Spinal Stabilization Exercises Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary focus of spinal stabilization exercises?

Increasing the range of motion in the spinal joints.

Isolating and stretching individual spinal ligaments to improve flexibility.

Controlling the position and movement of the spine through muscular effort. (correct)

Strengthening the superficial muscles of the back for power lifting.

In the context of spinal progression, which element is typically emphasized first?

Improving maximal muscle strength in global muscle groups.

Restoring and maintaining neutral spinal alignment. (correct)

Enhancing power output through plyometric exercises.

Developing complex movement patterns with external loads.

Which of the following is MOST critical for achieving effective spinal stabilization?

Sustained static contractions of superficial back extensors.

Aggressive stretching of the hamstrings and hip flexors.

High repetitions of exercises to induce muscle hypertrophy.

Precise activation and coordination of deep core musculature. (correct)

During spinal stabilization training, what is the primary role of the transversus abdominis muscle?

To create intra-abdominal pressure and support the lumbar spine. (C) Signup and view all the answers

Which of these activities would be LEAST suitable to initiate during the early phases of a spinal stabilization program?

High-impact plyometric jumps and landings. (A) Signup and view all the answers

Which characteristic is primarily associated with global mobilizer muscles?

Generating torque and producing movement through concentric power (B) Signup and view all the answers

Local stabilizer muscles are best characterized by their:

Deep location and role in controlling motion within a single vertebral segment (A) Signup and view all the answers

A muscle with a greater percentage of type I muscle fibers is MOST likely classified as a:

Local stabilizer, suited for continuous activity and endurance (D) Signup and view all the answers

In the lumbar spine, which muscle is classified as a global mobilizer?

Rectus abdominis (B) Signup and view all the answers

Which cervical spine muscle is categorized as a local stabilizer?

Longus colli (C) Signup and view all the answers

Spinal mobilizer muscles are typically located ________ relative to the axis of motion compared to spinal stabilizer muscles.

farther (B) Signup and view all the answers

Extremity muscles, compared to trunk muscles, are described as having:

Roles that may shift depending on the demands of the activity. (C) Signup and view all the answers

The primary function of tonic muscles in the stabilization system is to:

Control joint alignment and provide continuous support. (B) Signup and view all the answers

What is a direct benefit of incorporating free weights into a workout routine, according to the provided information?

Enhanced strength of stabilizer muscles. (B) Signup and view all the answers

Which of the following is NOT listed as a potential cause of stability impairment?

Elevated muscle endurance. (C) Signup and view all the answers

When addressing regional impairment related to stability, which factor is emphasized as needing attention?

Regional muscle strength. (D) Signup and view all the answers

What is the MOST accurate definition of hypermobility as described in the text?

Excessive movement around a joint. (B) Signup and view all the answers

What distinguishes 'instability' from 'hypermobility'?

Instability is excessive joint movement without muscular control, while hypermobility is simply excessive movement. (B) Signup and view all the answers

What is the primary purpose of spinal stabilization exercises, as outlined in the provided text?

To actively train deep core musculature for support. (B) Signup and view all the answers

In spinal stabilization, what aspect of muscle function is particularly emphasized?

Endurance and stabilization capacity. (C) Signup and view all the answers

What is the FIRST guideline recommended for spinal stabilization according to the provided information?

Kinesthetic awareness. (A) Signup and view all the answers

Which of the following is a guideline for spinal stabilization using manual resistance?

Utilizing alternating isometrics and rhythmic stabilization. (D) Signup and view all the answers

Transition stabilization is BEST exemplified by which activity?

Stabilizing the spine during sit-to-stand movements. (D) Signup and view all the answers

When using a BP cuff for lumbar spine activation, what is the TARGET pressure drop during muscle activation?

A pressure drop of 6-10 mmHg from a baseline of 70 mmHg. (D) Signup and view all the answers

For cervical spine activation with a BP cuff, the pressure is progressively increased in increments of:

2 mmHg increments up to 30 mmHg. (B) Signup and view all the answers

In cervical spine limb loading focusing on flexors, which exercise is emphasized?

Chin tucks with manual resistance to the forehead. (D) Signup and view all the answers

In lumbar spine limb loading, 'level 2' for flexors is described as:

Bilateral knee fall outs. (D) Signup and view all the answers

Lumbar spine limb loading for extensors in quadruped position typically begins with:

Upper extremity (UE) movement only, then lower extremity (LE) movement. (A) Signup and view all the answers

For cervical spine stabilization progressions, the recommended sequence of body positions, once activation is consistent, begins with:

Supine, then prone, then sitting. (D) Signup and view all the answers

CORE STIX® primarily facilitates core stabilization through:

Upper extremity resistance. (B) Signup and view all the answers

A key benefit of strong core musculature in relation to limb function is:

Greater power production of the extremities. (B) Signup and view all the answers

Study Notes

Stabilization Concepts

Concepts and spinal progression are discussed.
PT6606 is mentioned.
D. Dye is mentioned.
Content is from Kisner, Borstad & Colby Therapeutic Exercise 8th Ed, 2023.

Functional Classification of Muscles

Mobilizers (Global - Phasic): Generate torque for movement, act as concentric power producers, and absorb shock.
Stabilizers (Local - Tonic): Maintain joint alignment through tension, exhibit minimal length change (isometric), and are continuously active during movement with high kinematic input.
Stabilizer (Global - mix) is also classified.

Function Classification with Spinal Muscles

Mobilizers (Global - Phasic): More superficial, cross multiple vertebral segments, and produce compressive loading during strong contraction.
Stabilizers (Local - Tonic): Deep, attach to vertebral segments, control segmental motion, and primarily function for endurance.

Function Classification with Spinal Muscles - Table 14.1

Mobilizers (Global - Phasic): Lumbar spine: Rectus abdominis, External/internal obliques, QL Cervical spine: Erector spinae, Iliopsoas, SCM, Scalenes, Levator, Upper trap, Erector spinae
Stabilizers (Local - Tonic): Lumbar spine: Transversus abdominis, Multifidus, QL (deep portion) Cervical spine: Rectus capitis anterior and lateralis, Longus colli.

Spine Stabilizers (Diagram)

Depicts various muscles in the spine, including oblique capitis, rectus capitis, longus capitis, rectus capitis anterior, splenius capitis, middle scalene, longus colli, oblique capitis, inferior muscle , posterior scalene, multifidus, levator costarum, quadratus lumborum, multifidus, spinalis dorsi, longissimus dorsi, iliocostalis dorsi.
Shows relationships of the muscles and their function.

Muscles of the Hip Complex

Includes psoas major, iliacus, tensor fasciae latae, gluteus minimus, obturator externus, piriformis, gluteus maximus, gluteus medius, superior gemellus, adductor brevis, adductor longus, pectineus, obturator internus, gracilis, quadratus femoris, inferior gemellus, iliotibial tract

Shoulder Muscles

Includes deltoid, pectoralis major, coracobrachialis, triceps brachii (lateral, long, medial heads), biceps brachii, brachialis, brachioradialis, supraspinatus, infraspinatus, teres minor, teres major, latissimus dorsi.
Shows relationships of muscles.

Questions on Shoulder External Rotation and Rotator Cuff

What is the major global mobilizer for shoulder external rotation?
Will power strengthening improve the function of the rotator cuff muscles?

Free Weights and Stabilizer Muscles

The statement that working out with free weights is a guaranteed way to strengthen stabilizer muscles is not a proven fact.

Stability Impairment

Regional impairment can result from joint hypermobility (ligamentous laxity), muscle weakness, impaired postural control, and impaired endurance.
Address joint structures, regional muscles, regional posture, and endurance factors.
Check for hypomobility as well as hypermobility.

Definitions (Hypermobility and Instability)

Hypermobility: Excessive movement around a joint.
Instability: Excessive joint movement without muscular control.

Spinal Stabilization (Ch 16)

Recognizes spinal segments or muscle imbalances as a common cause of lower back pain (LBP) and cervical pain.
Focuses on actively training the deep "core" musculature (abdominal, lumbar muscles and pelvic floor) to support the body in all positions.
Endurance and stabilization are emphasized.

Spinal Stabilization Guidelines (pp 534-535)

Kinesthetic awareness is priority.
Mobility restrictions; appropriate posture/position.
Biofeedback or manual cueing is possible for posture and position.
Activation - Isometric holding.
Focus on TrA and multifidus (Mf).
Biofeedback/manual cueing monitoring.
Extremity motions: Progressive limb loading; dynamic stabilization.
Increase endurance and strength, 30-60 sec up to 3 min; add resistance with extremity movements

Spinal Stabilization (pp 534-535) Continued

Guidelines include manual resistance-alternating isometrics and rhythmic stabilization.
Transition stabilization: ability to stabilize while changing positions.
Examples: sit-to-stand, walking and lifting with bilateral upper extremities, lifting overhead.
Higher-level balance training (perturbation) is used in interventions.

Methods of Activation

Use of blood pressure cuff or stabilizer.
Process for finding neutral spine.
With activation, drops in pressure measurement.
Holds for 10 seconds and builds gradually up to 10 repetitions.

Limb Loading Emphasis on Flexors - Cervical Spine

Exercises for cervical spine are presented.

Limb Loading Emphasis on Extensors - Cervical Spine

Exercises for cervical spine are presented.

Limb Loading Emphasis on Flexors and Extension for Lumbar

Demonstrates different levels of limb loading for lumbar flexors and extensors.

Progressions (CH 16)

Body positions: supine, quadruped, prone, plank, sitting, standing, lunges, and squats.
Positions are not required to be sequential.
Activation in prone positioning is often emphasized first. Activation in supine or sitting positions is also included.
Gymnastic ball, foam rollers for unsteadiness.

Foundation and Equipment (San Francisco Spine Institute)

Founders Dynamic Lumbar Stabilization Program was established in 1989.
Was a non-profit research organization.
Core stabilization method (CORE STIX®) using upper extremity (UE) resistance.

Summary

Stabilization is essential for efficient muscle performance.
A stable, strong "core" allows for superior power production in the extremities.
Evidence suggests that core stabilization reduces lower back pain recurrence.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on spinal stabilization exercises and their key components. This quiz covers essential elements such as the role of specific muscles and appropriate activities for early phases of training. Discover the importance of spinal stabilization in promoting overall spinal health.