Lab 2

Question 1

Length of acute symptoms:

Length of subacute:

Length of chronic:

Answer 1

3-4 weeks

<12 weeks

> 12 weeks

Question 2

Pain w/ increased intrathecal pressure (coughing/sneezing/laughing) could indicate what?

Answer 2

A compression somewhere in the spinal cord

Question 3

When is disc herniation most common?

What about ankylosing spondylitis?

Answer 3

15-40

18-40

Question 4

When is OA/degenerative spondylosis most common?

What about Spinal tumor?

Answer 4

45+

50+

Question 5

What gender is LBP more common in?

Answer 5

Women

Question 6

What are the 3 kinds of pain?

Answer 6

Localized

Referred

Radiating

Question 7

What is a potential diagnosis for someone with back pain who is 70+ with bruising over the spine and a recent trauma

Answer 7

Vertebral fracture

Question 8

In which direction do people typically lean with a disc problem?

Answer 8

Away from the bulge

Question 9

What are we thinking if a patient has a tuft of hair at the level that they have back pain?

Answer 9

potential Spina-bfida

Question 10

Sway back posture has ___________ pelvic tilt, with the hips hyperextended and thoracic kyphosis

Answer 10

posterior

Question 11

A LQ scanning exam is to rule _____

a lumbar exam is to rule ______

Answer 11

out

in

Question 12

If a patient can preform a full double limb squat with no pain or compensatory patterns, what does this likely indicate

Answer 12

that there is no issue with the hip knee foot or ankle joints

Question 13

In the case of doing a lumbar ROM exam, from what position should you preform resisted isometrics for a patient?

Answer 13

From the end range if there is no pain

Test from neutral position if the patient had pain with AROM

Question 14

What part of the vertebrae does quadrant testing focus on?

Answer 14

The facets

Question 15

When attempting to centralize a patients symptoms, what needs to be examined and possibly corrected first

Answer 15

A lateral shift

Question 16

How many reps of repeated extension/flexion should a patient do?

Answer 16

10 reps and then reassess

Question 17

What is the easiest position to do repeated extensions from?

Answer 17

Prone (easiest)

standing (most difficult)

Question 18

What is the easiest position to do repeated flexion testing from?

Answer 18

Supine is easiest

sitting is more difficult

standing is the most difficult

Question 19

Repeated motion testing only helps with what kind of pain?

Answer 19

Radiating pain

Question 20

Most patients who need repeated motions testing respond to which direction best?

Answer 20

extension

Question 21

If we are having a patient do their repeated motions testing to centralize symptoms, and they say it has made the pain worse in their back, what should we do?

Answer 21

They still complete all 10 reps, goal is to stop the symptoms from radiating, it may be worse temporarily

Question 22

Always check the ______________ when assessing a joint for a problem

Answer 22

Joints above and below (AKA T-Spine and Hips for lumbar)

Question 23

How long does a paitent need to hold the sorenson test to test for back endurance?

Answer 23

4 minutes

Question 24

How should you test a myotome for fatiguability?

Answer 24

hold each 5 seconds, if the patient got weaker overtime, do 3-5 repetitions to see if they fatigue

Question 25

what myotome does toe walking test?

Where should the PT be?

Answer 25

S1-S2

Behind the patient

Question 26

What myotome does heel walking test?

What position should the PT be in relation to the patient?

Answer 26

L4

Viewing the patient from the front

Question 27

How do you test Piriformis flexibility?

Answer 27

Below 90 degree hip flexion + IR

Above 90 degree hip flexion + ER

Question 28

Well/crossed SLR sign is an indication of what?

Answer 28

Large space ocuppying lesion in the spinal cord, contralateral to the raised leg

Question 29

If the patient has radiating pain to both legs at all times what is likely?

If the patient has radiating pain to each leg sometimes, what is likely?

Answer 29

CNS problems

Vertebral instability (sometimes it irritates one side and sometimes it irritates the other)

Question 30

How do you bias the tibial nerve in the SLR test?

Answer 30

Add DF and EV

Question 31

How do you bias the sural nerve (medial) in the SLR test?

Answer 31

DF + INV

Question 32

How do you bias the fibular nerve/peroneal in the SLR test

Answer 32

PF + INV

Question 33

A positive prone knee bend test is between what ROM of knee flexion?

What nerve does it test?

How do you eliminate gravity in this test?

Answer 33

80-100

Tests femoral nerve

Sidelying

Question 34

How do you preform the Prone Instability test?

Answer 34

Apply lumbar mob to area with suspected instability with patient in prone and feet supported (patient should have their pain increase if they have spinal instability, but that’s not the end of the test)

Then try the same mob while the patient turns on their extensors to lift their legs

A (+) test is decreased pain with muscles working, because the muscles increase the stability

Question 35

What does the bicycle or stoop test measure?

Answer 35

Intermittent claudication

Pt bicycles on recumbent bike upright, record time until pain

patient then bicycles with a stooped posture, record time until pain

+ test is indicated if there’s less pain w/ stooped posture

Question 36

What are the 5 components of Waddell’s test

How many out of 5 need to be true, what does it test for?

Answer 36

1. Stimulation- light axial compression and hip rotation irritate lumbar symptoms
2. Regional - sensory and weakness deficit s
3. tenderness- superficial
4. distraction improves symptoms
5. overreaction (less reliable than other signs)

3+/5 need to be true

Tests for non-organic symptoms