With hypomobility, stiff areas may _____ be painful.
NOT
If hypomobility is not addressed, it can lead to …
Painful hypermobile compensations elsewhere
Hypomobility follows the path of _____ _____.
Least resistance
What are examples of hypomobile areas for the low back?
- Stiff lower thoracic region and thoracolumbar junction leads to hypermobile mid to lower lumbar spine
- Stiff sacroiliac joint and hip leads to hypermobile lower lumbar spine
What is the general Rx for hypomobility? What is the purpose of that Rx?
- Mobility: in the hypomobile area
- Stabilization
- 3 sets of 30 with a moderate load
Hypermobile areas are usually _____ because of the axis of motion being less controlled
Painful
What are the causes of hypermobility?
Trauma: causes laxity
What is the general Rx for hypermobility? What is the purpose of this Rx?
- Stabilization
- 3 sets of 30 with a moderate load
It should be hard to treat a patient without addressing what?
Adjacent joints and areas
The orientation of a facet determines what?
The direction it moves and the amount of motion it has
The thoracic spine produces what motions and is in what plane?
- Mostly frontal plane
- Ribs limit side bending
- Most is Rotation (25-30 degrees) then SB, Flexion, and least with Extension
In the thoracic spine, what segment has the most rotation?
Most at T5 and T10
In the thoracic spine, what segment has the least rotation?
Least t T11 and T12 as they transition to the shape of the lumbar facets
The lumbar spine is slightly curved and sits in what planes?
- Anterior is more coronal, particularly at L5 and S1
- Posterior is more sagittal
What motions are produced the most within the lumbar spine?
Flexion and Extension
What motion is produced the least within the lumbar spine?
- Rotation ( 5-7 degrees total)
- Similar from the upper to the lower levels
