PT 529 Lecture Notes - Lecture 4: Neutral Spine, Malleolus, Thoracic Vertebrae

• School: Quinnipiac University
• Department: Physical Therapy
• Course: PT 529
• Professor: Duane Scotti

Document Summary

Seated with neutral spine: slump lumbar and thoracic spine with head erect, active neck flexion, active knee ext on affected side, active df. Shooting pain, numbness, or burning down lower limb. Have patient sit in a chair and place feet out in front; cross legs. Place arms on arm rest and push up keeping elbows straight. Place hands on the table turning wrists out. Lean forward so the weight is taken off the legs. Walk feet in first to weight the legs. Increased lordosis and localized central pain at apex of curve. Short hip flexors and pain at apex of curve. Passively flex hip of non-test limb and extend hip of test limb. Unable to reach neutral hip extension with flat lumbar spine. Tfl and itb: abduct hip looking for increase in hip extension (increase tfl and itb tightness) Supine with hips and knees bent, feet flat (hook- lying) Decreased lumbar lordosis and pain with sitting and flexion.