class 10: MSK back Flashcards

1
Q

what is t score

A

bone density tests, representing how much a person’s bone density deviates from the average

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2
Q

how do we interpret t-score

A

–1 or higher, your bone is healthy.

–1 to –2.5, you have osteopenia, a less severe form of low bone mineral density than osteoporosis.

–2.5 or lower, you might have osteoporosis.

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3
Q

what back movement do we avoid if patient has osteoporosis

A

rot and flexion

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4
Q

what comprises the neural arch

A

pedicles and lamina

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5
Q

Spondylosis

A

Degeneration of intervertebral disc

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6
Q

Spondylolysis

A

Defect in pars interarticularis or the arch of the vertebra

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7
Q

Spondylolisthesis

A

Forward displacement of one vertebra over
another

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8
Q

Retrolisthesis

A

Backward displacement of one vertebra on
another

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9
Q

Spondylosis - pop

A

> 50 years old

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10
Q

spondy young

A

Spondylolysis - 15-20 years old

Spondylolisthesis - 20 years old. It can
progress to degenerative
spondylolisthesis with age

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11
Q

Spondylosis - location

A

Back
(unilateral)

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12
Q

all the spondy are relieved with what movement

A

sitting

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13
Q

all the spondy are aggravated with what movement

A

ext

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14
Q

relief with disc herniation and spinal stenosis

A

spinal stenosis - flexion

disc herniation - ext

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15
Q

scolio - cause

A

Genetic, idiopathic, caused by
some congenital problem

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16
Q

scolio - vert body

A

Vertebral bodies rotate to the
convexity of the curve

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17
Q

scolio - ribs on the convex side

A

̶Ribs pushed posteriorly on
convex side “rib hump”

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18
Q

scolio - SP

A

̶Spinous process deviates
toward the concave side

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19
Q

scolio - cave pelvis

A

high

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20
Q

scolio - cave tight or loose muscle

A

tight

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21
Q

scolio - cave rib anterior or posterior

22
Q

scolio - cave vert height

A

A decrease in vertebral height

23
Q

scolio - cave intercostal space

24
Q

scolio - cave lung volume

25
Same as opening spinal terms
Gaping Increased space Upglide Flexion
26
Same as closing spinal terms
Closing Decreased space Downglide Extension
27
how do we increase flexion with PA glide
PA glide bilaterally on top vertebra to increase flexion (gapping) Example: Apply a PA glide on C5 to increase flexion between C5-C6. To open: Press on superior vertebra
28
how do we increase extension with PA glide
PA glide bilaterally on bottom vertebra to increase extension (closing) Example: Apply a PA glide on C6 to increase extension between C5-C6. * To close: Press on the inferior vertebra
29
c-spine, lumbar, and thoracic what direction are side bending and rotation
C and T: are in the same direction lumbar: the side bending, and rotation occur in the opposite direction
30
Restriction - Bilateral restriction
Push on spinous process or bilateral transverse processes
31
Restriction - unilateral restriction
Push on unilateral transverse process
32
Spine level to mobilize: To open
Move top vertebra
33
Spine level to mobilize: To close
Move bottom vertebra
34
Spine level to Stabilize: To open
Stabilize bottom vertebra
35
Spine level to Stabilize: To close
Stabilize top vertebra
36
Arthrokinematics: Cervical/Thoracic To open
Flexion, side bend away and rotate away
37
Arthrokinematics: Cervical/Thoracic To close
Extension, side bend towards and rotate towards
38
Arthrokinematics: Lumbar To open
Flexion, side bend away and rotate towards
39
Arthrokinematics: Lumbar To close
Extension, side bend towards and rotate away
40
Scheuermann disease
Scheuermann kyphosis - hyperkyphosis -juvenile kyphosis gynmas anterior wedging of greater than or equal to 5 degrees in 3 or more adjacent vertebral bodies
41
oswestry DI - numbers
-20% indicates minimal disability 21-40% represents moderate disability 41-60% is considered severe disability
42
what is quadrent testing for
facet joint
43
what is the stork standing test
spondy
44
what is the van gelderen
stenosis test vascular vs neurogenic causes
45
what is gillets testing
SI joint issues
46
what is the position of vert art tests
bring neck into ext, lateral flexion, and rotation to the isperlateral side
47
do we have ER or IR of the tibia with antevresion
IR
48
for scoli what side is the muscle lengthened
the convex side QL, erector spinae, external obliques,
49
for scoli what does lengthening of the muscle cause
weakness
50
for scoli what side does the shoe lift go on
side of vex