L Spin Scan Flashcards

1
Q

L spine mandatory questions

A

saddle paraesthesia
bladder / bowel functin
bilateral LE symtoms

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2
Q

region specific questions for L spine

A

pain in cough sneeze
effect of sitting
effect of standing, walking, sitting, lying down
is sleep effected
night pain, unexplained w loss, night sweats
meds
investigation

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3
Q

L1/2 whats it do n was fatiguable weakness of

A

hip flexion

iliospoas

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4
Q

l3 does what n fatiguable weakness

A

knee extention

quads

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5
Q

l4 does what n fatiguable weakness of

A

ankle DF

tib ant

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6
Q

l5 does what n fatiguable weakness of

A

great toe ext

EHL

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7
Q

s1 does what n fatiguable weakness

A

ankle PF

gastroc

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8
Q

s2 does what n fatigues

A

hip ext

glute max

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9
Q

patellar reflex

A

l3/4

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10
Q

achilles tendon reflex

A

s1/2

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11
Q

plantar response whats positive

A

great toe extention and fanning of other toes

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12
Q

what lesion if positive plantar response

A

UMN

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13
Q

how many beats is normal clonus

A

2-3

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14
Q

straight leg raises tests

A

l5-s2

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15
Q

femoral nerve stretch tests

A

l234

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16
Q

sings of buttock

A
limited / painful SLR with no change on flexion
empty end feel hip f
limited trunk flex
non capsular ROM hip
painful weak ext
red, hot swollen
17
Q

kinetic test

A

balance on WB leg

18
Q

kinetic test what should happen

A

NWB side should move inferiorly

WB side should be stable

19
Q

abnormal kinetic test

A

WB side moves superiorly

20
Q

laslett cluster for SU pathology

A

distraction test
thigh thrusts test
compression test
sacral thrust

21
Q

when do you do slump test

A

patients low back pain with or without leg symptoms

22
Q

slump test positive findings

A

reproduces symptoms
abnormal resitance
decreasedROM
increase normal response on one side

23
Q

T/f changes that occur from facilitation can be local or from tissues

A

yes

24
Q

sensory signs of facilitated semgent

A

hypersensitive to palpation
hyperalgesia

via palpation
light touch / pin prick

25
Q

motor signs of facilitated segment

A

hypertonicity
myotomal fatiguabiltiy
hyperreflexia

palpate
mm length test
myotomal
DTR

26
Q

test for facilitated segment

A
skin drag
temperature
scrach test
matchstick 
skin rolling 
2 finger test
27
Q

whats skin drag test find

A

sweating

28
Q

whats skin temperature and scratch test look at

A

vasoconstriction

29
Q

whats match stick ruling and 2 finger test find

A

skin dystrophy / edema

30
Q

treatment of facilitated segment

A
AROm PROM
exercise 
EPA
low grade mobe 
de facilaite it
31
Q

possible causes of sign of buttock

A

osteomyelitis
chronic septic SIJ arthritis
#sacrum
rheumatic fever w bursitis

32
Q

slump test order

A
start
lumbar flexion 
thoracic flexion 
cervical flexion
ext unaffected 
DF
33
Q

whats lumbar spine compression / traction

A

the double ACL anterior drawer