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MSK LQ > L spine interventions > Flashcards

L spine interventions Flashcards

1
Q

____% of LBP pts get better with time

A

80%

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2
Q

what is a great initial tx for acute phase?

A

walking!!

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3
Q

_______ is MOST beneficial if used early in pts that present w/o radiating leg pain

A

manual therapy

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4
Q

what are the 3 major protocols for LBP?

A

Williams flexion exercises
McKenzie exercises
Spinal stabilization exercises

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5
Q

the ____ phase is CRITICAL in preventing chronicity and disability

A

sub-acute

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6
Q

what phase is graded activity, re-assessment, and functional activity vital in?

A

sub-acute

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7
Q

a ____ approach should be used for chronic LBP

A

multi-modal

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8
Q

what is the hallmark of chronic pain?

A

central sensitization

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9
Q

primary hyperalgesia

A

normal hyperalgesia that is protective mechanism
tissue damaged

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10
Q

secondary hyperalgesia

A

adaptation of CNS
increased response to stimuli from periphery

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11
Q

what is the ratio of side plank, plank, and Sorenson’s?

A

side plank = 1/2 plank
plank = 1
Sorenson’s = 1.5x plank

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12
Q

_____ strength is very important to stabilization exercises

A

glute

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13
Q

T/F: direction specific exercises are tissue specific

A

F

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14
Q

components of a postural issue

A
  • pain not reproduced with repeated measures testing
  • pain present when stationary
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15
Q

components of a dysfunction issue

A

pain only at end range
fixed pain pattern
radiate slightly
condition unchanged after testing

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16
Q

components of a derangement issue

A

sx altered with mid-range movements
pain arc
variable pain pattern
progressive inc or dec during test
rapid & lasting changes after testing

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17
Q

what is the rx for extension direction specific exercise?

A

20 times per hour while awake

18
Q

what is the rx for flexion direction specific exercise?

A

6-10 times per hour while awake

19
Q

what pathology is suspected with a lateral shift?

A

acute herniated NP

20
Q

what is the rx for lateral shift direction specific exercise?

A

10-20 times per hour while awake

21
Q

when would traction be clinically useful?

A

peripheralization of sx with extension
+ crossed SLR

22
Q

body weight supported treadmill can be effective for pts with _____

A

spinal stenosis

23
Q

initial rx for nerve glides

A

1-2 sets of 10-15 reps

24
Q

what are the most important aspects of conservative tx options for LBP?

A

mobilization/manipulation
exercise

25
Q

T/F: majority of evidence does not support the use of passive modalities

A

T

26
Q

what must be done after manual?

A

mobility exercises

27
Q

what is the best pathology for manual?

A

acute (facet dysfunction)

28
Q

how does manual inhibit increases muscle tone?

A

activating GTOs

29
Q

contras for joint manipulations

A

presence of serious pathology
relative to skill and experience
fracture
ligament rupture
no working hypothesis
worsen neuro function
unremitting night pain
severe multi-direction spasm
UMN lesion

30
Q

exercise intensity for LBP without generalized pain

A

moderate to high

31
Q

exercise intensity for LBP with generalized pain

A

low

32
Q

when should dry needling not be used for LBP?

A

acute phase

33
Q

when should you start pt education?

A

DAY 1

34
Q

when is surgery indicated?

A

red flags present
failed conservative tx
cauda equina syndrome

35
Q

which surgical techniques are for decompression?

A

laminectomy
discectomy
foraminotomy

36
Q

which surgical techniques are for stabilization?

A

fusions
scoliotic curve reduction
kyphoplasty
disc replacement

37
Q

what surgical technique is done to improve the height of vertebral bodies and is usually done in the T spine?

A

kyphoplasty

38
Q

T/F: post-op pts should be mobilized on the 1st day

A

T

39
Q

when will post-op pts present to OP?

A

~3 weeks post-op

40
Q

how long do BLT precautions apply?

A

12 weeks

MSK LQ (18 decks)

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