Exam 4: Lumbar (13-16) Flashcards
What are three reasons why the lumbar spine should be exercised
Help ease/manage symptoms
Return to life
Prevention of injury
True or False:
Movement is contraindicated in patients with a disc lesion
False, movement is essential
(Flexion/extension) exercises have shown to produce some of the largest amounts of fluid transfer in the ____ and also to decrease IVD swelling/pressure
extension; IVD
True or False:
Both passive and active approaches should be utilized in neural mobilization
true
Should treadmill training in patients with stenosis be done with BW supported or without BW supported
Either
During treadmill training in patients with spinal stenosis, why would the patients walk better on an incline
Inclination induces natural flexion to ease symptoms
Why is cycling and aquatic therapy helpful in treating patients with spinal stenosis
The patient is in an upright, recumbent position.
Aquatic exercises that mimic cycling movement will also produce improvements
What are the 5 subparts of exercising patients with spinal stenosis`
Flexion Stabilization Stretches Aerobic Aquatic
True or False:
Aquatic therapy can provide greater long term improvement in pain and functioning than conventional PT in patients with LSS
False, it only provides short term results
What muscles/areas should we focus on during stabilization exercises
Multifidus and thoracolumbar
If the SIJ moves too much, what are the treatments going to look like
Training proper mechanics
Treat above and below
Stabilize
What are the general parts that are being stabilized in patients with LSS working on stabilization exercises
inner and outer unit
Postural muscles like the TA and multifidus will burn energy (slower/faster) than non-postural muscles like the Glutes and hamstrings
faster
When working on stabilization in patients with LSS, it is important that ___ goes away before we can work on motor control
pain
What are the two controversial stances on spinal stabilization and who stand on which side
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
True or False:
Evidence for stabilization is limited and is not proven to be better than any other exercise
true
____ ____ is a loss of muscle mass associated with aging. It is estimated you have to lose __% of muscle mass to becomes structurally weak
Senile Sarcopenia
70%
In patients with senile sarcopenia, __-__% of muscle mass is lost each decade/10 years after age ___
3-5; 50
The stabilization treatment slide has a picture of a target on it. What does the target represent
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
What are the three phases of stabilization
- Initiating stabilization
- Loading/functional
- NWB if needed
What patient population is most likely to work on phase 3 stabilization exercises
Athletes or if additional motor control is needed
Which phase of stabilization includes graded exposure and having an ultimate goal of physical confidence
Phase 2: loading/functional
True or False:
The concept of graded exposure should be applied to exercises and ADL’s, especially for feared movements and tasks
true
True or False:
Back pain is normal
True, it is the common cold of the MS system
