Spine Distances Spinal Mobility Assessment PDF

SPINE DISTANCES spinal mobility assessment ws 2024/2025 UK FTVS, Department Of Physiotherapy PhDr. Helena Vomáčková, Ph.D. – [email protected]  The spinal mobility assesment the spinal mobility assessment various test used to assess the spinal m...

SPINE DISTANCES spinal mobility assessment ws 2024/2025 UK FTVS, Department Of Physiotherapy PhDr. Helena Vomáčková, Ph.D. – [email protected]  The spinal mobility assesment the spinal mobility assessment various test used to assess the spinal mobility expresses the flexibility of the whole spine measurement in neutral upright position the measuring tape is placed into two bonny marks after performance of the movement in the demanded direction the difference in the distance between the starting and ending positions is calculated  Thomayer's test (according Kolář) simple forward bending expresses flexibility of the whole spine and hip joints distance between the tip of the longest finger and the ground the patient does maximal flexion of the whole spine - the patient bends forward the normal distance is 0 cm  Shober's distance (according Kolář) expresses flexibility of the lumbar spine distance between S1 and mark 10 cm cranially, children 5 cm cranially the patient does maximal flexion of the whole spine the normal distance is 5 cm (2,5 cm children)  Stibor's distance (according Kolář) expresses flexibility of the thoracic and lumbar spine distance between C7 and L5 the patient does maximal flexion of the whole spine the distance should range between 7-10 cm  Otto's distance expresses flexibility of the thoracic spine (both in flexion and extension) distance between C7 and mark 30 cm caudally the patient does maximal forward flexion (FLX) and backward extension (EXT) of the thoracic spine distance = sum of both indexes: ≥ 4,5 cm inclination (Th FLX) - inclination index: 3-4 (3,5) cm reclination (Th EXT) - reclination index: 2-3 (2,5) cm  Latero-latero flexion expresses flexibility of the whole spine in side bending the patient bend on the side, pelvis is allowed to rotate slightly, the patient stand close to the wall the distance is determined by the difference between the starting and ending position of the patients finger tip the normal distance ranges 20-25 cm (bilaterally symetrical)  Cepojev's distance (according Kolář) expresses flexibility of the cervical spine distance between C7 and mark 8 cm cranially the patient does maximal flexion of the cervical spine and head the distance should range between 2,5-3 cm  Forestier Fleche (according Kolář) expresses flexibility of the cervical spine distance between patients occipital bone and the wall most frequently measured in standing (rigid thoracic kyphosis) the distance should equals 0 cm  C flexion expresses flexibility of the whole C spine in flexion the patient bend cervical spine in standing position distance between patients chin and sternum the normal distance is 0 cm  SPINE DISTANCES - SUMARY L FLX Schober L5 + 10 (5 cm) cm cranially Ø 5 cm (2,5 cm) L-Th FLX Stibor C7 - L5 Ø 7-10 cm Th FLX+EX Otta C7 + 30 cm caudally ∑ ≥ 4,5 cm Th FLX Otta - inclination C7 + 30 cm caudally Ø 3-4 cm Th EXT Otta - reclination C7 + 30 cm caudally Ø 2-3 cm C FLX Cepojev C7 + 8 cm cranially Ø 2,5-3 cm C Forestier occiput-wall Ø 0 cm C-L FLX Thomayer daktylion-floor Ø 0 cm; [+/-] C-L LFLX Latero flexion C-L sym. bilat. Ø 20-25 cm C FLX Flexion of C chin-sternum Ø 0 cm; [fingers] 11  SPINE DISTANCES https://www.youtube.com/watch?v=pMWynM_jK-o&list=PLES0lLuHyk8f7bR_nCeg1BpwcQXAcQAw-&index=7 12  Resources Kolar, P. et all., Clinical rehabilitation. 1st edition. Prague: RPS, 2013. https://www.youtube.com/watch?v=pMWynM_jK- o&list=PLES0lLuHyk8f7bR_nCeg1BpwcQXAcQAw-&index=7