L-Spine MET Flashcards

1
Q

How is Type I movement of the L-spine observed?

A
  • Pt prone: L-spine in neutral

- Look for prominence of 2 or more adjacent transverse processes

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2
Q

On which side will the prominence be felt with a NSR lesion in the L-spine? Why?

A
  • It will be felt on the left
  • Type I movement –> side bending and rotation in opposite directions
  • Prominence felt on side to which vertebrae are rotated
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3
Q

Describe the treatment of neutral lesion in the lumbar spin.

A
  • Pt sidelying on the table on the side contralateral to the prominence/ concave side
  • Therapist facing patient
  • Pt’s hip flexed 75 degrees
  • Raise Pt’s feet and ankles causing truncal side bending to the restrictive barrier until movement is felt
  • Have patient hold their legs in the air or resist towards or away from the table; have the patient relax; repeat 3-5 times from new barriers
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4
Q

In what position is an extended lesion found in the L-spine?

A
  • Seated flexion
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5
Q

On which side will the patient’s ERSR lesion be found?

A

The right side; Type II side bending/ rotation occur in the same direction

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6
Q

Describe treatment of an extended lesion of the L-spine.

A
  • Pt sidelying on side contralateral to prominence with arm positioned behind the patient
  • Flex both the patient’s hips and knees towards the movement barrier/ until movement is palpated at the targeted segment
  • Patient’s upper arm reaches towards the floor, rotating the trunk until movement is palpated
  • Pt’s feet are dropped off the edge of the table towards the floor creating side bend
  • Resist the movement of the feet upwards or downwards; hold 6 - 10 seconds; relax and repeat from a new barrier 3 -5 times
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7
Q

In what position is a flexed lesion found in the L-spine?

A
  • Prone extension
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8
Q

On which side of the patient will a FRSL lesion be found?

A

Left side because rotation and sidebend occur in the same direction

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9
Q

Describe treatment of a flexed lesion in the L-spine.

A
  • Pt sidelying on the side with the prominence
  • Extend lower leg to movement barrier
  • Rotate trunk and shoulder girdle posteriorly to the movement barrier
  • Flex top hip to 45 degrees, and the knee 90 degrees, and rest the knee on the table
  • Lift the foot towards the ceiling to sidebend the trunk into the movement barrier
  • Have Pt attempt to lower the foot to the table for 6 - 10 seconds; relax, move to new barrier; repeat 3 - 5 times
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