LECTURE 2A: LUMBAR SPINE Flashcards

1
Q

horizontal articular surfaces favor ___ rotation
vertical surfaces BLOCK____ rotation

A

horizontal: AXIAL
vertical: BLOCK AXIAL

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2
Q

Is the IVD thicker anteriorly or posteriorly in lumbar/cervical spine?

A

ANTERIOR (lordosis)
*largest avascular structure in body

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3
Q

what 2 major stresses in the IVD cause disc herniations?

A

bending, twisting
(also resist shear, axial compression, combined motions)

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4
Q

___ stability is the state of equilibrium when body is still

A

mechanical (static)

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5
Q

___stability is made of 3 systems
1. passive (end range resistance)
2. active (mm)
3. CNS (feedforward/feedback to augment stiffness)

A

CONTROLLED/DYNAMIC

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6
Q

If your passive structures are damaged, what works really hard?

A

active structures (fatigue faster)

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7
Q

open pack lumbar spine position

A

midway between flexion and extension

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8
Q

closed pack position of the lumbar spine

A

full extension

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9
Q

capsular pattern of lumbar spine

A

SB/rotation
extension

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10
Q

In L5,
disc surface is ___
TP is ___
SP is ______

A

disc: smaller
TP: larger
SP: smaller
(vertebral body is wedge shaped)

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11
Q

If S1 becomes too mobile, this is called

A

lumbarization

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12
Q

If L5 fuses to sacrum, this is called

A

sacralization

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13
Q

zygapophyseal joint capsule is TIGHT IS ____ positons

A

ALL positions

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14
Q

If isthmus breaks =

A

spondylolysisI

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15
Q

If L5 displaced anteriorly, =

A

SPONDYLOLISTHESIS

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16
Q

WHICH ligament resists extension or excessive lordosis

A

ALL
*if injured not painful

17
Q

Which ligament resists flexion and traction?

A

PLL

18
Q

which ligament resists flexion, slacks only with extension?

*strongest in lumbar

A

ligament flavum

19
Q

interspinous and supraspinous ligament resists what?

A

hyperflexion!
supraspinous doesnt attach directly to L4/5

20
Q

which ligament limits contralateral side bending

A

intertransverse ligament

21
Q

annulus fibrosis transmits what forces?

A

compression, shear, torsion

22
Q

nucleus pulposes ABSORBS

A

compression and shear

23
Q

what part of disc degenerates first?

A

end plate

24
Q

ROTATOR cuff of facet joint producing compression force during contraction

A

multidfidi

25
Q

External oblique does what motions

A

bilateral: flex trunk, post pelvic tilt
unilateral: side bend, contra rotation

26
Q

internal oblique does what motions

A

bilateral: flex trunk, post pelvic tilt
unilateral: side bend, ipsi rotation

27
Q

TrA is a ___ stabilizer
what does it do?

A

bilaterally: compress abdominal cavity, increase tension of TL fascia

primary stabilizer
synergist of multifidi

28
Q

iliacus does ____
psoas does ______

A

ILIACUS flex hip
PSOAS: lumbar side bend/vertical stabilizer

29
Q

QL does

A

bilateral: lumbar ext
uni: side bend L or hip hike

30
Q

bending forward causes ___% of intra disc pressure

A

150%

31
Q

rotation increases intra disc pressure by __%

A

20

32
Q

lifting 20 kg with back flexed and knees straight causes ___% increase in intradisc pressure

A

169%

33
Q

lumbar AROM flexion

A

70-90 degrees

34
Q

lumbar AROM extension

A

30-50 degrees

35
Q

axial rotation AROM

A

20-40 degrees

36
Q
A