extra Flashcards

1
Q

what does the anterior band of the iliolumbar ligaments resist

A

ipsilateral SB and ant translation of L5

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2
Q

what does the superior band of the iliolumbar ligaments resist

A

flexion

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3
Q

when is the inferior band of the iliolumbar ligaments taut

A

extension

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4
Q

what does the posterior band of the iliolumbar ligaments resist

A

flexion

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5
Q

what does the facet joint not sustain

A

vertically apllied load in neutral positon

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6
Q

what is hte intradiscal pressure for someone bending down w no weight vs w a weight

A

w no weight = 150
w a weight = 220

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7
Q

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

A

sitting= 140
sitting w a lean= 185
sitting and picking up a weight= 275

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8
Q

what is the intradiscal pressure of someone laying on their back vs laying on their side

A

back= 25
side = 75

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9
Q

how much % increase in disc pressure is it if someone is laughing

A

40-50%

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10
Q

how much % increase in disc pressure is it if someone is side bending

A

25%

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11
Q

how much % increase in disc pressure is it if someone is bending forward

A

150%

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12
Q

how much % increase in disc pressure is it if someone is lifting a 20kg weight w back straight and knees bent vs knees straight

A

bent= 73%
straight= 169%

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13
Q

what are the top 2 things that increase the % in dsic pressure from movements

A

bedning foward and lifting a weigth w back straight and knees straight

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14
Q

during axial rotation what is happenign at the torsion of the disc

A

gapping of ipsilateral facet joint
compression of contra facet joint

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15
Q

what is the main things resisting axial rotation in the L spine

A

combine facet joint and ligaments (interspinous and suprapsinous)

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16
Q

what is mianly injury if there is rotation in a flexed position

A

annulus fibrosis

17
Q

side bedning is a coupled movemtns w what 3 things in the L spine

A

flexion , extension and rotation

18
Q

what are the 2 evaluations and interventions that we would use

A

structured (cyriax)

treatment-based (McKenzie and Maitland)

19
Q

what is the hallmark at any joint that would indicate instability

A

INCONSISTENT SYMPTOMOLOGY

20
Q

if a radiographic image shows a spine that is “bamboo” in nature what would we suspect the diagnosis is ?

A

ankylosing spondylitits

21
Q

how would we know if a patient has fibromyalgia

A

11/18 tender points

22
Q

what is included int he 2nd level of triage for the treatment based classification

A

*symptom modulation
*movemtn control
*functional optimization

23
Q

ppl w low back pain are ___ in nature

A

heterogenous (menaing they are all different)

24
Q

which phase of healing is critical in preventing chronicit

25
body weight supported treadmill is effective for what kind of pt
pts w spinal stenosis or radicular symptoms
26
what is considered SIJ hypomobility
*innominate rotation *upslip/downslip *pubic leison do manual therapy for these thing
27
how do u treat form closure
SIJ compression belt
28
how do u treat force closure
core stabilization ex's
29
what nerve does the prone knee bent test
femoral nerver
30
what is a positive and negative test for the prone knee bend test (femoral nerve)
(+): symptoms reprodiced between 80-100 degrees of knee flexion (-): absence of symptoms any symptoms reproduced <80° flxion (indicates joint dysfunction) any symptoms reprocued > 100° knee flexion (indicates RF tightness or lumbar spine dysfunction)
31
when do we do joint play on the spine
if we think hyper mobilty or instbaility
32
for waddlles test what is postiive
3 or more (+) indicates symtoms exaggeration
33