12/6 Kahoot Flashcards
a pt presents w LNB which is worsened when arching back & eased stretching to touch toes which condition
spinal stenosis - flex bias
These flexion exercises would likely be an appropriate for which
DJD
ankylosis spondylolisis
facet joint
when working w an osteoporosis pt ____ which should be promoted for compression fx
extension
when viewing a pts imaging, you identify the pts nucleus purposes have extended beyond the PLL which disc injury
extrusion
which are segmental mm of the lumbar spine?
multifidus
TA
quadratus lumborum (deep)
T/F: goal of stabilization exercises is for the pt to eventually demo automatic maintenance of spinal stability
true
- min must be really nailed
pt presents w extension bias, what lumbar bias should PTA promote in phase 1 spinal rehab
lordosis
what phase of spinal rehab should gentle spinal movement into the painful range begin?
phase 2
in order to improve endurance during stabilization training, exercises should be performed for at least?
1 minute
- start w 10 reps, 10 sec
which condition presents with osteophyte formation, potentially leading to neurological signs?
spondylosis (DJD, OA)
perturbation training should begin in phase 2 spinal rehab. this is best for which mm group?
global muscles
- ex: rectus, obliques
a PTA treats a pt w spinal stenosis, which exercises is generally not appropriate for this pt?
quadrupled w alternating extremity extension
- more extension but spinal stenosis is felxion bias
which dx is defined as a spinal canal narrowing that constricts/compresses nerve roots?
spinal stenosis
- “narrowing of spinal canal” –> key words
what is the primary purpose of kinesthetic training (movement) on the spine
spinal movement awareness
- pelvis tilts
which is the most challenging version of the following stabilization exercises?
- opp LE on table
hold opp LE w UE - lift knee
hold opposite LE @ 90 w/o UE + SLR to 45
opp LE on table + heel slides
hold opposite LE @ 90 w/o UE + SLR to 45
rhythmic stabilization exercises are important in a spinal rehab program bc they?
develop postural mm response to external disturbances
- phase 3 is best
- respond to perturbations
PTS suffering from facet jt impingement only have pain at rest, when they move, they feel better
false
which structure can become impinged upon narrowing of the IV foramina
spinal nerves
spinal blood vessels
a PTA wants to begin CP endurance training in phase 1 for a pt w ext bias using the UE ergometer, is this appropriate
no
- only in phase 2 and 3
place the following stabilization approaches in order; early to last
deep segmental mm strengthening (TA, Multifidus)
global mm strengthening (core mms)
dynamic/functional stabilization (return to function)
in a pt w flex bias, which direction of movement will peripheralize their symptoms
- ex: facet jts, spondelosis, spondylolisthesis,
extension
list one red flag PTAs should screen for when working w pts with LBP
saddle paresthesia
bladder/bowel changes
pain not reproduced mechanically (cancer)
fx not ruled ut
What are the global stabilizing mm of the lumbar spine?
RA
erector spinae
internal obliques
external obliques
when working with pts with ankylosing spondylitis, which is the highest priority intervention
posture training
- time-sensitive d/t bones fusing so we have to move
- when it fuses, we want to fuse it in a functional position
- we want it in a lordotic posture
- fuses bottom up
in pt w ext bias, which direction of movement will centralize the pts pain/neuro symptoms
extension
t/f: global mm should be targeted 1st during stabilization training bc the pt is most familiar with contracting those mm
false
- strengthen deep segmental mm first
when performing stabilization ex w emphasis on extensors, it is no longer important to focus on TA contraction
false, always want TA contraction
which portion of the disc is most commonly herniated during disc sequestration?
nucleus pulposus
a pt presents w a herniated nucleus pulposus after lifting heavy box at work. which directional exercises do you anticipate starting w?
extension, d/t extension bias & flex aggravation
t/f: kinesthetic training is an important component of spinal rehab that should be completed 1st for most pts
true
which is an optimal technique for elicitating a TA contraction?
draw in maneuver
progression of trunk & extremity strengthening in functional patterns should be one focus of which phase of spinal rehab
phase 3
which of the following pts could benefit from flex-based exercises
spinal stenosis
facet joints
spondylolisthesis
spondylosis
t/t: before additional of dynamic exercises, pt should demo adequate deep/global stabilization
true!!!
pt has neurological sx d/t compression of L2 spinal nerve. which motions will increase space in the foramen?
forward bend (ext closes space)
contralateral side-bend (ipsilat closes space)
t/f: when working w pts w AS, it is important to mobilize the ankylosed segments to regain motion
false
- its already fused, can only immobilize parts not yet fused
what are 2 best tx option for someone w a NWB bias
traction
pool
pool exercise
aquatic exercises
for stabilization training with a focus of LS extensors, which position will be most challenging to maintain a neutral spine?
prone
- progresses
quadruped is easier & should start off w this
which type of movement typically predisposes someone to a disc injury?
flexion
lifting
t/F: w pts w LBP, it is not recommended they return to performance of high-intensity functional activities?
false
