Lab Midterm Flashcards

1
Q

how long is a sustained mob held for?

A

at least 6 sec

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2
Q

the mobilizing arm should be _____ to the line of force and ____ to the joint

A

parallel - force
perpendicular - joint

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3
Q

when is SLR positive?

A

reproduction of sx between 30-70 deg

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4
Q

SLR to bias tibial nerve

A

DF, eversion, toe extension

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5
Q

SLR to bias sural nerve

A

DF, inversion

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6
Q

SLR to bias common fibular nerve

A

PF, inversion
common with lateral ankle sprains

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7
Q

neurodynamic mobilization techniques

A

tension
gliding
stretching (hold at tension)

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8
Q

neurodynamic mobilization contras

A

recent repaired or injured peripheral nerve
malignancy
active inflammatory conditions
acute inflammatory demyelinating disease

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9
Q

what is short and what is weak with a flattened spine posture?

A

short hamstrings
weak hip flexors

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10
Q

what is short and what is weak with excessive lordosis posture?

A

short ES and hip flexors
weak core and hip extensors

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11
Q

lumbar exam

A

double limb squat
SLS
demo lift, bend, twist
L spine AROM & resisted testing
LE ROM (T spine & hip)
MMT
Neuro
endurance
flexibility
nuerodynamic
joint play
prone instability test (if indicated)
stoop test (if indicated)
Waddell’s test (if indicated)

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12
Q

if lumbar AROM is painful, how is resisted tested?

A

in neutral

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13
Q

grades of Sorenson test

A

5 - normal; hands behind head, hold 20 sec
4 - hands at side, 15-20 sec hold, lift ribs
3 - hands at side, 10-15 sec hold, lift sternum
2 - hands at side, 1-10 sec hold, lift head

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14
Q

what is the max time for Sorenson?

A

4 mins

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15
Q

dynamic abdominal endurance test grades

A

5 - hands behind neck, scap clear, 20-30 sec
4 - arms crossed chest, scap clear, 15 sec
3 - arms straight, scap clear, 10-15 sec
2 - arms extended, scap lifts, 1-15 sec
1 - trace

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16
Q

how long is contraction held for neuro testing of a myotome?

A

5 sec

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17
Q

when are reps done for myotome testing?

A

if pt involved is at that level but not fatiguing with initial 5 sec hold

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18
Q

what myotome does toe walking assess?

A

S1-S2
walk away from PT

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19
Q

what myotome does heel walking assess?

A

L4
walk towards PT

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20
Q

SLR positive finding

A

concordant sx in 30-70 deg

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21
Q

what is the treatment if positive Well/Crossed leg SLR?

A

traction

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22
Q

positive finding for prone knee bend test (femoral nerve)

A

sx reproduced b/w 80-100 deg knee flex

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23
Q

reproduction of sx >80 for prone knee bend test (femoral nerve)

A

joint dysfunction

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24
Q

reproduction of sx >100 for prone knee bend test (femoral nerve)

A

tightness

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25
Q

when would PT do prone knee bend test (femoral nerve)?

A

anterior pain
(trauma, lack of extension, pregnancy, obesity)

26
Q

order of joint play for spine

A

Do CPAs 1st then can do UPAs if can’t recreate pain

27
Q

positive prone instability test

A

decrease pain with mm activation

28
Q

positive stoop test

A

vascular sx improve with stooped posture

29
Q

positive Waddell’s test

A

≥3/5 of criteria met

30
Q

5 criteria for Waddell’s

A

stimulation
regional
tenderness
distraction
over-reaction

31
Q

CPR for manual therapy

A

no sx distal to knee
<16 days onset
<19 on FABQ-W
at least 1 hypomobile
at least 1 hip >35 deg IR

32
Q

CPR for stabilization

A

<40 yo
post-partum
average SLR >91
instability catch
+ prone instability test

33
Q

postpartum CPR for stabilization

A

+ pelvic pain provocation, ASLR, and modified Trendelenburg
OR
pain with palpation of long dorsal SI lig or pubic symphysis

34
Q

benefits of manipulations

A

mobility, increase ROM, proprioception, decrease pain, decrease pressure, decrease hypertonicity

35
Q

which region is the million dollar (Chicago) roll for?

A

lower L spine & upper sacral

36
Q

which way to discs usually herniate?

A

posterolateral –> shift away

37
Q

tx rx for lateral shift

A

10-20 times/hr while awake

38
Q

tx rx for extension preference

A

20 times/hr while awake

39
Q

tx rx for flexion preference

A

6-10 times/hr while awake

40
Q

what observation is different with lumbar + SI exam?

A

transitional movements (sit<>stand, sit <> supine)

41
Q

if any of these are +, then an SI exam is added

A

Fortin’s sign
primary SIJ stress test
TTP at posterior SI ligaments
pain/weakness with SLS

42
Q

CPR for + SIJ dysfunction

A

compression
distraction
sacral thrust
Gaeslen test
thigh thrust
≥ 3 +

43
Q

CPR for - SIJ dysfunction

A

compression
distraction
Gaeslen test
FABER
thigh thrust
≤ 3 +

44
Q

sensitivity and specificity for + SIJ CPR

A

sensitivity - 0.91
specificity - 0.87

45
Q

sensitivity and specificity for - SIJ CPR

A

sensitivity - 0.85
specificity - 0.79

46
Q

what does a positive sign of buttock mean?

A

serious pathology:
neoplasm
fracture
infection
septic arthritis

47
Q

when is the seated flexion test done for SI?

A

confirmed SIJ probs with CPR, hypomobility, and palpation asymmetries

48
Q

what is the seated flexion test used to rule out?

A

LE dysfunction such as LLD or hamstring tightness when compared to standing test

49
Q

positive test for seated and standing flexion test

A

PSIS do not move equal distances w/ affected side moving more than unaffected side

50
Q

how is the pelvis positioned when a limb is longer with the long sitting test?

A

posterior innominate

51
Q

how is the pelvis positioned when a limb is shorter with the long sitting test?

A

anterior innominate

52
Q

which leg is tested with the Stork test (Gillet’s)?

A

standing leg

53
Q

where to palpate on the Stork test (Gillet’s)?

A

PSIS and base of sacrum

54
Q

positive test for the Stork test (Gillet’s)

A

PSIS does not move inferiorly when compared to sacrum OR causes concordant SI joint pain

55
Q

the million dollar (Chicago) roll may be used for _____ innominate

A

anteriorly rotated

56
Q

what position is the LE in the long axis traction (prone) technique (SI)?

A

slight abduction
extension
slight IR

57
Q

which structure is mobilized for counternutated sacrum?

A

base

58
Q

which structure is mobilized for nutated sacrum?

A

apex

59
Q

what is the prone SIJ mobilization used to restore?

A

anterior innominate rotation

60
Q

what position is the hip in the prone SIJ mobilization?

A

extension (held by PT)