SMEH

THE BACK AND SPINE

AIMS OF  Understand Spinal / Back
 Anatomy
THE  Posture
 Palpation
SESSION  Movements
SPINAL LEVELS
CX, TX, LX
CERVICAL POSTURE
GOOD AND BAD?
SPINAL POSTURES / CONDITIONS
 Spinal Postural Assessment

 In Weight Bearing
 In sitting
 Prone
BACK PALPATION – BONY
LANDMARKS
BONY LANDMARKS
  Flexion
 Extension
 Ipsilateral flexion
 Rotation

 Range and Quality

 Segmental movement and Control
 Hinging

ACTIVE MOVEMENT
ASSESSMENT
  FLEXION / EXTENSION - Assess range in SAGITTAL plane
 LUMBAR – FLEXION - 60deg, EXTENSION – 35deg
 THORACO-LUMBAR – FLEXION 105, EXTENSION - 60deg
 CERVICAL – FLEXION – 40deg, EXTENSION – 75deg
 SIDE FLEXION – Assess in FRONTAL plane
 LUMBAR - Level -20deg
 THORACIC Level – 20deg
 CERVICAL Level – 35-45deg
 ROTATION
 LUMBAR – 5deg
 THORACIC – 35deg
 Cervical – 45-50deg

NORMATIVE VALUES
QUESTIONS