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Assessment (A) Osteoporosis Upper back and hip pain Kyphosis Decreased stability

ID: 244143 • Letter: A

Question

Assessment (A)

Osteoporosis

Upper back and hip pain

Kyphosis

Decreased stability/balance

Decreased flexibility

Difficulty with activities of daily living

Loss of stature/height

General deconditioning

9. What is kyphosis? Why does this occur in some individuals diagnosed with osteoporosis? Which upper body muscles are most likely shortened/tight, and which muscles would you expect to find lengthened/weak as a result of kyphotic posture? What specific stretching and strengthening exercises could you prescribe in Lisa’s exercise program to address these upper body muscle imbalances?

10. What other medical condition may be present based off of the objective findings? Hint: This condition is diagnosed based on the average of two or more measurements taken at each of two or more doctor office visits.

Explanation / Answer

KYPHOSIS : Excessive backwardcovexity of the spine.

2 TYPES: A) ROUND KYPHOSIS:- Gentle backward curvature of the spinal column.Seen in diseases affecting a number of vertebrae.

              B) ANGULAR KYPHOSIS:- Sharp backward prominence of spinal column. Seen in collapse of only one vertebral body.

WHY IN OSTEOPOROSIS?

OSTEOPOROSIS is a condition where there is a decreased bone mass.. DORSO-LUMBAR regionis the most commonest sitte.leading to exaggeratedLLUMBAR LARDOSIS, as a result of which THORAIC SPINE develops COMPENSATORY KYPHOSIS.

MUSCLES : SHORTENED- Levator scapulae( back of neck) Pectoralis major &minor.

                  LENGTHENED- deltoid , trapezius, latismus dorsi, rhomboids

EXERCIES:- Chest squeezee with ball

                    push up with ball

                   bumbell flies with ball

OTHER MEDICAL CONDITION: Hyperkyphosis I have given this vcondition as this condition also presents with all theabove symptoms and signs nd measurement taken attwo or more sittings confirms the diagnosis