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MSK 2 > exam 1: set 2 > Flashcards

exam 1: set 2 Flashcards

1
Q

obebro used for what

A

early ID of persistant back problems

good predictor of future absenteeism due to sickness and function

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2
Q

START back

A

tool to predict the progression of chronic status

ID high risk LBP in primary care

identifies individuals at risk of a worse prognosis

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3
Q

pelvic funtional mechanics

A

the movement and position of the pelvis is influence primarily by the position of the LE

the pelvis is the functional link between the LE and the spine

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4
Q

pelvis movement in the sagittal plane

A

ant and post rotation

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5
Q

pelvis movement in the frontal plane

A

downslip and upslip

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6
Q

pelvis movement in the transverse plane

A

infare and outflare

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7
Q

what is a the pubic symphysis

A

a strong ligament at the anterior of the pelvis

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8
Q

how much movement does the pubic sym allow

A

small amount of movement
- rotation
- inf and sup

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9
Q

whne does movement occur in the pubic sym

A

amb
unilateral stance

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10
Q

anterior rotation of the ilosacrum

A

ASIS inferior

PSIS superior

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11
Q

posterior rotation of the ilosacrum

A

ASIS sup
PSIS inf

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12
Q

pelvic component pain pattern

A

rarely have symptoms below the knee,

pain in the butt, lateral thigh

o Status quo pain – pain does not centralize with movement

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13
Q

pelvic component - neuro

A

do not often have neuro signs

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14
Q

when is the pelvic compent people more symtomatic

A

later in the day

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15
Q

pelvic landmark palpation

A

ASIS
PSIS
iliac crest

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16
Q

interpretation of pelvic landmarks - all land marks a level

A

normal

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17
Q

interpretation of pelvic landmarks - all landmarks are high on one side

A

leg length discrepancy

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18
Q

interpretation of pelvic landmarks - asymmetrical height differences

A

pelvic component

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19
Q

what are the three thing you need to perform the standing flexion test

A
  • Symmetry visible
  • 60-degrees forward flexion
  • And preform with a reasonably pelvic rhythm
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20
Q

what does positive standing flexion test look like

A

one PSIS rises more in the superior direction while the patient is flexed.

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21
Q

gillet test - negative and positive

A

negative: PSIS moves inferiorly

positive: PSIS does not move or moves cranially

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22
Q

how can you have a flase negative in gillet test

A

trandelenburg

when we stand on our left the right side will drop

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23
Q

what is in cibulka’s criteria

A

standing flexion
seated asymmetry
lone sit test
prone knee flexion
fortins sign

24
Q

what is fortins sign

A

pain at the PSIS

25
Q

what are the treatment for pelvic component

A

supine lumbopelvic roll (favorite)
prone iliac correction
long axis distraction
Prone leg lift technique

26
Q

hand placement for the prone iliac correction

A

below the PSIS
pushing the anterior/lateral direction

27
Q

for Non-chronic back pain do we want to use a thurst or a

A

yes

we do not want to use a thrust for chronic bacck pain

28
Q

sagittal plane movement of the sacrum

A

nutation and counter-nutation

29
Q

nutation of the sacrum

A

movement into the pelvis

occur in response to lumbar extension

occur with trunk movement and standing with to feet on the ground

30
Q

counter-nutation of the sacrum

A

movement back into place

31
Q

sacral component sym complaints

A

– Fortin’s sign - pain right at the PSIS
– ~vague, non-segmental radiating features
– Decreased Tolerance for Activities requiring Unilateral Stance
– Difficulty with transitional movements
– Difficulty actively extending the spine

32
Q

sacral component history

A

– Slip and fall onto the buttock
– Asymmetrical loading mechanisms
* Not on the last step on the stairs
– Failure of “ilial” interventions
– Hypermobility of the Pelvis
* Trauma – rear end motor vehicle accidents
* Recent Pregnancy
* Birth Control Medication

33
Q

what is included in laslett’s criteria

A

distraction
thigh thrust
sacral thrust
compression test
Gaenslen’s test

34
Q

what two component of laslett’s do you need to have a positive sacral component

A

distraction and thigh thrust

35
Q

treatment for sacral component

A

Side lying muscle energy sacral correction

36
Q

Prone sacral correction - hand placement

A

Place hand medially from the PSIS – apply pressure obliquely in the angle of the SI joint

37
Q

what do we do in thoracolumbar testing

A

AROM standing

combo AROM exercises

seated thoracic rotation - is this abnormal then the thorax is involved

PA spring testing

38
Q

criteria for success with stabilization

A

Age: < 40 y.o
(+) Aberrent Motions
(+) Prone Instability Test
FABQ: > 8 (physical activity score)
(+) Spring test for hypermobility

39
Q

Anteroposterior/Rotational Stability screen

A

Unilateral Bridge with Leg Extended

40
Q

Posteroanterior/Rotational Stability

A

Quadruped with Alt. UE and LE Extended

41
Q

Lateral Stability

A

Unilateral Side Support with Legs Extended

42
Q

unilateral bridge - Bent leg side

A

hamstrings

43
Q

unilateral bridge - extended leg

A

activation of the abdominal obliques, multifidus, other trunk extensors

44
Q

unilateral bridge - fall out to unsupported side

A

inadequate abdominal support

45
Q

Quadruped with Alt. UE and LE Extended - general acctivation

A

external oblique

46
Q

Quadruped with Alt. UE and LE Extended - extended arm

A

upper trunk extensors

47
Q

Quadruped with Alt. UE and LE Extended - extended leg

A

hamstring, gluteus maximus, and multifidus

48
Q

Unilateral Side Support with Legs Extended - down side

A

Unilateral involvement of the Gluteus Medius, Multifidus, External Oblique on the activated side

49
Q

Unilateral Side Support with Legs Extended - general activation

A

Rectus Abdominis

50
Q

Activation Phase

A

Specific training and re-activation phase
Spinal muscle activation and specific stabilization tasks
Motor re-education/re-programming
Lower level, lower intensity tasks
Controlling symptomatic behavior
Overcome anxiety, apprehension regarding exercise

51
Q

how long is the activation phase

A

2 to 4 weeks duration/5 to 8 sessions

52
Q

Acquisition Phase

A

Stable symptomatic presentation

Has passed the basic screening test parameters

Intent is to make gains in both strength and endurance components

Moderate to higher levels of exercise intensity

Goal: Succeed with Advanced Screening Mechanism, progress to Assimilation Phase

53
Q

how long is acquisition phase

A

3 to 6 weeks/6 to 18 sessions

54
Q

Advanced Screening for Sufficient Stability

A

Sorensen Test with Legs Supported at Horizontal Level for 80 seconds

Double Straight Leg Lowering Test

55
Q

Double Straight Leg Lowering Test
men v.. women

A

Men: approx 15 degrees from Horizontal

Women: approx 37 degrees from Horizontal

56
Q

assimilation phase

A

Functional integration phase

Dynamic stability considerations

More complex than just muscle performance alone

Higher level tasks, often repetitive in nature

Goal: return to activity, work, sport
Maintenance program strategies
Awareness and education

57
Q

how can we tell a leg length change

A

Asymmetrical Standing Landmarks

Symmetrical Seated Landmarks

(-) Long Sit Test
Long leg in starting position, relationship of legs unchanged in ending position

(+) Prone Knee Flexion Test
Finding of “short to less short”

MSK 2 (15 decks)

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