wedge-shaped vertebral bodies
    • T1 similar to C7
    • Disc to height ratio highest
    • Decreases in tensile forces
    • Decreases possibility of disc injury as you move to lower regions of spine

    Rib Anatomy

    • Three classifications (12 pairs)
      • True ribs
        • Direct connection
      • False ribs
        • Cartilage connection
      • Floating ribs
        • No connection
    • Costotransverse joint: Takes a lot of effort to displace

    Thoracic Motion

    • Extension is primarily caused by lumbar extensors
    • Muscles:
      • Erector spinae group
      • Quadratus lumborum

    Axial Rotation

    • Abdominal muscles and trunk rotators
    • Abs are farther away from spine than rotators, increase the arm's moment
    • Rotators have high sensory cells
    • Side bending is initiated by ipsilateral abs + erectors and continued by gravity.

    Lumbar Flexion

    • Muscles:
      • Rectus abdominis
      • Internal obliques
      • External obliques

    Lumbar Extension

    • Layering effect of muscles
    • 2 classes of muscles
      • Erector spinae (spinae, longissimus, iliocostalis)
        • Middle (semispinalis) connects adjacent
    • Deep spinal muscles; connects adjacent muscles, Multifidus, Rotatores, and some other muscles that aren't the primary

    Lateral Flexion

    • Involved quadratus lumborum, psoas major, and unilateral flexors / extensors
    • The opposite side of the motion is involved in eccentric contraction, holding a position

    Lumbar Stability

    • Efficient stabilizers
      • Obliques, Transverse abdominis, Multifidus, Quadratus lumborum
    • Inefficient stabilizers
      • Rectus abdominis, Longissimus, Latissimus dorsi

    Rectus Abdominis

    • Isometric contraction increases abdominal pressure
    • Resist extension forces
    • Controls against hyperextension
    • Stabilizes spine; holding breath during squatting increases intra-abdominal pressure

    Psoas

    • Function depends on the position of the lumbar spine
    • Hip flexion/external rotation
    • Unilateral contraction = side bending
    • Bilateral contraction = flexes trunk toward hip & arches lower back

    External Oblique

    • Stabilizer vs. neutralizer
    • Pulls chest down, compresses abdominal cavity, increases intra-abdominal pressure
    • Involved in flexion and rotation (opposite side) working against each other.

    Internal Oblique

    • Antagonist to the diaphragm, compresses organs and produces trunk rotation
    • Works with opposite side external oblique

    Quadratus Lumborum

    • Unilateral = laterally flexes vertebral column; Bilateral = extends lumbar column
    • Provides lateral stability

    Sacrum

    • 1-3° motion relative to ilium
    • Supports weight of spine and entire upper body
    • Acts as a keystone

    Loads on the Spine

    • Body weight acts anterior to the spine
      • Creates forward bending loads
    • Erectors & spine extensors are always active to some level

    Disc Failure

    • Pressure elevated by bending, coughing, sneezing, straining
    • Intradiscal pressure
      • Sitting (forward lean)
      • Standing
      • Side lying
      • Supine lying
      • Order of most to least pressure

    Disc Injuries

    • Degenerative disc disease: flattening over time, fissures
    • Herniated discs: nucleus pulposus migration, can apply pressure on nerves

    Walking Speed

    • 6th major vital sign
      • Cardiorespiratory,
      • Musculoskeletal,
      • Neurological
    • Scores in any major deficits will likely show up in walking speed
    • Reliability: consistency of a measurement
    • Validity: if the test is measuring what it is intended to assess

    Cadence, Stride Length, Gait Rhythm, and ONE STRIDE

    • Cadence: number of steps per minute (men: ~108, women: ~118)
    • Stride length: foot-to-foot
      • Men: ~1.51 m, Women: ~1.32 m
    • One stride is 1 complete gait cycle
      • Step: initial contact of one foot to the other
      • Stride: 2 steps (initial contact of one limb to the next contact of the same limb)

    Gait Cycle Phases

    • Stages of the stride cycle
      • Double support
      • Single support
      • Double support (again)
    • Initial contact
    • Loading Response
    • Single support - Mid Stance
    • Terminal stance
    • Pre-swing
    • Double Support
    • Initial, Mid, and Terminal swing

    Sagittal Plane Kinematics

    • Initial contact
      • Thigh - 25° flexion, knee - 0-5°flexion, Ankle - neutral
    • Mid-stance
      • Thigh - 0°, knee - 0°, Ankle- 5° dorsiflexion
    • Terminal stance
      • Thigh - 15° extension, knee - 0°, Ankle- 10° dorsiflexion
    • Initial swing
      • Thigh -15° flexion, kneee-60°flexion
      • Ankle - 5° plantar flexion
    • Mid swing
      • Thigh + knee- 25° flexion, Ankle-neutral
    • Terminal swing
      • Thigh -25° flexion, knee -0°, Ankle- 15° plantar flexion

    Frontal Plane Kinematics

    • Total motion:
      • 7° eversion, 6° inversion, 13° total ROM
      • Pronated = more flexion
      • Supinated = more rigid
      • Initial Contact (rigid supinated)
      • Loading response (flex pronate)
    • Walking GRFs peak eversion is 7°during mid-stance

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    Module 4_ Spine Kinesiology PDF

    Description

    Explore the normal spine curves and segments in this quiz. Learn about lordotic and kyphotic curves, their functions, and the anatomy of cervical, thoracic, lumbar, sacral, and coccygeal regions. Test your knowledge on spinal structure and function.

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