L Spin Scan Flashcards
L spine mandatory questions
saddle paraesthesia
bladder / bowel functin
bilateral LE symtoms
region specific questions for L spine
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
L1/2 whats it do n was fatiguable weakness of
hip flexion
iliospoas
l3 does what n fatiguable weakness
knee extention
quads
l4 does what n fatiguable weakness of
ankle DF
tib ant
l5 does what n fatiguable weakness of
great toe ext
EHL
s1 does what n fatiguable weakness
ankle PF
gastroc
s2 does what n fatigues
hip ext
glute max
patellar reflex
l3/4
achilles tendon reflex
s1/2
plantar response whats positive
great toe extention and fanning of other toes
what lesion if positive plantar response
UMN
how many beats is normal clonus
2-3
straight leg raises tests
l5-s2
femoral nerve stretch tests
l234
sings of buttock
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
kinetic test
balance on WB leg
kinetic test what should happen
NWB side should move inferiorly
WB side should be stable
abnormal kinetic test
WB side moves superiorly
laslett cluster for SU pathology
distraction test
thigh thrusts test
compression test
sacral thrust
when do you do slump test
patients low back pain with or without leg symptoms
slump test positive findings
reproduces symptoms
abnormal resitance
decreasedROM
increase normal response on one side
T/f changes that occur from facilitation can be local or from tissues
yes
sensory signs of facilitated semgent
hypersensitive to palpation
hyperalgesia
via palpation
light touch / pin prick
motor signs of facilitated segment
hypertonicity
myotomal fatiguabiltiy
hyperreflexia
palpate
mm length test
myotomal
DTR
test for facilitated segment
skin drag temperature scrach test matchstick skin rolling 2 finger test
whats skin drag test find
sweating
whats skin temperature and scratch test look at
vasoconstriction
whats match stick ruling and 2 finger test find
skin dystrophy / edema
treatment of facilitated segment
AROm PROM exercise EPA low grade mobe de facilaite it
possible causes of sign of buttock
osteomyelitis
chronic septic SIJ arthritis
#sacrum
rheumatic fever w bursitis
slump test order
start lumbar flexion thoracic flexion cervical flexion ext unaffected DF
whats lumbar spine compression / traction
the double ACL anterior drawer