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MSK 2 > exam 1: set 2 > Flashcards

exam 1: set 2 Flashcards

(57 cards)

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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

Study These Flashcards
A

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

24
Q

what is fortins sign

Study These Flashcards
A

pain at the PSIS

25
what are the treatment for pelvic component
supine lumbopelvic roll (favorite) prone iliac correction long axis distraction Prone leg lift technique
26
hand placement for the prone iliac correction
below the PSIS pushing the anterior/lateral direction
27
for Non-chronic back pain do we want to use a thurst or a
yes we do not want to use a thrust for chronic bacck pain
28
sagittal plane movement of the sacrum
nutation and counter-nutation
29
nutation of the sacrum
movement into the pelvis occur in response to lumbar extension occur with trunk movement and standing with to feet on the ground
30
counter-nutation of the sacrum
movement back into place
31
sacral component sym complaints
– 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
sacral component history
– 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
what is included in laslett's criteria
distraction thigh thrust sacral thrust compression test Gaenslen's test
34
what two component of laslett's do you need to have a positive sacral component
distraction and thigh thrust
35
treatment for sacral component
Side lying muscle energy sacral correction
36
Prone sacral correction - hand placement
Place hand medially from the PSIS – apply pressure obliquely in the angle of the SI joint
37
what do we do in thoracolumbar testing
AROM standing combo AROM exercises seated thoracic rotation - is this abnormal then the thorax is involved PA spring testing
38
criteria for success with stabilization
Age: < 40 y.o (+) Aberrent Motions (+) Prone Instability Test FABQ: > 8 (physical activity score) (+) Spring test for hypermobility
39
Anteroposterior/Rotational Stability screen
Unilateral Bridge with Leg Extended
40
Posteroanterior/Rotational Stability
Quadruped with Alt. UE and LE Extended
41
Lateral Stability
Unilateral Side Support with Legs Extended
42
unilateral bridge - Bent leg side
hamstrings
43
unilateral bridge - extended leg
activation of the abdominal obliques, multifidus, other trunk extensors
44
unilateral bridge - fall out to unsupported side
inadequate abdominal support
45
Quadruped with Alt. UE and LE Extended - general acctivation
external oblique
46
Quadruped with Alt. UE and LE Extended - extended arm
upper trunk extensors
47
Quadruped with Alt. UE and LE Extended - extended leg
hamstring, gluteus maximus, and multifidus
48
Unilateral Side Support with Legs Extended - down side
Unilateral involvement of the Gluteus Medius, Multifidus, External Oblique on the activated side
49
Unilateral Side Support with Legs Extended - general activation
Rectus Abdominis
50
Activation Phase
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
how long is the activation phase
2 to 4 weeks duration/5 to 8 sessions
52
Acquisition Phase
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
how long is acquisition phase
3 to 6 weeks/6 to 18 sessions
54
Advanced Screening for Sufficient Stability
Sorensen Test with Legs Supported at Horizontal Level for 80 seconds Double Straight Leg Lowering Test
55
Double Straight Leg Lowering Test men v.. women
Men: approx 15 degrees from Horizontal Women: approx 37 degrees from Horizontal
56
assimilation phase
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
how can we tell a leg length change
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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