Lecture 5- Spine Flashcards
T or F: clearing the spine is typically performed when complaint is NOT the spine
T
Components of clearing the spine
AROM
resisted testing in NEUTRAL
overpressure
compression/distraction
what to look for in clearing the spine
quality of motion
indications of pain
each test in clearing the spine, ask
reproduction of symptoms
change in symptoms
lordosis is
________ curve of the spine
convexity faces _________
_________ and ________ spine
anterior curve
convexity faces anteriorly
cervical and lumbar spine
kyphosis is
__________ curve
convexity faces __________
_________ and _________
posterior curve
convexity faces posteriorly
sacrum and thorax
foraminal stenosis method of injury
usually later in life
prior injury, repetitive motion
foraminal stenosis pt presentation
relieved with opening
pain increased with foraminal closing
unilateral radiating symptoms
outcome measures for foraminal stenosis
NDI
Grip strength
flexor endurance test
where are the common spinal areas for hinge points
C7/lower spine, transition zones
which areas of the spine are the most common for disc pathologies
cervical and lumbar
central stenosis mechanism of injury
later in life, prior injury, repetitive motions, anterior from disc pathology or posterior from ligamentum flavum hypertrophy
central stenosis patient presentation
bilateral
anterior: motor and sensory
posterior: certain sensory
cervicogenic headache pain usually starts where and affects what?
starts at neck region, migrates to head
will affect concentration, ability to read, vision and mood
disc pathology of the cervical spine method of injury
prolonged flexion, whiplash, central protrusion/herniation
cervical spine disc pathology patient presentation
bilateral, motor symptoms first, some sensory, sensitive to weight bearing
whiplash pt presentation
moveable levels, muscle spasm/tightness, disc-like symptoms, brain stem type injury
lumbar disc degeneration is because of what
dehydration of nucleus pulposis, discs become more convex
lumbar disc pathology method of injury
flexion and rotation
lumbar disc pathology symptom presentation
unilateral, pain reproductive with Valsalva weightbearing
order of lumbopelvic rhythm
1st- lumbosacral flexion
2nd -anteriorly pelvis tilting
3rd- hip flexion
common errors with lumbopelvic rhythm
only pelvic flexion
only lumbar motion
Gowers sign
S or C upon upright
Method of injury of spondy
repetitive hyperextension
macrotraumatic hyperextension
patient presentation of spondy
localized pain
redicular symptoms bilaterally
lumbar spinal stenosis is what?
hypertrophy of the ligamentum flavum, compression from disc
Sacroiliac joint hypermobility method of injury
pregnancy
unilateral activities, dynamic or plyometric movements
aggravated with macrotrauma
sacroiliac joint hypermobility pt presentation
pain directly at joint, radiates down, hypermobile
functional instability MOI
repetitive motion, self manipulators, macrotrauma
functional instability patient presentation
inability to sit or standing in place prolonged time, altered movement patterns, weakness to depp stabilizing muscles
cervical flexion AROM
40
cervical extension AROM
50-70
cervical sidebending AROM
22
cervical rotation AROM
70-90
thoracolumbar AROM flex
60
thorac AROM ext
25
thorac sidebending AROM
35
thoraco rotation AROM
45
lumbar flex AROM
40-50
lumbar extension AROM
15-20
lumbar sidebend AROM
25
