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OMM Test 3 > LBP I & II > Flashcards

LBP I & II Flashcards

1
Q

HNP or herniated disk will most likely be found where?

A

L4-L5

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2
Q

You should always* check for what first?

A

Always check for RED FLAGS***

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3
Q

HNP would be best discovered by?

A

MRI- soft tissue

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4
Q

The Sphinx test is for what?

A

To test if the patient has extension lumbar spine

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5
Q

The most overlooked cause of LBP is what?

A

Quadratus Lumborum

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6
Q

what test will exacerbate the symptoms of any space occupying lesion in the spinal canal

A

Valsalva Test

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7
Q

Ominous signs are patient wet themselves, can’t feel btw both thighs, and has LBP, you are thinking they have what and the treatment is?

A

Spinal Stenosis and immediate surgical decompression

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8
Q

If you are performing an OMT technique on a patient that has LBP but it only improves slightly, you can encourage the patient that_________>

A

Since this appears to be a coexisting problem it will be 12 weeks until recovery most likely

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9
Q

You recognize infection mainly by?

A

Temperature and percussion to pxn: scan will most likely be negative.

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10
Q

90% of all back pain will resolve within?

99% of all coexisting back pain will resolve within?

A

4-6 weeks

12 weeks

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11
Q

Name some ominous history you don’t want to see

A 
Bilateral Radicular pxn
Saddle area anesthesia
Urinary Incontinence
Urinary Retention
Increased urinary frequency
Overflow Urinary Incontinence (pee issues)
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12
Q

What are some major bad stuff you hope its not?

A 
Cauda Equina Syndrome
massive multi nerve compression
large central disc herniation
hemmorrhage into spinal canal
 growing tumor
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13
Q

Cauda Equina Syndrom

def/treatment

A

Is a LMN lesion that is one of the few LOWER BACK PAIN EMERGENCIES
-immediate surgical decompression

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14
Q

How do you rule out a possible fracture?

A

Is the patient _________?

  • had a major trauma
  • Fallen from a height
  • a female over 50 or has osteoporosis
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15
Q

How would you rule out an infection?

A

Is the patient_________?

  • over 50
  • under 20
  • have a fever or chills
  • have worse pain when laying supine (on back)
  • had a recent UTI
  • IV drug abuser
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16
Q

What is the best way to rule out infection?

A

Do they have a temp? and is there a (+) Spinous process percussive pain?

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17
Q

How would you rule out a tumor?

A

Is the patient___________?

  • over 50
  • under 20
  • have unexplained weight loss*
  • have worse pain when lying down (supine)
  • have severe nocturnal pain*
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18
Q

If a patient has a weak or rapid pulse then you’re thinking?

A

Possible retroperitoneal hemorrhage

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19
Q

If a patient has a low blood pressure then you are thinking?

A

Possible retroperitoneal hemorrhage

20
Q

The Shober test
Measures from?
cm requirement

A

Where the dr marks the PSIS, then 5cm below and 10 cm above. The pt then bend over and then length should be at a minimum 20 cm.
- if less then significant loss of motion

21
Q

Trendenlenberg Test
Tests for weakness in the__________
which is innervated by__________
What could cause this?

A

Gluteus medius/L5

disc herniation, spinal tumor, intraspinal abscess ( anything that can PUSH)

22
Q

This test is used to test the Sciatic Nerve. Hamstring tightness and pain may be mistaken for sciatic nerve pain.

A

Straight leg raising.

23
Q

A positive Lloyd sign would be indicative of what? It is used in what test?

A

Possible renal pathology/ Seated Percussion

24
Q

Alternating muscle contraction and relaxation in rapid succession and indicates UMN and LMN

A

Clonus

25
Q

What are the reflexes for L1-L3

A

There are none

26
Q

Patellar?

L5?

A

L4

None

27
Q

S1

A

Achilles

28
Q

Superficial Anal Reflex?

A

S2,3,4

29
Q

This indicates a disconnect between the upper and lower motor neurons. Possible MS or ALS.

A

Babinski sign

30
Q 
Can you name the Muscle strength ( 0-5)?
Reflex grading ( 0-4)
A

check notes

31
Q

Write down the muscle strength* for Iliopsoas, quadriceps, hip adductors
tibialis anterior, EHL, EDB and Longus, gluteus medius
Fibularis longus and brevis, gluteus maximus, gastrocenemious

A

check flash card

32
Q

Most overlooked dysfunction is the ________ as the cause of LBP.

A

Quadratus Lumborum

33
Q

_____________is the area most back problems occur

A

Multifidus triangle

34
Q

What are some examples of LBP acute injuries?

Chronic?

A

fracture, strain, disc herniation, infection, or referred pain
–> chronic are more common.

35
Q

What is discongenic pain?

A

thought to be from degeneration or wearing out

36
Q

Psoas syndrom will cause a _________ contracture and can be caused by any position __________.

A

flexion ; shortened psoas

37
Q

The test for nerve root compression where the dr. squeezes bilateral jugular, the patient feels inflammation in the back.

A

Naffziger test

38
Q

Soto Hall is what?

A

Where pain is elicited at the site of the spinal disorder. Where the dr. lays the pt down and the dr lifts the head up to elicit pxn

39
Q

When you move the ASIS-test?

A

Pelvic rock Test

40
Q

Where the dr lays the pt down and slides the leg off- what is the test

A

Gaenslen test

41
Q

The patrick test is ?

A

where you FABERE- flexion, abduction, external rotation, extension
-tests for sacroilitis

42
Q

The 3 prone position
-nachalas?
-palpation
strength testing

A

nachalas: leg is flexed at the knee,+ pain will radiate down the anterior thigh implies femoral nerve entrapment or disease.

43
Q

Spinal Stenosis: def, effects? worsened?what kind of pain

A

degenerative changes in the L-Spine

  • hypertrophy of facets joints, Ca2+ deposits in liga flavum/ post long log, loss of intervertebral disc height.
  • shooting pain
  • worsened by extension
44
Q

These occur L4-L5 or L5-S1 95% as ?

A

HNP

45
Q

HNP have this type of pain? best scan for this? this is what type of _______contraindication for? What is another contraindication

A

numbness ( radicular pxn), MRI, relative contraindication for HVLA—- spondylolisthesis

OMM Test 3 (13 decks)

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