LAB midterm

Question 1

rational and indication Mckenzie protocol

Answer 1

Back pain decreases when supine and increases when sitting.
* Forward bending is extremely limited and increases pain.
Backward bending can be limited but movement centralizes or decreases pain.
* SLR may be limited and painful or may be fine.

Rationale:
* Decrease neural tension.
* Decrease load on disk.
* Increase strength and endurance of extensors.
* Self-mobilization of spinal joints

Question 2

rational and indication Williams flexion protocol

Answer 2

Pain decreases with sitting and increases with lying down or standing.
* Increased pain with walking
* Repeated or sustained forward bend decreases pain.
* Weak abdominal tone

Rationale:
* Decrease stress on facets.
* Stretches thoracolumbar fascia.
* Opens intervertebral foramen.
* Eases stenosis of spinal canal
* Improve stabilizing effect of abs.
* Self-mobilization

Question 3

indication shotgun

Answer 3

Positive forward flexion test
-SI joint dysfunction or pain; Back, groin or buttock pain -pain on joint play of the symphysis pubis

Question 4

indication MET for non phys

Answer 4

Left/Right; Right/Left (HB symmetrical in flexion; asymmetrical in extension)
-Decreased mobility in the SI joints; pain (buttock; SI; etc.) -Sacral torsion (Unilateral posterior ILA)

Question 5

indication MET posterior rotation

Answer 5

Positive forward flexion test, hip flexion test
-Low PSIS and high ASIS same side (posterior rotation) -May have lumbar, cervical, or thoracic pain or pain in the buttock or knee; may have had a fall on butt or sudden hamstring contraction
-Sacral torsion
-Functional short leg

Question 6

indication HR QL

Answer 6

Low back pain; upslip
-Iliac rotation
-Deep, aching pain at rest -Functional leg length differences

Question 7

indication MET anterior rotation

Answer 7

-Positive forward flexion test, hip flexion test
-Low ASIS and high PSIS same side (anterior rotation) -May have lumbar pain (or cervical or thoracic)
-Sacral torsion
-Functional long leg

Question 8

indication MET phys

Answer 8

-Left/Left; Right/Right (HB symmetrical in extension; asymmetrical in flexion).
-Decreased mobility of the SI joints; pain (buttock, SI) -Sacral torsion (Anterior Hemi-base)
-Piriformis syndrome

Question 9

indication piriformis HR and trigger point

Answer 9

-Tightness on flexibility testing
-Following correcting sacral torsion
-SI joint dysfunction and pain; buttock pain

Question 10

indication of central PA

Answer 10

decrease pain or increase ROM in extension

Question 11

indication unilateral PA

Answer 11

decrease pain or increase ROM in rotation

Question 12

indication of hip flexor MFR or HR

Answer 12

-Post correction for ilium, sacrum, or lumbar spine -Psoas/hip flexor strain; Chronic tightness in the Psoas -After psoas trigger point release
-Increased lumbar lordosis

Question 13

indication of global myofascial release of LB

Answer 13

Post correction for sacral torsion, iliac rotation, lumbar rotation etc….
-Back, SI joint, buttock pain
-Trying to increase the flexibility in the muscle etc….

Question 14

indication iliolumbar ligament release

Answer 14

-Back pain, SI joint pain or dysfunction
-Post correction for sacrum, ilium or lumbar spine -Goal is to decrease adhesions in the ligament

Question 15

indication HR paraspinal at limbo sacral junction

Answer 15

Low back pain, SI joint pain and/or dysfunction -Increased lordosis
-Iliac rotation

Question 16

indication to use diaphragm breathing

Answer 16

Acute lumbar disc herniation (as soon as tolerated)
* Acute low back pain
* Cervical spine herniation/injury to maintain neutral spine.
* Part of any core stability/exercise program