Lecture 5- Spine Flashcards

1
Q

T or F: clearing the spine is typically performed when complaint is NOT the spine

A

T

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2
Q

Components of clearing the spine

A

AROM
resisted testing in NEUTRAL
overpressure
compression/distraction

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3
Q

what to look for in clearing the spine

A

quality of motion
indications of pain

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4
Q

each test in clearing the spine, ask

A

reproduction of symptoms
change in symptoms

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5
Q

lordosis is
________ curve of the spine
convexity faces _________
_________ and ________ spine

A

anterior curve
convexity faces anteriorly
cervical and lumbar spine

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6
Q

kyphosis is
__________ curve
convexity faces __________
_________ and _________

A

posterior curve
convexity faces posteriorly
sacrum and thorax

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7
Q

foraminal stenosis method of injury

A

usually later in life
prior injury, repetitive motion

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8
Q

foraminal stenosis pt presentation

A

relieved with opening
pain increased with foraminal closing
unilateral radiating symptoms

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9
Q

outcome measures for foraminal stenosis

A

NDI
Grip strength
flexor endurance test

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10
Q

where are the common spinal areas for hinge points

A

C7/lower spine, transition zones

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11
Q

which areas of the spine are the most common for disc pathologies

A

cervical and lumbar

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12
Q

central stenosis mechanism of injury

A

later in life, prior injury, repetitive motions, anterior from disc pathology or posterior from ligamentum flavum hypertrophy

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13
Q

central stenosis patient presentation

A

bilateral
anterior: motor and sensory
posterior: certain sensory

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14
Q

cervicogenic headache pain usually starts where and affects what?

A

starts at neck region, migrates to head
will affect concentration, ability to read, vision and mood

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15
Q

disc pathology of the cervical spine method of injury

A

prolonged flexion, whiplash, central protrusion/herniation

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16
Q

cervical spine disc pathology patient presentation

A

bilateral, motor symptoms first, some sensory, sensitive to weight bearing

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17
Q

whiplash pt presentation

A

moveable levels, muscle spasm/tightness, disc-like symptoms, brain stem type injury

18
Q

lumbar disc degeneration is because of what

A

dehydration of nucleus pulposis, discs become more convex

19
Q

lumbar disc pathology method of injury

A

flexion and rotation

20
Q

lumbar disc pathology symptom presentation

A

unilateral, pain reproductive with Valsalva weightbearing

21
Q

order of lumbopelvic rhythm

A

1st- lumbosacral flexion
2nd -anteriorly pelvis tilting
3rd- hip flexion

22
Q

common errors with lumbopelvic rhythm

A

only pelvic flexion
only lumbar motion
Gowers sign
S or C upon upright

23
Q

Method of injury of spondy

A

repetitive hyperextension
macrotraumatic hyperextension

24
Q

patient presentation of spondy

A

localized pain
redicular symptoms bilaterally

25
Q

lumbar spinal stenosis is what?

A

hypertrophy of the ligamentum flavum, compression from disc

26
Q

Sacroiliac joint hypermobility method of injury

A

pregnancy
unilateral activities, dynamic or plyometric movements
aggravated with macrotrauma

27
Q

sacroiliac joint hypermobility pt presentation

A

pain directly at joint, radiates down, hypermobile

28
Q

functional instability MOI

A

repetitive motion, self manipulators, macrotrauma

29
Q

functional instability patient presentation

A

inability to sit or standing in place prolonged time, altered movement patterns, weakness to depp stabilizing muscles

30
Q

cervical flexion AROM

A

40

31
Q

cervical extension AROM

A

50-70

32
Q

cervical sidebending AROM

A

22

33
Q

cervical rotation AROM

A

70-90

34
Q

thoracolumbar AROM flex

A

60

35
Q

thorac AROM ext

A

25

36
Q

thorac sidebending AROM

A

35

37
Q

thoraco rotation AROM

A

45

38
Q

lumbar flex AROM

A

40-50

39
Q

lumbar extension AROM

A

15-20

40
Q

lumbar sidebend AROM

A

25

41
Q
A