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FALL2 MSK > LAB 1/2/3 > Flashcards

LAB 1/2/3 Flashcards

1
Q

hip joint lateral distraction mobilization is a…

A

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

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2
Q

Talocrural manipulation is a

A

HVLAT distraction (neutral DF, slight supination)

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3
Q

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

A

MET for ANTERIOR PAIN

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4
Q

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

A

parallel

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5
Q

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

A

manual therapy!

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6
Q

age for disc herniation

A

15-40 years

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7
Q

age for AS

A

18-45 years
*sacrum fuses first

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8
Q

age for OA, degen spondylosis

A

over 45 years

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9
Q

age for spinal tumors

A

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

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10
Q

lumbar pain for 3-4 weeks is in what stage

A

acute

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11
Q

lumbar pain for less than 12 weeks is in what stage

A

subacute

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12
Q

chronic LBP is over __weeks

A

12 weeks

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13
Q

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

A

radiating: disc
back: mechanical LBP

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14
Q

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

A

FRACTURE OF VERTEBRAE

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15
Q

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

A

flat spine

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16
Q

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

A

lordotic

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17
Q

Thoracic kyphosis + posterior pelvic tilt
Hips hyperextended

POSTURE IS…

A

SWAYBACK

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18
Q

Poor balance in SLS is ____ seconds

A

under 30 seconds
*glute med weakness

19
Q

repeated motions testing

A

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

20
Q

sorenson score of 2

A

POOR
hands at side, 1-10 seconds

21
Q

sorenson score 3

A

hands at side, lift sternum
10-15 secondss

22
Q

sorenson score 4

A

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

23
Q

sorenson test score 5

A

NORMAL
20-30 second hold
hands behind HEAD

*up to 4 minutes for endurance

24
Q

dynamic abdominal endurance test norms

A
  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
25
Q

hold myotomes for -__ seconds

A

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

26
Q

Ely’s test

A

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

27
Q

Modified thomas

A

knee straight for psoas
knee bent for rectus femoris

28
Q

What is a Wells SLR

A

crossed-symptoms
large disc herniation

29
Q

femoral nerve NTPT

A

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

30
Q

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

A

joint dysfunction

31
Q

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

A

RECTUS FEMORIS TIGHT
or LUMBAR DYSFUNCTION

32
Q

prone instability test

A

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

33
Q

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

A

intermittent claudication
vascular problem!

34
Q

5 symptoms of Waddell’s

A
  1. axial compression/trunk rotation
  2. regional
  3. tenderness superficial
  4. distraction (SLR, bending, limping)
  5. over-reaction
    MORE THAN 3
35
Q

SIDELYING LUMBAR GAPPING which side?

A

upside

36
Q

million dollar chicago roll

A

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

37
Q

MET closing technique:
thoracic
which leg?

A

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

38
Q

is McKenzie direction specific exercise biomechanical?

A

NO but success in 85% patients

39
Q

direction extension specific exercise prescription

A

20x/hour

40
Q

flexion specific exercise prescription

A

6-10x/hour

41
Q

traction is best used in patients with

A

nerve root compression

42
Q

for first session, reps/sets for nerve glides

A

1-2 sets, 10-20 reps

43
Q

chronic LBP with generalized pain exercise prescription

A

low intensity (decrease absenteeism)

44
Q

chronic LBP without generalized pain ex prescription

A

mod/high intensity (decrease disability)

FALL2 MSK (18 decks)

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