LAB: Thoracic and Lumbar screening and diagnosis

Question 1

This type of dysfunction is chronic

Answer 1

Type 1

Question 2

This type of dysfunction is acute

Answer 2

Type 2

Question 3

Type ____ dysfunctions are characterized by cool dry skin, decreased edema, and fibrotic and type ___ dysfunctions are erythematous, boggy with increased moisture and hypertonic muscles

Answer 3

1 2

Question 4

In this type of dysfunction, the mechanics are neutral

Answer 4

Type 1

Question 5

Describe the differences between the rotation and side bending of type 1 and type 2 dysfunctions

Answer 5

Type 1: occur in opposite directions Type 2: Occurs in the same directions

Question 6

The long restrictor muscles of the back are involved with type ______ dysfunction

Answer 6

1

Question 7

The short segmental muscles are involved with type _____ dysfunction

Answer 7

2

Question 8

What vertebral segment is at the inferior angle of the scapula

Answer 8

T7

Question 9

What vertebral segment is at the iliac crest

Answer 9

L4 spinous process

Question 10

Describe the lumbar short lever segmental rotation motion testing

Answer 10

Use your thumbs to load the transverse process and apply an anterior pressure “springing” on one side and then the other

Question 11

If there is a restricted motion when pusing on the left transverse process, what is the diagnosis?

Answer 11

The restricted motion to the left is hard but pressing on the right is easy. Therefore the patient likes to be rotated left and does NOT like to be rotated right

Rotated Left SD

Question 12

Describe short lever segmental sidebending motion testing

Answer 12

Place thumbs on TPs and apply lateral translation to the lateral part of the transverse provess to induce side bending

Question 13

Translating the ______ transverse process to the _____ will induce left side bending

Answer 13

Left transverse process to the right will induce left side bending

Question 14

If there is a hard end feel when translating the spinous process to the left, is the patient sidebent right or left?

Answer 14

Sidebent right

Question 15

What is the alternative method for evaluating the rotation and sidebending of the spinous processes?

Answer 15

Seated and using the patients shoulder as a spring to induce movement

Question 16

A 44 year old female comes to clinic with a chief complaint of back pain. The physician performs a TART exam and finds tissue texture abnormalities in the mid-thoracic area. As the physician presses anteriorly on the right transverse process of T7, ease of motion is felt. A posterior transverse process (PTP) is felt on the left at T7. As the physician translates T7 to the right, ease of motion is felt. Restriction is felt when T7 is translated to the left. As the physician checks rotation and sidebending in flexion, the vertebral motion becomes more symmetric. What is this patient’s somatic dysfunction?

Answer 16

T7 F RL SL

Question 17

In a _______ SD, the posterior TP will stay the same in all three positions

Answer 17

neutral

Question 18

In an ______ SD, the posterior TP will either become more posterior with flexion and more symmetrical with other side in extension

Answer 18

Extended SD