AFAB II- Exam 1 Flashcards
3 divisions of a vertebrae:
The ______ ________ is anterior primary, weight-bearing component
vertebral body
3 divisions of a vertebrae:
The ________ _______ include the transverse/spinous processes, laminae, and articular processes
posterior elements
3 divisions of a vertebrae:
With the _________, the bridge connects to the body-posterior elements; they are also thick and strong
pedicles
3 divisions of a vertebrae:
The _________ transfer muscle forces applied to the posterior elements for dispersion across the body/disc
pedicles
The spinal curves provide ______ and ________ (spring like)
strength; resilience
Spinal curves are vulnerable to what???
shear forces at transitions
Spinal curves are involved with :
______ position
____ deposition
_______ strength & endurance
connective tissue __________
_______ supported by the body
_______ of facets, ________ bodies, and ________
limb
fat
muscle
extensibility
loads
shape; vertebral; discs
_________ ________ : ant lamina to posterior lamina, end ROM flexion, 80% elastin, posterior to spinal cord
A. Interspinous ligament
B. Ligamentum Flavum
C. ALL
B.
_________ ________: between adjacent spinous processes; blends with LF – more elastin; more superficial more collagen and blend with SS lig, fiber direction varies – L/S
A. Supraspinous ligament
B. PLL
C. Interspinous ligament
C.
_________ _________: between tips of spinous processes; resist separation – flexion; less developed in L/S
A. Supraspinous ligaments
B. ALL
C. Intertransverse ligaments
A.
__________ _____________: are thin, taut in contralateral flexion
A. PLL
B. Supraspinous ligaments
C. Intertransverse ligaments
C.
The ________ is long, strong strap, occiput to sacrum, fibers into and reinforce anterior disc
A. PLL
B. ALL
B.
Which ligament is on the posterior surfaces of vertebral bodies C2-sacrum (in canal) and blends with and reinforces posterior discs?
PLL
Which ligaments cover the entire rim of facets, connect and stabilize, and are reinforced by adjacent muscles (multifidus)?
Capsular ligaments
Which ligaments go with each Axis of Motion?
- ALL
- PLL
- Ligamentum Flavum
- Interspinous Lig.
- Supraspinous Lig.
- Intertransverse Lig.
- Facet (zygoapohysial) joint capsules
Label These
- Interspinous Lig.
- Capsular Lig.
- Ligamentum Flavum
- ALL
- PLL
- IAR
______ _______ is a loss of intervertebral stiffness that can lead to abnormal and increased intervertebral motion
spinal instability
The ________ ________ is The amount of intervertebral movement that occurs with the least passive resistance from the surrounding tissues (minimal stiffness zone)
neutral zone
With the neutral zone, chronic ________ can cause further injury
instability
Core stability can also be viewed from a _________ level as well as the whole spine
segmental
What happens when the neutral zone is larger than normal?
the spinal segments become unstable
*there will be more slide, glide, and rotation between the vertebrae
The neutral zone has been found to increase with ______ and _________ and decrease with ______ ______
injury; degeneration
muscle force
With injury (DDD) the _____ ______ pattern changes and influences the motion of the whole spine, potentially causing pain and _________
vertebral motion; hypermobility
Which of the 3 subsystems…. consists of the bony structures, ligaments, joint capsules, discs, and passive portion of the musculotendinous units. This system is thought to send feedback to the neural subsystem about joint positions and challenges to stability at the passive level
passive system
Which of the 3 subsystems….
is composed of the muscles and tendons and is the subject of the core exercises later
active system
Which of the 3 subsystems….
receives and transmits information from and to the other two systems to manage spinal stability. Neuromuscular control can be compromised in patients with LBP and must be considered in a core stabilization program
neural subsystem
Lumbopelvic Structure and Design is an example of what type of stability?
Passive
Neural Mediation is an example of what type of stability?
Neural
Muscular Force Transfer is an example of what type of stability?
Active
Marked or chronic instability causes further injury to where?
local ligaments
facets
discs
Marked or chronic instability can result in loss of P! free _____
ROM
Thoracic vertebrae: 2-9 Have a ________ pointing SP
downward
With the thoracic vertebrae 2-9, the sup/inf articular processes are oriented _________ and are aligned close to the ______ plane
vertically; frontal
With the thoracic vertebrae 2-9, the superior articular facets face ________
posterior
With the thoracic vertebrae 2-9, the inferior articular facets face ________
anterior
Thoracic vertebrae: 2-9 have a pair of ______ facets
costal
What are the atypical thoracic vertebrae?
T1, T10-12
T1 has full ______ attachment and ______
costal; demifacets
T10-12 has a full _______ attachment
costal
With the thoracic vertebrae:
It is larger; ____ shaped; and contains the _____ facets
heart; costal
What shape is the thoracic vertebrae?
circular
The TP’s of the thoracic vertebrae are
short or long?
contain articular facets for ____
long; ribs
The SP’s of the thoracic vertebrae, are long and point ______
inferiorly
The lumbar region has massive wide _____ for support
bodies
With the lumbar region, the TP’s project ________
A. medially
B. laterally
C. anterior-lateral
B. laterally
With the lumbar region, 1-4 disc are ____ and 5 is _____ and _______
thin; strong; thick
With the lumbar region, the _______ processes are off the sup. articular surfaces (posterior side)
mamillary
In the lumbar region, the articular facets are oriented ______
vertically
The lumbar facets are…
superior or inferior?
convex or concave?
faces medial to medial posterior or lateral to anterior-lateral?
superior
concave
medial to medial posterior
The lumbar facets are oriented closest to what plane in the upper L/S?
sagittal
The lumbar facets are oriented midway between the ______and ______ plane in the lower L/S
sagittal; frontal
In the lumbar region, the inferior articular processes are
convex or concave?
lateral to anterior-lateral or medial to medial-posterior?
convex
lateral to anterior-lateral
Diurnal Fluctuations in the discs:
When supine, there is ____ pressure that attracts water and ________ slightly when sleeping
low; swells
With durnal fluctuations, ____ forces push water out of the ____
WB; disc
With diurnal fluctuations, there is ___% in height change
1
With diurnal fluctuations, relating to age: as _________ reduces, water retaining reduces
proteoglycans (GAGs)
With diurnal fluctuations:
There is less __________ pressure
and the patient can have a dx of _________ disc
hydrostatic
degenerative
With diurnal fluctuations,
______ ________ shows : loss of distinction AF/NP, nuclear bulging, and loss of disc space
MR Imaging
What is this called?
T1- weight MR image
anterior spondylolisthesis of L5 on S1
With vertebral endplates, they are relatively _____ cartilaginous ______ that cover most of sup/inf surface of vertebral bodies
thin; caps
With vertebral endplates, the surface facing disc is _________ that binds directly and strongly to collagen in the ______
A. articular cartilage; NP
B. fibrocartilage; AF
C. tissue; AF
B. fibrocartilage; AF
With vertebral endplates, the surface facing bone is _______ __________ and becomes what…?
calcified; cartilage
weakly affixated to bone
The outer rings of the AF have ________ supply; there is limited healing at the ______
vascular; disc
With vertebral endplates, there is diffusion of _____ and _____
O2; glucose
Name These
- iliolumbar ligament
- anterior sacroiliac ligament
- sacrospinous ligament
- sacrotuberous ligament
- anterior longitudinal ligament
- iliolumbar ligament (deep part)
- interosseus ligament
- anterior sacrococcygeal ligament
Know this chart
With spine forces, the highest force is what?
bending over and picking up a box
With spine forces, the lowest force is what?
supine position
Which force applies the most stress on the disc?
A. leaned back
B. straight sitting
C. slumped
C.
Which force applies the least stress on the disc?
A. straight sitting
B. leaned back
C. slumped
B.
With IVD as a hydrostatic pressure distributor:
80% of load carried on the ________ joint in standing at L/Spine, 20 % _______ elements
intervertebral; posterior
With IVD as a hydrostatic pressure distributor:
The disc are designed as _______ _______- can handle the forces of what?
shock absorbers; BW & muscle activation
With IVD as a hydrostatic pressure distributor:
_____ _____ _______: biomechanical interaction water-based NP & annular rings
Load sharing system
With IVD as a hydrostatic pressure distributor:
________ loads push endplates inward to the _______
Compressive, NP
With IVD as a hydrostatic pressure distributor:
The _____ slowly deforms radially vs _____
NP; AF
With IVD as a hydrostatic pressure distributor:
Stretched rings of _______ and ________ create tension to resist/balance force, this is uniformly transferred to the _______ ________, then return when the load is _____
colagen; elastin
vertebral bodies
off
With IVD as a hydrostatic pressure distributor:
_________ resists a fast/strongly applied load; less resistance to slow or light compression (flexible low loads/rigid at higher loads)
viscoelastic
With ____° of thoracolumbar flexion, there is _____° of thoracic flexion and ______° degrees of lumbar flexion
85; 35; 50
Flexion or Extension?
EXT
Flexion or Extension
FLX