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MS II > Exam 4: Lumbar (13-16) > Flashcards

Exam 4: Lumbar (13-16) Flashcards

1
Q

What are three reasons why the lumbar spine should be exercised

A

Help ease/manage symptoms
Return to life
Prevention of injury

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2
Q

True or False:

Movement is contraindicated in patients with a disc lesion

A

False, movement is essential

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3
Q

(Flexion/extension) exercises have shown to produce some of the largest amounts of fluid transfer in the ____ and also to decrease IVD swelling/pressure

A

extension; IVD

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4
Q

True or False:

Both passive and active approaches should be utilized in neural mobilization

A

true

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5
Q

Should treadmill training in patients with stenosis be done with BW supported or without BW supported

A

Either

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6
Q

During treadmill training in patients with spinal stenosis, why would the patients walk better on an incline

A

Inclination induces natural flexion to ease symptoms

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7
Q

Why is cycling and aquatic therapy helpful in treating patients with spinal stenosis

A

The patient is in an upright, recumbent position.

Aquatic exercises that mimic cycling movement will also produce improvements

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8
Q

What are the 5 subparts of exercising patients with spinal stenosis`

A 
Flexion
Stabilization
Stretches
Aerobic
Aquatic
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9
Q

True or False:

Aquatic therapy can provide greater long term improvement in pain and functioning than conventional PT in patients with LSS

A

False, it only provides short term results

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10
Q

What muscles/areas should we focus on during stabilization exercises

A

Multifidus and thoracolumbar

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11
Q

If the SIJ moves too much, what are the treatments going to look like

A

Training proper mechanics
Treat above and below
Stabilize

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12
Q

What are the general parts that are being stabilized in patients with LSS working on stabilization exercises

A

inner and outer unit

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13
Q

Postural muscles like the TA and multifidus will burn energy (slower/faster) than non-postural muscles like the Glutes and hamstrings

A

faster

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14
Q

When working on stabilization in patients with LSS, it is important that ___ goes away before we can work on motor control

A

pain

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15
Q

What are the two controversial stances on spinal stabilization and who stand on which side

A

Hodes, Jull, Richardson, and Hides believes in a local, specific segmental spinal stabilization approach

McGill, Lederman, Fritzs, and Gray believe in a more global, spinal stabilization with a focus on function approach

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16
Q

True or False:

Evidence for stabilization is limited and is not proven to be better than any other exercise

A

true

17
Q

____ ____ is a loss of muscle mass associated with aging. It is estimated you have to lose __% of muscle mass to becomes structurally weak

A

Senile Sarcopenia

70%

18
Q

In patients with senile sarcopenia, __-__% of muscle mass is lost each decade/10 years after age ___

A

3-5; 50

19
Q

The stabilization treatment slide has a picture of a target on it. What does the target represent

A

The innermost layer is first by controlling local segmental control
The middle layer is next by controlling closed chain segmental control
The outermost layer is last by controlling open chain segmental control

20
Q

What are the three phases of stabilization

A
  1. Initiating stabilization
  2. Loading/functional
  3. NWB if needed
21
Q

What patient population is most likely to work on phase 3 stabilization exercises

A

Athletes or if additional motor control is needed

22
Q

Which phase of stabilization includes graded exposure and having an ultimate goal of physical confidence

A

Phase 2: loading/functional

23
Q

True or False:

The concept of graded exposure should be applied to exercises and ADL’s, especially for feared movements and tasks

A

true

24
Q

True or False:

Back pain is normal

A

True, it is the common cold of the MS system

25
Q

True or False:

LBP is preventable

A

False, there’s no evidence

26
Q

True or False:

What people do when they get LBP is not that important because it will heal no matter what you do

A

False; what they do is really important

27
Q

True or False:

Spinal stabilization can prevent LBP

A

False

28
Q

What type of patient characteristics are likely to respond well to spinal stabilization treatments

A 
SLR greater than 90
Laxity
Positive prone instability 
Low fear avoidance
Hypermobility
29
Q

True or False:

Exercising/stabilizing the back can refine the homonculas

A

true

30
Q

True or False:

Exercising the low back can improve motor and pre-motor patterns

A

True

31
Q

True or False:

Tissue tolerance will remain the same after performing stabilization exercises

A

false, it will improve tissue tolerance

32
Q

True or False:

The results of the study of 30 elderly women exercises for 30 minutes 3x a week for 3 years showed SIGNIFICANT difference in bone mineral content

A

True, the exercise group had a 5.6 difference in bone mineral content

MS II (14 decks)

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