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Spine - Exam 1 > Intro to Spine > Flashcards

Intro to Spine Flashcards

1
Q

how do we determine our approach

A

ID signs and symptoms that predict responsiveness

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2
Q

4 different approaches to tx

A

manipulation

stabilization

specific exercise (directional preference)

traction

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3
Q

manipulation is also known as

A

mobilization

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4
Q

who is most likely to benefit from manipulation according to CPR

A

sxs present for < 16 days

sxs below the knee/elbow

at least one hypomobile segment

at least 1 hip IR > 35

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5
Q

FABQw score for manipulation

A

< 19

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6
Q

what is FABQw

A

fear/anxiety scale

yellow flags

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7
Q

at least 1 hypomobile segment –> manipulation

A

RRR

PA

PIVMT

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8
Q

who would most benefit from stabilization

A

LB pt

SLR > 91

age < 40

(+) prone instability test

aberrant motions present

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9
Q

stabilization in the c/s might include

A

(+) CCFT and endurance tests

headaches

dizziness

proprioceptive deficits

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10
Q

aberrant motions

A

when bending into flexion –> not smooth, may put hands on knees

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11
Q

what is stabilization evaluated with

A

presence of aberrant motions during AROM, spring testing reactivity, PLET, ASLR

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12
Q

exercises for stabilization

A

promote stability and motor control

use of deep stabilizing muscles co-contraction

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13
Q

specific exercise CPR

A

no prediction rule

whatever exercise relieves their symptoms

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14
Q

what does specific exercise include

A

(+) SLR

(+) slump test for HNP

(+) sxs with extension for stenosis

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15
Q

how do sxs centralize

A

w/ repeated motion or prolonged postures into a specific direction

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16
Q

disc degeneration/dis derangement –> specific exercises

A

extension

lateral shift

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17
Q

stenosis –> specific exercises

A

flexion

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18
Q

when is traction usually used

A

neural signs and radicular sxs

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19
Q

CPR –> traction

A

none

no prediction rule

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20
Q

traction includes

A

(+) neural signs including SLR and crossed leg SLR

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21
Q

what is traction used for

A

radicular sxs that are not relieved through directional preference specific exercise approach to tx

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22
Q

how is traction evaluated

A

with attempts at centralization

neurological assessment will show hard neural signs

23
Q

what promotes centralization (lumbar)

A

static mechanic traction in prone

24
Q

what promotes centralization (cervical)

A

supine intermittent traction

25
Q

what is centralization

A

closer the pain is to the center of the body, the better

pressure off the nerves

26
Q

acute injury

A

new injury or within 2-4 wks

27
Q

what do we use for an acute injury

A

spinal manipulative therapy

exercise

advice to remain active

28
Q

subacute injury

A

4-12 weeks

29
Q

what do we recommend for subacute injuries

A

stress importance of exercise and movement to prevent chronicity

30
Q

chronic injuries

A

12 wks +

31
Q

what do we use for chronic injuries

A

cognitive fxnal therapy
-education
-graded mvmt
-fxnal activities
-manual therapy

32
Q

other classification approaches

A

pathoanatomical based (medical model)

mvmt system impairment approach

mechanical dx and tx

osullivan classification system

33
Q

pathoanatomical based approach

A

causative structure

medical dx

34
Q

example of pathoanatomical based approach

A

disc

facet

stenosis

myofascial

SI

35
Q

problem with pathoanatomical model

A

people have pain

sometimes they dont know what the cause of their plan is

36
Q

movement system impairment approach is also called

A

sahrmann - MSI

37
Q

what does MSI do

A

IDs direction of aligment or mvmt that increase sxs

38
Q

what do we tx w/ MSI

A

cumulative trauma caused by impairment in alignment

stabilization of movement patterns of the spine

39
Q

what is the goal of MSI

A

balance the system

40
Q

how do we balance the system –> MSI

A

decreasing accessory motion at dysfxnal level

by improving mobility at other lvls

41
Q

what does MSI allow

A

lengthening of mm to shorten and less stiffness at others

42
Q

mechanical dx and treatment is also called

A

mckenzie

MDT

43
Q

what does MDT determine

A

if sxs can be reduced/centralized w/ repeated or sustained postures

44
Q

what is MDT most associated with

A

disc derangement

45
Q

what does MDT define

A

dysfxn and postural models

46
Q

what does MDT include

A

pt activated specific exercise

47
Q

osullivan classification system is also called

A

CBT

48
Q

what does CBT identify

A

mechanics considered to drive the pain

49
Q

what does CBT seek

A

to manage physical and cognitive drivers and maladaptive movement

50
Q

common pitfalls of PT (1)

A

imprecise motor skills providing inaccurate exam info

inability to analyze or alter movement

51
Q

common pitfalls of PT (2)

A

absence of interviewing skills

poor mastery of motor skills

poor mastery of pt educating and counseling skill required to address the pts needs

52
Q

red flags (lumbar spine)

A

malignancy

cauda equina

osteoporotic fx

back related infection

ankylosing spondylitis

vertebral fx

aortic aneurysm

sponylothesis

53
Q

red flags (c/s & t/s)

A

cervical myelopathy

neoplastic conditions

cervical ligamentous instability

vertebral artery insufficiency

inflammatory or systemic dz

angina

pneumonia

spinal fx

54
Q

yellow flags

A

factors contributing

nociplastic pain or central sensitization

Spine - Exam 1 (7 decks)

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