Basic techniques of pulmonary physical therapy (I) 100/04/24

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Basic techniques of pulmonary physical therapy (I) 100/04/24"

Transcription

1 Basic techniques of pulmonary physical therapy (I) 100/04/24

2 Evaluation of breathing function Chart review History Chest X ray Blood test Observation/palpation Chest mobility Shape of chest wall Accessory muscle firing Respiratory rate Posture Physical examination Breathe sound Dyspnea index Cough ability Functional capacity

3 Evaluation of breathing pattern Breathing pattern (I) 2C2D 3C1D Breathing pattern (II) Upper chest paradox Abdominal paradox Excessive accessory muscle use Breathing pattern (III) Paradoxical Rapid and shallow Prolong expiration, and etc.

4 Breathing retraining Active expiration Pursed lips breathing Specific body positions Diaphragmatic breathing Accessory muscle stretch Breathing control Relaxation breathing Incentive spirometry (IS)

5 Active expiration Contraction of the abdominal muscles during expiration Lengthens the diaphragm Improve the length tension relationship or geometry of the respiratory muscle (diaphragm) Assist the next inspiration transdiaphragmatic pressure The efficacy of the contraction in moving the rib cage improves strength and endurance of inspiratory muscle

6 Length tension relationship In same neural input, length, output of muscle

7 Pursed lips breathing Effects Improves ventilation Releases trapped air in the lungs Keeps the airways open longer and decreases the work of breathing Prolongs exhalation to slow the breathing rate Improves breathing patterns by moving old air out of the lungs and allowing for new air to enter the lungs Relieves shortness of breath Causes general relaxation

8 Pursed lips breathing Active and prolonged expiration through half opened lips

9 Body position Upright position Oxygen transport is optimized to the greatest degree (ventilation vs perfusion) Maximize lung volume and capacities (Fig) Anteroposterior dimension of chest wall is the greatest, and compression of the heart and lung is minimized Maximal expiratory pressure is greatest (cough, huffing, etc.)

10

11

12

13 To optimize thoraco abdominal Segmental breathing movements

14 Segmental breathing

15 Diaphragm breathing Move the abdominal wall predominantly during inspiration and to reduce upper rib cage motion Improve chest wall motion Improve distribution of ventilation the energy cost of breathing the contribution of rib cage muscle dyspnoea exercise performance

16 Diaphragm breathing

17 Accessory muscle stretch Accessory muscle sternocleidomastoid (elevated sternum) scalene muscles (anterior, middle and posterior scalene) serratus anterior, pectoralis major & minor, upper trapezius, latissimus dorsi, erector spinae (thoracic), iliocostalis lumborum, quadratus lumborum, serratus posterior superior and inferior, levatores costarum, transversus thoracis, subclavius

18 Accessory muscle stretch

19 Accessory muscle stretch

20 Manual therapy techniques Sidelying, with the upper arm elevated to stretch the intercostal muscles or in sitting, using active shoulder abduction combined with lateral flexion Active or passive bilateral arm flexion and spine extension may be combined with deep inspiration

21 21

22 Respiratory ratio Breathing control Inhalation: exhalation= 1:2

23 Relaxation breathing When hyperinflation caused by an activity of the inspiratory muscles during expiration Hyperinflation is due to altered lung mechanics (COPD) Loss of elastic recoil pressure air trapping Forward leaning COPD Relief hyperinflation and paradoxical abdominal movement EMG activity of the scalene and sternomastoid muscles transdiaphragmatic pressure, thoracoabdominal movements

24 Relaxation breathing 24

25

26 26

27 Incentive spirometry Mechanical devices introduced in surgical patients Attempt to reduce postoperative complications by increasing inspiratory capacity Activated by the patient s inspiratory effort Slow, deep inspiration Mouthpiece Visual feedback Preset volume and hold at full inspiration for 2 3 secs 27

28 Incentive spirometry 28

29 Manual therapy techniques Subjective assessment Musculoskeletal dysfunction Postural and skeletal changes over time Overuse of upper chest breathing patterns Lack of lower rib expansion Chronic hyperinflation typically leads to the development of a barrel shaped chest Physical assessment: posture The relaxed posture of the pelvis, lumbar, thoracic and cervical spines The position of the scapulae and the location of the humeral head within the glenoid The posture of the neck and head and alignment with the trunk and pelvis The point of maximal curve of each of these segments Whether the spinal posture is fixed or able to be corrected 29

30 30

31 Manual therapy techniques Physiotherapy management Postural correction and motor control training Educating awareness Use visual, auditory and sensory feedback Motor learning with training the holding ability of the postural stabilizers frequent gentle repetitions of the corrected movement or position Initial focus: correct any posterior pelvic rotation in sitting and on reducing the lumbar and thoracic kyphosis 31

32 Manual therapy techniques Mobilization techniques Focus: improving the range and quality of thoracic extension and rotation Increasing the mobility of the ribs Muscle lengthening techniques Taping Muscle retraining 32

33

34 Neurophysiological facilitation Intercostal stretch Stretch on expiration phase maintained Observation of respiration Increased movement of area being stretched Suggested mechanism Intercostal stretch receptors

35

36 Neurophysiological facilitation of respiration Anterior stretch lifting posterior basal area Patient supine Hands under lower ribs Ribs lifted upward Observation Expansion of posterior basal area epigastric movements Suggested mechanism Dorsal root mediated intersegmental reflex Stretch receptors in intercostals, back muscles

37

Ken Ross BSc ST, Nat Dip ST

Ken Ross BSc ST, Nat Dip ST Ken Ross BSc ST, Nat Dip ST Trunk Most people will suffer from back pain at some point in their lives. Good spinal posture places minimal strain on the muscles which maintain the natural curve of the spine

More information

I tro r duct c io i n t o Exercise Technique

I tro r duct c io i n t o Exercise Technique Introduction to Exercise Technique Is Exercise Technique Important? It is the actual technique used for a resistance training exercise that determines; The precise movement pattern the body will be attempting

More information

by Ellen Saltonstall and Dr. Loren Fishman

by Ellen Saltonstall and Dr. Loren Fishman 10 Yoga Poses for Low Back Pain Prevention by Ellen Saltonstall and Dr. Loren Fishman Introduction This series of poses is designed to prevent future back pain and also to relieve back pain that you may

More information

PILATES Fatigue Posture and the Medical Technology Field

PILATES Fatigue Posture and the Medical Technology Field PILATES Fatigue Posture and the Medical Technology Field Marybeth Kane May 2014 Course: 2014, Pacific Palisades, CA 1 ABSTRACT A medical laboratory scientist (MLS) (also referred to as a medical technologist

More information

MD 2016. Back Muscles & Movements Applied Anatomy. A/Prof Chris Briggs Anatomy & Neuroscience

MD 2016. Back Muscles & Movements Applied Anatomy. A/Prof Chris Briggs Anatomy & Neuroscience MD 2016 Back Muscles & Movements Applied Anatomy A/Prof Chris Briggs Anatomy & Neuroscience WARNING This material has been provided to you pursuant to section 49 of the Copyright Act 1968 (the Act) for

More information

Muscles of the Spinal Column. Chapter 12

Muscles of the Spinal Column. Chapter 12 Muscles of the Spinal Column Chapter 12 Cervical Muscles Splenius Splenius (capitis and cervicis) Origin: Cervicis spinous process of T3-T6 Capitis - lower half of ligmentum nuchea & spinous process of

More information

McMaster Spikeyball Therapy Drills

McMaster Spikeyball Therapy Drills BODY BLOCKS In sequencing Breathing and Tempo Flexibility / Mobility and Proprioception (feel) Upper body segment Middle body segment Lower body segment Extension / Static Posture Office / Computer Travel

More information

Chapter 12 The Trunk and Spinal Column

Chapter 12 The Trunk and Spinal Column Chapter 12 The Trunk and Spinal Column Manual of Structural Kinesiology R.T. Floyd, EdD, ATC, CSCS Vertebral Abdominal 24 31 most column complex some intricate & complex articulating vertebrae do pairs

More information

CONTENTS. Note to the Reader 00. Acknowledgments 00. About the Author 00. Preface 00. Introduction 00

CONTENTS. Note to the Reader 00. Acknowledgments 00. About the Author 00. Preface 00. Introduction 00 Natural Therapies for Emphysema By Robert J. Green Jr., N.D. CONTENTS Note to the Reader 00 Acknowledgments 00 About the Author 00 Preface 00 Introduction 00 1 Essential Respiratory Anatomy and Physiology

More information

Sheet 1A. Treating short/tight muscles using MET. Pectorals. Upper trapezius. Levator scapula

Sheet 1A. Treating short/tight muscles using MET. Pectorals. Upper trapezius. Levator scapula Sheet 1A Treating short/tight muscles using MET Pectorals Once daily lie at edge of bed holding a half-kilo can, arm out sideways. Raise arm and hold for 10 seconds, then allow arm to hang down, stretching

More information

SAMPLE WORKOUT Full Body

SAMPLE WORKOUT Full Body SAMPLE WORKOUT Full Body Perform each exercise: 30 secs each x 2 rounds or 2-3 sets of 8-12 reps Monday & Wednesday or Tuesday & Thursday Standing Squat Muscles: glutes (butt), quadriceps (thigh) Stand

More information

Oxygenation. Chapter 21. Anatomy and Physiology of Breathing. Anatomy and Physiology of Breathing*

Oxygenation. Chapter 21. Anatomy and Physiology of Breathing. Anatomy and Physiology of Breathing* Oxygenation Chapter 21 Anatomy and Physiology of Breathing Inspiration ~ breathing in Expiration ~ breathing out Ventilation ~ Movement of air in & out of the lungs Respiration ~ exchange of O2 & carbon

More information

SPINE. Postural Malalignments 4/9/2015. Cervical Spine Evaluation. Thoracic Spine Evaluation. Observations. Assess position of head and neck

SPINE. Postural Malalignments 4/9/2015. Cervical Spine Evaluation. Thoracic Spine Evaluation. Observations. Assess position of head and neck SPINE Observations Body type Postural alignments and asymmetries should be observed from all views Assess height differences between anatomical landmarks Figure 25-9 Figure 25-10 Figure 25-11 & 12 Postural

More information

CHAPTER 3: BACK & ABDOMINAL STRETCHES. Standing Quad Stretch Athletic Edge - www.athleticedge.biz - (650) 815-6552

CHAPTER 3: BACK & ABDOMINAL STRETCHES. Standing Quad Stretch Athletic Edge - www.athleticedge.biz - (650) 815-6552 CHAPTER : BACK & ABDOMINAL STRETCHES Standing Quad Stretch ) Stand and grasp right ankle with same hand, use a wall or chair to Lower maintain Back balance with left hand. Maintain an upright Stretches

More information

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com Anatomy Review Part I Anatomical Terminology and Review Questions (through pg. 80) Define the following: 1. Sagittal Plane 2. Frontal or Coronal Plane 3. Horizontal Plane 4. Superior 5. Inferior 6. Anterior

More information

Pilates for Kyphosis A BASI Pilates program designed to help correct thoracic kyphosis

Pilates for Kyphosis A BASI Pilates program designed to help correct thoracic kyphosis Pilates for Kyphosis A BASI Pilates program designed to help correct thoracic kyphosis 1 Lucy Penrose 19/01/2014 Wimbledon UK, April 2013 Abstract Kyphosis refers to an exaggerated curve in the thoracic

More information

Department of Surgery

Department of Surgery What is emphysema? 2004 Regents of the University of Michigan Emphysema is a chronic disease of the lungs characterized by thinning and overexpansion of the lung-like blisters (bullae) in the lung tissue.

More information

Body Ball Exercises SUPINE TRUNK CURL TRUNK EXERCISES. Tomado de : Bodytrends.com

Body Ball Exercises SUPINE TRUNK CURL TRUNK EXERCISES. Tomado de : Bodytrends.com Body Ball Exercises Tomado de : Bodytrends.com TRUNK EXERCISES Each of the following exercises has two to three intensity or complexity variations. Level I variations are described first and are the easiest

More information

Temporo-Mandibular Joint Complex Exercise Suggestions

Temporo-Mandibular Joint Complex Exercise Suggestions Temporo-Mandibular Joint Complex Exercise Suggestions I. Exercise Generalizations: A. Patients with post-traumatic TMJ problems or with recent-onset dysfunction that is largely posture-related will generally

More information

Muscle Energy Technique. Applied to the Shoulder

Muscle Energy Technique. Applied to the Shoulder Muscle Energy Technique Applied to the Shoulder MUSCLE ENERGY Theory Muscle energy technique is a manual therapy procedure which involves the voluntary contraction of a muscle in a precisely controlled

More information

Low Back Pain Mansour Dib MD Physical Medicine and Rehabilitation Pain generators Disc Posterior elements Sacro-iliac joint Education - Spine Positioning Neutral Extension Flexion Disc disease Discogenic

More information

Lung & Thorax Exams. Charlie Goldberg, M.D. Professor of Medicine, UCSD SOM cggoldberg@ucsd.edu

Lung & Thorax Exams. Charlie Goldberg, M.D. Professor of Medicine, UCSD SOM cggoldberg@ucsd.edu Lung & Thorax Exams Charlie Goldberg, M.D. Professor of Medicine, UCSD SOM cggoldberg@ucsd.edu Lung Exam Includes Vital Signs & Cardiac Exam 4 Elements (cardiac & abdominal too) Observation Palpation Percussion

More information

A Guide to Controlled Breathing (Pursed Lips Breathing)

A Guide to Controlled Breathing (Pursed Lips Breathing) A Guide to Controlled Breathing (Pursed Lips Breathing) Your doctor or nurse may suggest that you learn how to do controlled breathing. This can help to ease shortness of breath (breathlessness) caused

More information

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS Current Concepts of Low Back Pain Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS 28% population reports LBP in past 3 months (CDC 2010) 60% recurrence rate (Turner et al, 1992) Low Back Pain Low Back Pain

More information

Therapeutic Pilates. Introduction to Pilates. Joseph H. Pilates. Improving Core Stability, Kinesthetic Awareness and Supporting Spinal Integrity

Therapeutic Pilates. Introduction to Pilates. Joseph H. Pilates. Improving Core Stability, Kinesthetic Awareness and Supporting Spinal Integrity Therapeutic Pilates Improving Core Stability, Kinesthetic Awareness and Supporting Spinal Integrity Introduction to Pilates Pilates exercise is designed to mobilize and strengthen the body, helping to

More information

of motion and then adds Physician Technique: thoracic outlet. 4. Check flexion (extension). disengage the 6. Hold until you Copyright

of motion and then adds Physician Technique: thoracic outlet. 4. Check flexion (extension). disengage the 6. Hold until you Copyright Thoracic outlet balanced ligamentous tensionn (BLT) Thoracic Brief description: This indirect technique places the thoracic outlet into the freedoms of motion and then adds a lateral distraction to treat

More information

Maria Tosoni & Lindsey Gannon

Maria Tosoni & Lindsey Gannon Maria Tosoni & Lindsey Gannon Thoracic Muscles Muscles of Inspiration External Intercostal Muscles & Intercartilaginous Intercostal Muscles Muscles of Expiration Interosseus Intercostal Muscles Abdominal

More information

DRAFT OUTLINE YOGA IN HOSPICE CARE PRESENTATION Michele Hoffman, E-RYT, CYT April 21, 2015

DRAFT OUTLINE YOGA IN HOSPICE CARE PRESENTATION Michele Hoffman, E-RYT, CYT April 21, 2015 DRAFT OUTLINE YOGA IN HOSPICE CARE PRESENTATION Michele Hoffman, E-RYT, CYT April 21, 2015 1. What is Yoga? Holistic practice over 5,000 years old which works on all levels of being mind, body and spirit.

More information

BREATHE BETTER SWIM FASTER

BREATHE BETTER SWIM FASTER BREATHE BETTER SWIM FASTER Breath control is fundamental to efficient swimming. Like singers, swimmers need to train their breathing for effective performance. Controlled breathing is the main factor contributing

More information

Flexibility Assessment and Improvement Compiled and Adapted by Josh Thompson

Flexibility Assessment and Improvement Compiled and Adapted by Josh Thompson Flexibility Assessment and Improvement Compiled and Adapted by Josh Thompson Muscles must have a full and normal range of motion in order for joints and skeletal structure to function properly. Flexibility

More information

Pulmonary Ventilation

Pulmonary Ventilation Pulmonary Ventilation Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.com) Page 1. Introduction Pulmonary ventilation, or breathing, is the

More information

Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD)

Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD) Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD) Development of disability in COPD The decline in airway function may initially go unnoticed as people adapt their lives to avoid

More information

Level 2 Certificate in Fitness Instructing Unit 1: Anatomy and Physiology

Level 2 Certificate in Fitness Instructing Unit 1: Anatomy and Physiology Level 2 Certificate in Fitness Instructing Unit 1: Anatomy and Physiology These questions have been compiled based on the information available for the above qualification and unit. This mock should be

More information

Cardiopulmonary Physical Therapy. Haneul Lee, DSc, PT

Cardiopulmonary Physical Therapy. Haneul Lee, DSc, PT Cardiopulmonary Physical Therapy Haneul Lee, DSc, PT Airway ClearanceTechniques Breathing Exercise SpecialConsiderations for MechanicallyVentilated Exercise Injury Prevention and Equipment provision Patient

More information

Carpal Tunnel Pain. STRETCH YOUR: 1) Wrist Flexors 2) Wrist Extensors 3) Wrist Decompression 4) Neck (see other chapters for more examples)

Carpal Tunnel Pain. STRETCH YOUR: 1) Wrist Flexors 2) Wrist Extensors 3) Wrist Decompression 4) Neck (see other chapters for more examples) Carpal Tunnel Pain STRETCH YOUR: 1) Wrist Flexors 2) Wrist Extensors 3) Wrist Decompression 4) Neck (see other chapters for more examples) wrist flexors wrist extensors carpal tunnel Athletic Edge - www.athleticedge.biz

More information

CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Includes: Bronchitis (chronic and acute) Emphysema

CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Includes: Bronchitis (chronic and acute) Emphysema THE BASICS OF BREATHING: Assessment & Treatment Approaches for the Patient with COPD Jocelyn Alexander, MA CCC-SLP Director of Program Development Therapy Partners of Ohio LEARNER OBJECTIVES: Identify

More information

Anatomy & Physiology 120. Lab #7 Muscle Tissue and Skeletal Muscles

Anatomy & Physiology 120. Lab #7 Muscle Tissue and Skeletal Muscles Anatomy & Physiology 120 Lab #7 Muscle Tissue and Skeletal Muscles What you Need to Know Look briefly at the Structure of: 1) Skeletal, 2) Smooth & 3) Cardiac Muscle Naming, Identification, Functions You

More information

Chapter 13 Muscular Analysis of Trunk and Lower Extremity Exercises

Chapter 13 Muscular Analysis of Trunk and Lower Extremity Exercises Chapter 13 Muscular Analysis of and Lower 2007 McGraw-Hill Higher Education. All rights reserved. 13-1 Muscular Analysis of & Lower Strength, endurance, & flexibility of the lower extremity, trunk, & muscles

More information

Pulmonary Ventilation: Inspiration and Expiration

Pulmonary Ventilation: Inspiration and Expiration Pulmonary Ventilation: Inspiration and Expiration Inspiration visualize the thoracic cavity as a gas-filled box with a single entrance at the top, the tube like trachea. The volume of this box is changeable

More information

BREATHING TECHNIQUES for BREATHLESS MANAGEMENT in CHRONIC RESPIRATORY CONDITIONS

BREATHING TECHNIQUES for BREATHLESS MANAGEMENT in CHRONIC RESPIRATORY CONDITIONS BREATHING TECHNIQUES for BREATHLESS MANAGEMENT in CHRONIC RESPIRATORY CONDITIONS AIM To be able to safely and effectively teach and supervise a service user undertaking techniques to minimise breathlessness

More information

Understanding back pain 1 The anatomy & physiology of back pain

Understanding back pain 1 The anatomy & physiology of back pain Understanding back pain 1 The anatomy & physiology of back pain Dr James Tang, MBA, BDS, LDS RCS General Dental Practitioner, Level 3 Personal Trainer (REP registration no R1045463), Sports Nutritionist

More information

Pilates for the treatment of Rounded Shoulders

Pilates for the treatment of Rounded Shoulders Pilates for the treatment of Rounded Shoulders Nicola Heweston September 2015 Wimbledon UK, January 2014 Abstract Rounded shoulders is a description of a common posture abnormality whereby the shoulders

More information

Better Breathing with COPD

Better Breathing with COPD Better Breathing with COPD People with Chronic Obstructive Pulmonary Disease (COPD) often benefit from learning different breathing techniques. Pursed Lip Breathing Pursed Lip Breathing (PLB) can be very

More information

Active Cycle of Breathing Technique

Active Cycle of Breathing Technique Patient Information Leaflet Physiotherapy Department Active Cycle of Breathing Technique Derriford Hospital Derriford Road Plymouth PL6 8DH Tel: 0845 155 8155 www.plymouthhospitals.nhs.uk Active Cycle

More information

Spine Conditioning Program Purpose of Program

Spine Conditioning Program Purpose of Program Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

More information

THORACIC OUTLET SYNDROME

THORACIC OUTLET SYNDROME THORACIC OUTLET SYNDROME The Problem The term thoracic outlet syndrome is used to describe a condition of compression of the nerves and/or blood vessels in the region around the neck and collarbone, called

More information

POST OPERATIVE ROTATOR CUFF REPAIR PROTOCOL. Therapist Instructions

POST OPERATIVE ROTATOR CUFF REPAIR PROTOCOL. Therapist Instructions MOON SHOULDER GROUP For information regarding the MOON Shoulder Group, speak to surgeon or contact: Rosemary Sanders 4200 Medical Center East 1215 21st Avenue South Vanderbilt University Medical Center

More information

Spinal Cord Injury Education. An Overview for Patients, Families, and Caregivers

Spinal Cord Injury Education. An Overview for Patients, Families, and Caregivers Spinal Cord Injury Education An Overview for Patients, Families, and Caregivers Spinal Cord Anatomy A major component of the Central Nervous System (CNS) It is 15 to 16 inches long, and weighs 1 to 2 ounces

More information

SHOULDER PULL DOWNS. To learn efficient use of the shoulder blades and arms while maintaining a neutral spine position.

SHOULDER PULL DOWNS. To learn efficient use of the shoulder blades and arms while maintaining a neutral spine position. SHOULDER INTRODUCT ION Welcome to your shoulder exercise program The exercises in the program are designed to improve your shoulder mobility, posture and the control of the muscles in your neck and shoulder

More information

The Process of Strength and Conditioning for Golfers

The Process of Strength and Conditioning for Golfers The Process of Strength and Conditioning for Golfers The use of different sporting activities and resistance work to develop a strength and conditioning program specific to golf. Many club golfers are

More information

The Thorax - Anterior and Lateral Chest Wall

The Thorax - Anterior and Lateral Chest Wall The Thorax - Anterior and Lateral Chest Wall by Marc Heller,DC When we think of the thorax, most of us think of the thoracic vertebrae and the posterior ribs. When examining for thoracic restrictions,

More information

KNEE EXERCISE PROGRAM

KNEE EXERCISE PROGRAM KNEE PROGRAM INTRODUCT ION Welcome to your knee exercise program. The exercises in the program are designed to improve your knee stability and strength of the muscles around your knee and hip. The strength

More information

RESPIRATORY VENTILATION Page 1

RESPIRATORY VENTILATION Page 1 Page 1 VENTILATION PARAMETERS A. Lung Volumes 1. Basic volumes: elements a. Tidal Volume (V T, TV): volume of gas exchanged each breath; can change as ventilation pattern changes b. Inspiratory Reserve

More information

Anatomy and Physiology for Exercise and Health Level 3

Anatomy and Physiology for Exercise and Health Level 3 Anatomy and Physiology for Exercise and Health Level 3 A/600/9051 Mock Paper There are 25 questions within this paper To achieve a pass you will need to score 18 out of 25 marks All questions are multiple

More information

American Osteopathic Academy of Sports Medicine James McCrossin MS ATC, CSCS Philadelphia Flyers April 23 rd, 2015

American Osteopathic Academy of Sports Medicine James McCrossin MS ATC, CSCS Philadelphia Flyers April 23 rd, 2015 American Osteopathic Academy of Sports Medicine James McCrossin MS ATC, CSCS Philadelphia Flyers April 23 rd, 2015 Coming together is a beginning; keeping together is progress; working together is success.

More information

Rehabilitation Documentation and Proper Coding Guidelines

Rehabilitation Documentation and Proper Coding Guidelines Rehabilitation Documentation and Proper Coding Guidelines Purpose: 1) Develop a guide for doctors in South Dakota to follow when performing reviews on rehabilitation cases. 2) Provide doctors in South

More information

Posture. Let s look at. in the head is jutting. the norm. you know if your belt. If you belt. lower body. 2 sections, upper. pulls?

Posture. Let s look at. in the head is jutting. the norm. you know if your belt. If you belt. lower body. 2 sections, upper. pulls? Fixing the Computer Guy Posture Lower back/h hip stability Let s look at ideal posture for a minute. Look at your profile in the mirror. Chances are you re gonna find that your head is jutting forward,

More information

TRIGGER POINTS. Trigger Point Therapy Can Be Used To Help You With These Common Conditions: MIGRAINES TENSION HEADACHE NECK AND JAW PAIN

TRIGGER POINTS. Trigger Point Therapy Can Be Used To Help You With These Common Conditions: MIGRAINES TENSION HEADACHE NECK AND JAW PAIN TRIGGER POINTS Muscles account for more than 60% of the human body mass, making up the largest part of our bodies. They are responsible for all movement of the human body. With such an enormous responsibility,

More information

RESPIRATORY CARE ADVICE : SCOLIOSIS For patients with myotubular and centronuclear myopathy and other congenital myopathies.

RESPIRATORY CARE ADVICE : SCOLIOSIS For patients with myotubular and centronuclear myopathy and other congenital myopathies. AUTHORS NOTE: The following respiratory advice on scoliosis management in patients with congenital myopathy is based on two papers, due to be published soon. Once published, updates will be posted here.

More information

HYPERLORDOSIS & PILATES TREATMENT

HYPERLORDOSIS & PILATES TREATMENT HYPERLORDOSIS & PILATES TREATMENT Grace Tiangco 3/18/15 2012-2013 Abstract Sacramento/Mountain View Lordosis or Hyperlordosis is defined as a postural type in which the natural curves of the spine are

More information

Better Living with Obstructive Pulmonary Disease A Patient Guide

Better Living with Obstructive Pulmonary Disease A Patient Guide Better Living with Obstructive Pulmonary Disease A Patient Guide Second Edition November 2012 Queensland Health The State of Queensland (Queensland Health) and The Australian Lung Foundation 2012 a Better

More information

PREVENTING SPINAL INJURY

PREVENTING SPINAL INJURY PREVENTING SPINAL INJURY PRESENTED BY: BYRON BAHNIUK, B.P.E., C.A.T.(C), R.M.T. UNIVERSITY OF MANITOBA BISON ATHLETIC THERAPY CENTRE INVESTORS GROUP ATHLETIC CENTRE 231-75 SIDNEY SMITH ST. 474-6956 Who

More information

Rehabilitation after shoulder dislocation

Rehabilitation after shoulder dislocation Physiotherapy Department Rehabilitation after shoulder dislocation Information for patients This information leaflet gives you advice on rehabilitation after your shoulder dislocation. It is not a substitute

More information

Info. from the nurses of the Medical Service. LOWER BACK PAIN Exercise guide

Info. from the nurses of the Medical Service. LOWER BACK PAIN Exercise guide Info. from the nurses of the Medical Service LOWER BACK PAIN Exercise guide GS/ME 03/2009 EXERCISE GUIDE One of the core messages for people suffering with lower back pain is to REMAIN ACTIVE. This leaflet

More information

Structure and Function of the Vertebral Column

Structure and Function of the Vertebral Column Structure and Function of the Vertebral Column 33 vertebral segments divided into 5 segments Cervical: 7 vertebrae Thoracic: 12 vertebrae Lumbar: 5 vertebrae Sacral: 5 vertebrae, fused in the adult Coccygeal:

More information

Shoulder and Related Upper Extremity Radiating Pain

Shoulder and Related Upper Extremity Radiating Pain Shoulder and Related Upper Extremity Radiating Pain ICD-9-CM codes: 723.3 Cervical brachial syndrome ICF codes: Activities and Participation Domain codes: d4301 Carrying in the hands (Taking or transporting

More information

No Equipment Agility/Core/Strength Program for Full Body No Equip Trainer: Rick Coe

No Equipment Agility/Core/Strength Program for Full Body No Equip Trainer: Rick Coe No Equipment Agility/Core/Strength Program for Full Body No Equip Trainer: Rick Coe Introduction Program designed to be performed in a circuit. Perform exercises in sequence without rest 2-3 times. Increase

More information

Sit stand desks and musculo skeletal health. Katharine Metters

Sit stand desks and musculo skeletal health. Katharine Metters Sit stand desks and musculo skeletal health Katharine Metters Topics Sitting Standing Movement and activity Work and human change Sitting uses less energy Sitting provides support for the body to reduce

More information

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and Rotator Cuff Pathophysiology Shoulder injuries occur to most people at least once in their life. This highly mobile and versatile joint is one of the most common reasons people visit their health care

More information

Divisions of the Skeletal System

Divisions of the Skeletal System OpenStax-CNX module: m46344 1 Divisions of the Skeletal System OpenStax College This work is produced by OpenStax-CNX and licensed under the Creative Commons Attribution License 3.0 By the end of this

More information

What is Pilates? Pilates for Horses?

What is Pilates? Pilates for Horses? What is Pilates? Pilates is a conditioning system that increases core stability, strength and body awareness; redresses imbalances, and re aligns the body from the inside out. It can improve posture, achieve

More information

Exercise Ball Workout for Stronger. Spine. What is the Ball Workout?

Exercise Ball Workout for Stronger. Spine. What is the Ball Workout? Exercise Ball Workout for Stronger What is the Ball Workout? Spine The ball workout uses a large air-filled ball to exercise at home. It is fun to use and suitable for all levels of fitness. The exercise

More information

ROTATOR CUFF REHABILITATION THERAPIST DIRECTED

ROTATOR CUFF REHABILITATION THERAPIST DIRECTED MOON SHOULDER GROUP ROTATOR CUFF REHABILITATION THERAPIST DIRECTED PROGRAM Introduction The Shoulder MOON group is a Multi-center Orthopaedic Outcomes Network, a consortium of institutions working together

More information

Case Studies Updated 10.24.11

Case Studies Updated 10.24.11 S O L U T I O N S Case Studies Updated 10.24.11 Hill DT Solutions Cervical Decompression Case Study An 18-year-old male involved in a motor vehicle accident in which his SUV was totaled suffering from

More information

Module 2: Lung Function + Physics of Breathing How does air actually get into our lungs?

Module 2: Lung Function + Physics of Breathing How does air actually get into our lungs? Young Scientist Program: Anatomy Teaching Team A.) Introduction Module 2: Lung Function + Physics of Breathing How does air actually get into our lungs? Everyone knows that breathing is essential to life.

More information

Don t. Hamstrings. Calf Muscles. both legs 2-3 times. stretch is felt in the back of the calf. Repeat with both legs 2-3 times.

Don t. Hamstrings. Calf Muscles. both legs 2-3 times. stretch is felt in the back of the calf. Repeat with both legs 2-3 times. Remember to: Warm-up your muscles first before stretching (e.g. stretch after walking). Stretch until you feel mild discomfort, not pain. Never bounce or force a stretch. Hold the stretch for 10-30 seconds

More information

Who are these patients? Neck Pain in Voice Disorders. Etiologies of Cervicalgia. Role of Physical Therapy in Treatment of Voice Disorders

Who are these patients? Neck Pain in Voice Disorders. Etiologies of Cervicalgia. Role of Physical Therapy in Treatment of Voice Disorders Role of Physical Therapy in Treatment of Voice Disorders DAVID O. FRANCIS, MD MS VANDERBILT VOICE CENTER NOVEMBER 5, 2011 Singers Who are these patients? Performers Athletes Exercise with weights Heavy

More information

Effective Treatments for the Neck

Effective Treatments for the Neck Effective Treatments for the Neck A manual therapy course to improve your treatment of radicular pain and foraminal impingement syndromes www.advancedmassageeducation.com 1 Effective Treatments for the

More information

Biceps Tenodesis Protocol

Biceps Tenodesis Protocol Department of Rehabilitation Services Physical Therapy The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone

More information

A proper warm-up is important before any athletic performance with the goal of preparing the athlete both mentally and physically for exercise and

A proper warm-up is important before any athletic performance with the goal of preparing the athlete both mentally and physically for exercise and A proper warm-up is important before any athletic performance with the goal of preparing the athlete both mentally and physically for exercise and competition. A warm-up is designed to prepare an athlete

More information

Pilates Based Treatment For Low Back Pain with Contradicting Precautions : A Case Study

Pilates Based Treatment For Low Back Pain with Contradicting Precautions : A Case Study Pilates Based Treatment For Low Back Pain with Contradicting Precautions : A Case Study Kerry Susser, DPT January 27, 2013 Body Arts and Science International Comprehensive Teacher Training Program 2013

More information

How to Get and Keep a Healthy Back. Amy Eisenson, B.S. Exercise Physiologist

How to Get and Keep a Healthy Back. Amy Eisenson, B.S. Exercise Physiologist How to Get and Keep a Healthy Back Amy Eisenson, B.S. Exercise Physiologist Lesson Objectives Statistics of Back Pain Anatomy of the Spine Causes of Back Pain Four Work Factors Core Muscles Connection

More information

RESPIRATORY SELF CARE

RESPIRATORY SELF CARE RESPIRATORY SELF CARE A Manual For Patients And Their Families 1987, 2005 Deane Hillsman, MD INTRODUCTION I am Dr. Deane Hillsman, a physician who has practiced Internal Medicine and the specialty of Pulmonary

More information

Clarification of Terms

Clarification of Terms Shoulder Girdle Clarification of Terms Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus What is the purpose (or function) of the shoulder and entire upper

More information

FINDING NEUTRAL SPINE POSITION

FINDING NEUTRAL SPINE POSITION FINDING NEUTRAL SPINE POSITION It seems everywhere you look people are talking about the benefits of being able to achieve and maintain a neutral spinal alignment. Most exercise regimes and especially

More information

Stretching the Low Back THERAPIST ASSISTED AND CLIENT SELF-CARE STRETCHES FOR THE LUMBOSACRAL SPINE

Stretching the Low Back THERAPIST ASSISTED AND CLIENT SELF-CARE STRETCHES FOR THE LUMBOSACRAL SPINE EXPERT CONTENT by Joseph E. Muscolino photos by Yanik Chauvin body mechanics THE ESSENCE OF MOST MANUAL THERAPIES, and certainly clinical orthopedic massage therapy, is to loosen taut soft tissues, thereby

More information

AMERICAN COUNCIL ON EXERCISE PERSONAL TRAINER UNIVERSITY CURRICULUM LAB MANUAL

AMERICAN COUNCIL ON EXERCISE PERSONAL TRAINER UNIVERSITY CURRICULUM LAB MANUAL AMERICAN COUNCIL ON EXERCISE PERSONAL TRAINER UNIVERSITY CURRICULUM LAB MANUAL LAB ACTIVITY #1: SOCIAL SUPPORT STRATEGIES ACTIVITY DESCRIPTION An important coping strategy for relapse prevention is for

More information

Muscular System. Principles of Health Science Dr. Wood

Muscular System. Principles of Health Science Dr. Wood Muscular System Principles of Health Science Dr. Wood Characteristics of muscles Excitability: : irritability or ability to respond to stimulus Contractibility: : ability to contract (become short and

More information

Special Report: Computers and Shoulder Pain

Special Report: Computers and Shoulder Pain A recent survey of office workers showed that 50-60% of them had shoulder pain. And this problem becoming more and more common. Why? Hours of computer use with bad posture. Your posture muscles are just

More information

Rotator Cuff and Shoulder Conditioning Program. Purpose of Program

Rotator Cuff and Shoulder Conditioning Program. Purpose of Program Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

More information

Our mission is to help you experience the greatest benefits possible. Our physicians and care staff are dedicated to your needs.

Our mission is to help you experience the greatest benefits possible. Our physicians and care staff are dedicated to your needs. What to Expect Our mission is to help you experience the greatest benefits possible. Our physicians and care staff are dedicated to your needs. You will most likely require 20-30 procedure sessions to

More information

Stretching the Major Muscle Groups of the Lower Limb

Stretching the Major Muscle Groups of the Lower Limb 2 Stretching the Major Muscle Groups of the Lower Limb In this chapter, we present appropriate stretching exercises for the major muscle groups of the lower limb. All four methods (3S, yoga, slow/static,

More information

Ron Schenk PT, PhD 1

Ron Schenk PT, PhD 1 Ron Schenk PT, PhD 1 Objectives Describe the anatomy of the neck (cervical spine) and low back (lumbar spine) Describe the risk factors associated with neck and low back injury Describe physical therapy

More information

Massage Therapy Practice.com Client Self Care Manual

Massage Therapy Practice.com Client Self Care Manual Massage Therapy Practice.com Client Self Care Manual Massage Therapy Basics The Muscular Imprint of Tension Muscle Pain and Massage Stages of Recovery From Injury Stretching Basics Hydrotherapy Epsom Salts

More information

by joseph e. muscolino, DO photography by yanik chauvin

by joseph e. muscolino, DO photography by yanik chauvin by joseph e. muscolino, DO photography by yanik chauvin body mechanics palpation of the anterior neck ESOUCES For more information go to www.medlineplus.gov and search under anterior neck. The anterior

More information

Cervical Exercise: How important is it? What can be done? The Backbone of Spine Treatment. North American Spine Society Public Education Series

Cervical Exercise: How important is it? What can be done? The Backbone of Spine Treatment. North American Spine Society Public Education Series Cervical Exercise: The Backbone of Spine Treatment How important is it? What can be done? North American Spine Society Public Education Series Important: If you have had an accident that started your neck

More information

Help Yourself Breathe. Tender Loving Care for Your Lungs. Department of Physiotherapy. PD 1359 (Rev 06-2009) File: peyles

Help Yourself Breathe. Tender Loving Care for Your Lungs. Department of Physiotherapy. PD 1359 (Rev 06-2009) File: peyles Help Yourself Breathe Tender Loving Care for Your Lungs PD 1359 (Rev 06-2009) File: peyles Department of Physiotherapy Why are you breathless? Chronic Airflow Limitation or Obstruction is a decrease in

More information

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can

More information

SAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE MARIE, ON COURSE OUTLINE

SAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE MARIE, ON COURSE OUTLINE SAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE MARIE, ON COURSE OUTLINE Course Title: Normal Functional Movement Code No.: RSP102 Semester: 1 Program: Author: Chiropractic Health Assistant Nancy

More information

Strength Training for the Runner

Strength Training for the Runner Strength Training for the Runner Strength Training for the Runner What? The goal of resistance training for runners is not necessarily adding muscle mass but 1. improving muscular strength, 2. improving

More information