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Vertebral Joints > Final Exam > Flashcards

Final Exam Flashcards

1
Q

What are the only two self-report questionnaires not validated in older populations?

A
  • modified Oswestry Disability Index

- Quebec Back Pain Disability Index

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2
Q

Older adults are more likely to demonstrate deficits with:

A
  • mobility
  • posture
  • balance
  • CNS
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3
Q

What are frequent comorbidities of older adults w/ LBP?

A
  • insomnia
  • depression and anxiety
  • maladaptive behaviors
  • hip and knee pathology
  • fibromyalgia
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4
Q

Where is the most common site for a compression fracture?

A

T10 - L2

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5
Q

Predictors of LBP-Related Disability for Older Adults

A
  • leg pain
  • depression
  • anxiety
  • hip OA
  • knee OA
  • neck pain
  • falls
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6
Q

What subtle degenerative changes begin in the 2nd decade?

A
  • annular disorganization
  • alteration of endplates
  • nuclear fibrous transformation
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7
Q

What was observed in patients with kyphosis versus those with stenosis?

A
  • increased paraspinal muscle activity in patients with kyphosis; more severe fatigue
  • reduced mm activity in patients with stenosis
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8
Q

What are the goals of the McKenzie Approach?

A
  • classification of a patient
  • determine the direction of preference
  • create patient INDEPENDENCE and SELF-TREATMENT
  • prevent recurrence
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9
Q

Patients who complain of constant pain must be classified as:

A

derangement

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10
Q

Approximately how many patients fall under the derangement category?

A
  • derangement
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11
Q

Derangement

A
  • duration - immediate to long-term
  • onset - gradual, sudden, known, unknown
  • constant or intermittent symptoms
  • posture - may have deformity accentuated or reduced lordosis, scoliosis
  • AROM - multiple directions of loss, but greatest loss in direction of obstruction
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12
Q

Pain during movement is most likely:

A

derangement

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13
Q

What are the four treatment stages for derangement syndrome?

A
  1. reduction of derangement
  2. maintenance of derangement
  3. recovery of function
  4. prevention of recurrence
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14
Q

What is the progression of forces to reduce derangement?

A
  • patient generated
  • patient overpressure
  • therapist overpressure
  • joint mobilizations
  • joint manipulations
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15
Q

Dysfunction Syndrome

A
  • normal stress on abnormal tissue
  • pain local - over the spine, no referred sx
  • duration - 6 weeks or longer, time is needed for the adhesions to form
  • onset - gradual, bot often as result of healed derangement that was not treated properly
  • intermittent symptoms only
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16
Q

Clinical Presentation of Dysfunction Syndrome

A
  • poor posture
  • loss of AROM in direction of the dysfunction
  • pain at end range, no worse afterwards
  • treatment = move into the direction of the dysfunction
17
Q

T/F: Rapid recovery is possible with dysfunction

A

False

18
Q

Adherent Nerve Root

A
  • a special case of dysfunction, symptoms will be distal to the calf
  • scar tissue forms around a nerve root
  • AROM is limited in flexion, extension is WNL
  • end ROM pain with flexion, pain below the knee, but IT NOT worse afterwards

Treatment = nerve glides/stretching

19
Q

What should you do if you cannot determine the directional preference?

A

park the patient at end-range

20
Q

Posture Syndrome

A
  • poor posture in sitting and standing
  • AROM is WNL in all directions
  • no symptoms with repeated movements
  • static positioning testing - symptoms produced by slouched sitting/improved with posture correction

Treatment = posture education, slouch/overcorrect

21
Q

Clinical Presentation of Posture Syndrome

A
  • pain located over the spine
  • duration can be any length of time
  • onset is gradual
  • intermittent symptoms only

Vertebral Joints (3 decks)

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