12/6 Kahoot

Question 1

a pt presents w LNB which is worsened when arching back & eased stretching to touch toes which condition

Answer 1

spinal stenosis - flex bias

Question 2

These flexion exercises would likely be an appropriate for which

Answer 2

DJD
ankylosis spondylolisis
facet joint

Question 3

when working w an osteoporosis pt ____ which should be promoted for compression fx

Answer 3

extension

Question 4

when viewing a pts imaging, you identify the pts nucleus purposes have extended beyond the PLL which disc injury

Answer 4

extrusion

Question 5

which are segmental mm of the lumbar spine?

Answer 5

multifidus
TA
quadratus lumborum (deep)

Question 6

T/F: goal of stabilization exercises is for the pt to eventually demo automatic maintenance of spinal stability

Answer 6

true
- min must be really nailed

Question 7

pt presents w extension bias, what lumbar bias should PTA promote in phase 1 spinal rehab

Answer 7

lordosis

Question 8

what phase of spinal rehab should gentle spinal movement into the painful range begin?

Answer 8

phase 2

Question 9

in order to improve endurance during stabilization training, exercises should be performed for at least?

Answer 9

1 minute
- start w 10 reps, 10 sec

Question 10

which condition presents with osteophyte formation, potentially leading to neurological signs?

Answer 10

spondylosis (DJD, OA)

Question 11

perturbation training should begin in phase 2 spinal rehab. this is best for which mm group?

Answer 11

global muscles
- ex: rectus, obliques

Question 12

a PTA treats a pt w spinal stenosis, which exercises is generally not appropriate for this pt?

Answer 12

quadrupled w alternating extremity extension
- more extension but spinal stenosis is felxion bias

Question 13

which dx is defined as a spinal canal narrowing that constricts/compresses nerve roots?

Answer 13

spinal stenosis
- “narrowing of spinal canal” –> key words

Question 14

what is the primary purpose of kinesthetic training (movement) on the spine

Answer 14

spinal movement awareness
- pelvis tilts

Question 15

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

Answer 15

hold opposite LE @ 90 w/o UE + SLR to 45

Question 16

rhythmic stabilization exercises are important in a spinal rehab program bc they?

Answer 16

develop postural mm response to external disturbances
- phase 3 is best
- respond to perturbations

Question 17

PTS suffering from facet jt impingement only have pain at rest, when they move, they feel better

Answer 17

false

Question 18

which structure can become impinged upon narrowing of the IV foramina

Answer 18

spinal nerves
spinal blood vessels

Question 19

a PTA wants to begin CP endurance training in phase 1 for a pt w ext bias using the UE ergometer, is this appropriate

Answer 19

no
- only in phase 2 and 3

Question 20

place the following stabilization approaches in order; early to last

Answer 20

deep segmental mm strengthening (TA, Multifidus)
global mm strengthening (core mms)
dynamic/functional stabilization (return to function)

Question 21

in a pt w flex bias, which direction of movement will peripheralize their symptoms

• ex: facet jts, spondelosis, spondylolisthesis,

Answer 21

extension

Question 22

list one red flag PTAs should screen for when working w pts with LBP

Answer 22

saddle paresthesia
bladder/bowel changes
pain not reproduced mechanically (cancer)
fx not ruled ut

Question 23

What are the global stabilizing mm of the lumbar spine?

Answer 23

RA
erector spinae
internal obliques
external obliques

Question 24

when working with pts with ankylosing spondylitis, which is the highest priority intervention

Answer 24

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

Question 25

in pt w ext bias, which direction of movement will centralize the pts pain/neuro symptoms

Answer 25

extension

Question 26

t/f: global mm should be targeted 1st during stabilization training bc the pt is most familiar with contracting those mm

Answer 26

false
- strengthen deep segmental mm first

Question 27

when performing stabilization ex w emphasis on extensors, it is no longer important to focus on TA contraction

Answer 27

false, always want TA contraction

Question 28

which portion of the disc is most commonly herniated during disc sequestration?

Answer 28

nucleus pulposus

Question 29

a pt presents w a herniated nucleus pulposus after lifting heavy box at work. which directional exercises do you anticipate starting w?

Answer 29

extension, d/t extension bias & flex aggravation

Question 30

t/f: kinesthetic training is an important component of spinal rehab that should be completed 1st for most pts

Answer 30

true

Question 31

which is an optimal technique for elicitating a TA contraction?

Answer 31

draw in maneuver

Question 32

progression of trunk & extremity strengthening in functional patterns should be one focus of which phase of spinal rehab

Answer 32

phase 3

Question 33

which of the following pts could benefit from flex-based exercises

Answer 33

spinal stenosis
facet joints
spondylolisthesis
spondylosis

Question 34

t/t: before additional of dynamic exercises, pt should demo adequate deep/global stabilization

Answer 34

true!!!

Question 35

pt has neurological sx d/t compression of L2 spinal nerve. which motions will increase space in the foramen?

Answer 35

forward bend (ext closes space)
contralateral side-bend (ipsilat closes space)

Question 35

t/f: when working w pts w AS, it is important to mobilize the ankylosed segments to regain motion

Answer 35

false
- its already fused, can only immobilize parts not yet fused

Question 36

what are 2 best tx option for someone w a NWB bias

Answer 36

traction
pool
pool exercise
aquatic exercises

Question 37

for stabilization training with a focus of LS extensors, which position will be most challenging to maintain a neutral spine?

Answer 37

prone
- progresses
quadruped is easier & should start off w this

Question 38

which type of movement typically predisposes someone to a disc injury?

Answer 38

flexion
lifting

Question 39

t/F: w pts w LBP, it is not recommended they return to performance of high-intensity functional activities?

Answer 39

false