identify injury Flashcards
how to rule out facet joint lumbar dysfunction
seated extension and rotation test
how to rule out SIJ dysfunction
combo of thigh trust, gas lean, distraction, compression, sacral thrust
how to rule out lumbar spine radiculopathy that contribue to hip pain
repeated motion (repeated flexion/extensin or side bend) + SLR
how to rule out hip intra articular pain
combination of Faber, hip scour and stinchfield (the 3 most be negative)
test to rule in hip intra articular pathology
thomas test, clicking/snapping/popping history + ligamenten teres tears
test to rule in fracture of hip
patellar pubic percussion test + stress fracture/fulcrum test
how to rule in gluteal tendinopathy
trendelenburg signe, resisted hip abduction, resisted hip internal rotation, hip external de-rotation tests
how to rule in hip OA
4 out of 5 need to be positive
- limited AROM HF with lateral hip pain
- AROM hip extension cause P!
- PROM limited hip medial rotation
- Limited squatting + pain
- Scour test with adduction cause lateral hip or groin pain
if a patient have diminish sensation in lower anterior thigh/ knee, quadricep weakness and decreases patellar testing which nerve root is affected
L3
if a patient have anterior thigh sensory loss, hip flexor weakness which nerve root is affected
L2
if a patient have medial foot sensory loss, dorsiflexion and inversion weakness (tib ant) and decrease patellar reflex, which nerve root is affected
L4
if a patient have decrease sensation in dorsal aspect of foot and decrease big toe extension strength which nerve root is affected
L5
if a patient have loss of sensation in lateral foot, start to have difficulty doing calf raise and have decrease in Achille reflex which nerve root is affected
S1
if a patient have medial posterior thigh and calf sensation loss + decrease strength in knee flexion (hamstring) + decrease Achille reflex which nerve root is affected
S2
which condition of the spine is associated with aged related wear and tear of bone,cartillage or ligament of the spine. That is characterized by narrowing of disc space (lumbar stenosis). that is aggravated with lumbar extension so walking and relieved by lumbar flexion
spondylosis
which lumbar condition is more frequent in adolescent and is associated with unilateral stress fx or complete fx of pars interarticularis with no replacement of the vertebra
spondylolisis
which lumbar condition is associated with bilateral interarcticularis fracture that lead to an anterior translation of vertebral body that is most common at L5/S. gradual onset of pain that is increase with hyperextension of the spine or rotation of L/S. Radiculopathy can occurs du to lumbar stenosis
Spondylolisthesis
which lumbar condition is an inflammatory condition that over time can cause some of the bone in the spine to fuse which affect ROM within the spine
ankylosing spondylitis
if a patient have pain with flexion, neurological symptom at specific nerve root and pain increase with intrathecal pressure what could she have
disc herniation, most common posterior herniation
if someone had a recent spine injury or a disc herniation that feel pain with standing and lumbar extension and pain Is less with trunk flexion, sitting or lying, radiculopathy what could she have
lumbar spinal stenosis if spinal canal is less than 10mm diameter
what are the red flag that would require imaging for lumbar spine pain
- Recent substantial trauma or milder trauma in those over 50
- Weight loss or fever with no known cause, immunosuppression
- A previous cancer diagnosis, IV drug use, or osteoporosis
- Being over 70 years old
- Focal neurological deficit with progressive or disabling symptoms
if someone have pain off the the side, have radiating pain in thigh or groin, pain that increase with hyperextension, rotation and side bending. The pain is worst when waking up, when climbing the stair or when he sit for too long.
facet joint syndrome
SLR basic test
sciatic and tibial nerve
SLR2 test
tibial nerve
SLR 3 test
sural nerve
SLR 4 test
common perennial
SLR 5 (cross well leg)
nerve root
if you want to rule out disc herniation which test between slump or SLR would you use
slump because it’s more sensitive
if you want to rule in disc herniation which test between slump or SLR would you use
SLR because it’s more specific
test to rule in SIJ pain
Patrick’s (FABERs)
Posterior shear
Sacral compression
Active SLR
Sacral thrust tests
-> diagnosed with SIJ pain if 3/5 test are positive
combination of which test to rule in SIJ movement dysfunction in clinical assessment
Sacral sulcus
Sitting flexion
Long sitting
Gillet
Standing flexion