extra Flashcards
what does the anterior band of the iliolumbar ligaments resist
ipsilateral SB and ant translation of L5
what does the superior band of the iliolumbar ligaments resist
flexion
when is the inferior band of the iliolumbar ligaments taut
extension
what does the posterior band of the iliolumbar ligaments resist
flexion
what does the facet joint not sustain
vertically apllied load in neutral positon
what is hte intradiscal pressure for someone bending down w no weight vs w a weight
w no weight = 150
w a weight = 220
what is the intradiscal pressure of osmeone sitting down vs someone sitting down and leaning forward vs someone sitting down and picking up a weight
sitting= 140
sitting w a lean= 185
sitting and picking up a weight= 275
what is the intradiscal pressure of someone laying on their back vs laying on their side
back= 25
side = 75
how much % increase in disc pressure is it if someone is laughing
40-50%
how much % increase in disc pressure is it if someone is side bending
25%
how much % increase in disc pressure is it if someone is bending forward
150%
how much % increase in disc pressure is it if someone is lifting a 20kg weight w back straight and knees bent vs knees straight
bent= 73%
straight= 169%
what are the top 2 things that increase the % in dsic pressure from movements
bedning foward and lifting a weigth w back straight and knees straight
during axial rotation what is happenign at the torsion of the disc
gapping of ipsilateral facet joint
compression of contra facet joint
what is the main things resisting axial rotation in the L spine
combine facet joint and ligaments (interspinous and suprapsinous)
what is mianly injury if there is rotation in a flexed position
annulus fibrosis
side bedning is a coupled movemtns w what 3 things in the L spine
flexion , extension and rotation
what are the 2 evaluations and interventions that we would use
structured (cyriax)
treatment-based (McKenzie and Maitland)
what is the hallmark at any joint that would indicate instability
INCONSISTENT SYMPTOMOLOGY
if a radiographic image shows a spine that is “bamboo” in nature what would we suspect the diagnosis is ?
ankylosing spondylitits
how would we know if a patient has fibromyalgia
11/18 tender points
what is included int he 2nd level of triage for the treatment based classification
*symptom modulation
*movemtn control
*functional optimization
ppl w low back pain are ___ in nature
heterogenous (menaing they are all different)
which phase of healing is critical in preventing chronicit
subacture