Lab Midterm

Question 1

how long is a sustained mob held for?

Answer 1

at least 6 sec

Question 2

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

Answer 2

parallel - force
perpendicular - joint

Question 3

when is SLR positive?

Answer 3

reproduction of sx between 30-70 deg

Question 4

SLR to bias tibial nerve

Answer 4

DF, eversion, toe extension

Question 5

SLR to bias sural nerve

Answer 5

DF, inversion

Question 6

SLR to bias common fibular nerve

Answer 6

PF, inversion
common with lateral ankle sprains

Question 7

neurodynamic mobilization techniques

Answer 7

tension
gliding
stretching (hold at tension)

Question 8

neurodynamic mobilization contras

Answer 8

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

Question 9

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

Answer 9

short hamstrings
weak hip flexors

Question 10

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

Answer 10

short ES and hip flexors
weak core and hip extensors

Question 11

lumbar exam

Answer 11

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)

Question 12

if lumbar AROM is painful, how is resisted tested?

Answer 12

in neutral

Question 13

grades of Sorenson test

Answer 13

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

Question 14

what is the max time for Sorenson?

Answer 14

4 mins

Question 15

dynamic abdominal endurance test grades

Answer 15

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

Question 16

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

Answer 16

5 sec

Question 17

when are reps done for myotome testing?

Answer 17

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

Question 18

what myotome does toe walking assess?

Answer 18

S1-S2
walk away from PT

Question 19

what myotome does heel walking assess?

Answer 19

L4
walk towards PT

Question 20

SLR positive finding

Answer 20

concordant sx in 30-70 deg

Question 21

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

Answer 21

traction

Question 22

positive finding for prone knee bend test (femoral nerve)

Answer 22

sx reproduced b/w 80-100 deg knee flex

Question 23

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

Answer 23

joint dysfunction

Question 24

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

Answer 24

tightness

Question 25

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

Answer 25

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

Question 26

order of joint play for spine

Answer 26

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

Question 27

positive prone instability test

Answer 27

decrease pain with mm activation

Question 28

positive stoop test

Answer 28

vascular sx improve with stooped posture

Question 29

positive Waddell's test

Answer 29

≥3/5 of criteria met

Question 30

5 criteria for Waddell's

Answer 30

stimulation regional tenderness distraction over-reaction

Question 31

CPR for manual therapy

Answer 31

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

Question 32

CPR for stabilization

Answer 32

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

Question 33

postpartum CPR for stabilization

Answer 33

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

Question 34

benefits of manipulations

Answer 34

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

Question 35

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

Answer 35

lower L spine & upper sacral

Question 36

which way to discs usually herniate?

Answer 36

posterolateral --> shift away

Question 37

tx rx for lateral shift

Answer 37

10-20 times/hr while awake

Question 38

tx rx for extension preference

Answer 38

20 times/hr while awake

Question 39

tx rx for flexion preference

Answer 39

6-10 times/hr while awake

Question 40

what observation is different with lumbar + SI exam?

Answer 40

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

Question 41

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

Answer 41

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

Question 42

CPR for + SIJ dysfunction

Answer 42

compression distraction sacral thrust Gaeslen test thigh thrust ≥ 3 +

Question 43

CPR for - SIJ dysfunction

Answer 43

compression distraction Gaeslen test FABER thigh thrust ≤ 3 +

Question 44

sensitivity and specificity for + SIJ CPR

Answer 44

sensitivity - 0.91 specificity - 0.87

Question 45

sensitivity and specificity for - SIJ CPR

Answer 45

sensitivity - 0.85 specificity - 0.79

Question 46

what does a positive sign of buttock mean?

Answer 46

serious pathology: neoplasm fracture infection septic arthritis

Question 47

when is the seated flexion test done for SI?

Answer 47

confirmed SIJ probs with CPR, hypomobility, and palpation asymmetries

Question 48

what is the seated flexion test used to rule out?

Answer 48

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

Question 49

positive test for seated and standing flexion test

Answer 49

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

Question 50

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

Answer 50

posterior innominate

Question 51

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

Answer 51

anterior innominate

Question 52

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

Answer 52

standing leg

Question 53

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

Answer 53

PSIS and base of sacrum

Question 54

positive test for the Stork test (Gillet's)

Answer 54

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

Question 55

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

Answer 55

anteriorly rotated

Question 56

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

Answer 56

slight abduction extension slight IR

Question 57

which structure is mobilized for counternutated sacrum?

Answer 57

base

Question 58

which structure is mobilized for nutated sacrum?

Answer 58

apex

Question 59

what is the prone SIJ mobilization used to restore?

Answer 59

anterior innominate rotation

Question 60

what position is the hip in the prone SIJ mobilization?

Answer 60

extension (held by PT)