THEREX LAB 1

Question 1

Who would benefit from exercises to reduce sternal depression?

Answer 1

pts who have rounded shoulders (kyphotic)

Question 2

what are exercises to help reduce sternal depression?

Answer 2

prone breathing with rotation

army crawl iso

Question 3

Describe how you would position/instruct pt to perform prone breathing with rotation if they had depressed sternum

Answer 3

for L sternal expansion, have pt lay prone with head turned to R (R posterior expansion and L ANTERIOR EXP), with R leg and arm slightly flexed

Have pt push into floor with right leg and arm = isometric contraction to help engage core and use diaphragm

gravity will help pull sternum forward with breathing

Question 4

what rib motion does prone breathing/army crawl help increase

Answer 4

AP rib direction

Question 5

Dosing for breathing exercises

Answer 5

3-4 sets of 5 breaths

Question 6

how do you progress the prone breathing with rotation ex?

Answer 6

army crawl iso - (on elbows and and knees)

Question 7

If you want R side anterior expansion using the army crawl iso, which side are the limbs closer together (sidebended)?

Answer 7

L elbow and knee closer together (left sidebend), R leg extended back, permits R side protraction and expansion towards ground

Question 8

Your pt has rounded shoulders, therefore they might have sternal depression and limited ____ _____

Answer 8

pump handle expansion

Question 9

What exercises can help increase pump handle expansion?

Answer 9

hook lying armbar

side lying stride with pump handle

Question 10

explain hook lying armbar

Answer 10

lie supine and hold kettlebell straight up over shoulder on side you’re trying to expand.

inhale push up (protract shoulder), hold position and exhale

try to push farther each breathe

Question 11

explain sidelying stride with pump handle

Answer 11

sidelying with top leg extended and pushing into wall, top arm out in front, protracting further with each breath

incorporates posterior chain activation with protraction

Question 12

what angle do you have the arm at for a narrow vs wide infrasternangle?

Answer 12

90 for narrow
110 for wide

Question 13

What is the focus of exercises for people with swayback posture

Answer 13

want them to learn to turn on glute max because they are hamstring dominant (hips hyperextended and PPT)

Question 14

What are some exercises for swayback progression

Answer 14

crime scene pose
elevated frog breathing
retro crawl on elbows
walking wall squat

Question 15

What mobility issues are you trying to address for someone with flat back posture?

Answer 15

lack of posterior rib expansion

Question 16

What exercises can you give someone to help with posterior rib expansion

Answer 16

seated posterior rib expansion

sidelying posterior rib expansion roll

same side connect roll

cross connect roll