LAB 1/2/3

Question 1

hip joint lateral distraction mobilization is a…

Answer 1

sustained (grade 1-3) mobilization
Grade 1: light distraction
Grade 2: slack through full ROM (2nd tissue resist)
Grad 3: distraction (past 2nd tissue resist) for 6 seconds, partial release, repeat

Question 2

Talocrural manipulation is a

Answer 2

HVLAT distraction (neutral DF, slight supination)

Question 3

alternating abduction/adduction isometric holds for SI joint is a ____ for SI pain

Answer 3

MET for ANTERIOR PAIN

Question 4

for mobiilization/manual therapy, the mobilizing arm should be ____ with direction of force

Answer 4

parallel

Question 5

If someone has MSK intermittent pain, low irritability, mild….that is indication for

Answer 5

manual therapy!

Question 6

age for disc herniation

Answer 6

15-40 years

Question 7

age for AS

Answer 7

18-45 years
*sacrum fuses first

Question 8

age for OA, degen spondylosis

Answer 8

over 45 years

Question 9

age for spinal tumors

Answer 9

over 50 years
*night pain, unrelenting
*weight loss
*failure to improve
OR YOUNGER THAN 17

Question 10

lumbar pain for 3-4 weeks is in what stage

Answer 10

acute

Question 11

lumbar pain for less than 12 weeks is in what stage

Answer 11

subacute

Question 12

chronic LBP is over __weeks

Answer 12

12 weeks

Question 13

If they have leg dominant pain (radiating), think _____
if they have back dom pain, think____

Answer 13

radiating: disc
back: mechanical LBP

Question 14

Medication (i.e. corticosteroids)
Mild trauma >50 y/o
Age >70 y/o
Hx of osteoporosis
Recent major trauma
Bruising over spine follow trauma

Answer 14

FRACTURE OF VERTEBRAE

Question 15

Possible stenosis, lateral shift, disc herniation
Short hamstrings, weak hip flexors
POSTURE IS….

Answer 15

flat spine

Question 16

Possible pelvic crossed syndrome
Short ES and hip flexors, core and hip ext weak
POSTURE IS….

Answer 16

lordotic

Question 17

Thoracic kyphosis + posterior pelvic tilt
Hips hyperextended

POSTURE IS…

Answer 17

SWAYBACK

Question 18

Poor balance in SLS is ____ seconds

Answer 18

under 30 seconds
*glute med weakness

Question 19

repeated motions testing

Answer 19

10 reps, re-assess
extension: prone/standing
flexion: supine/sitting/standing
lateral shift: PT perform

Question 20

sorenson score of 2

Answer 20

POOR
hands at side, 1-10 seconds

Question 21

sorenson score 3

Answer 21

hands at side, lift sternum
10-15 secondss

Question 22

sorenson score 4

Answer 22

GOOD
hands at side, extend, head, chest, ribs
15-20 seconds

Question 23

sorenson test score 5

Answer 23

NORMAL
20-30 second hold
hands behind HEAD

*up to 4 minutes for endurance

Question 24

dynamic abdominal endurance test norms

Answer 24

1. trace (head only)
2. poor: arms straight 1-15 seconds
3. fair: arms straight 10-15 seconds, full scap cleared
4. good: arms crossed, 15 seconds
5. normal hands behind head 20-30 seconds

Question 25

hold myotomes for -__ seconds

Answer 25

5 seconds 3-5 reps for fatigueability if weakness.....

Question 26

Ely's test

Answer 26

knee at 90/straight for psoas, knee bent for rectus femoris prone lift in hip extension

Question 27

Modified thomas

Answer 27

knee straight for psoas knee bent for rectus femoris

Question 28

What is a Wells SLR

Answer 28

crossed-symptoms large disc herniation

Question 29

femoral nerve NTPT

Answer 29

prone knee bent test *passive L2-3 dermatome! positive for 80-100 degrees of knee flexion

Question 30

If symptoms during prone knee bent test before 80 degrees knee flexion,

Answer 30

joint dysfunction

Question 31

If symptoms during prone knee bent test after 100 degrees knee flexion,

Answer 31

RECTUS FEMORIS TIGHT or LUMBAR DYSFUNCTION

Question 32

prone instability test

Answer 32

prone, feet on floor PA force over joint *pain -activate mm same PA force (decreased pain = positive test)

Question 33

If symptoms improve with stooped posture during bicycle or stoop test, this means

Answer 33

intermittent claudication vascular problem!

Question 34

5 symptoms of Waddell's

Answer 34

1. axial compression/trunk rotation 2. regional 3. tenderness superficial 4. distraction (SLR, bending, limping) 5. over-reaction MORE THAN 3

Question 35

SIDELYING LUMBAR GAPPING which side?

Answer 35

upside

Question 36

million dollar chicago roll

Answer 36

thrust on ASIS *side of ASIS is treated HVLAT general technique OR ANTERIOR INNOM SIJ

Question 37

MET closing technique: thoracic which leg?

Answer 37

thoracic extension leg on top push down, then lifted passively *treating up side

Question 38

is McKenzie direction specific exercise biomechanical?

Answer 38

NO but success in 85% patients

Question 39

direction extension specific exercise prescription

Answer 39

20x/hour

Question 40

flexion specific exercise prescription

Answer 40

6-10x/hour

Question 41

traction is best used in patients with

Answer 41

nerve root compression

Question 42

for first session, reps/sets for nerve glides

Answer 42

1-2 sets, 10-20 reps

Question 43

chronic LBP with generalized pain exercise prescription

Answer 43

low intensity (decrease absenteeism)

Question 44

chronic LBP without generalized pain ex prescription

Answer 44

mod/high intensity (decrease disability)