Lecture 8 - Lumbar spine Manual therapy and Motor Control

Question 1

What are some indications for Spinal Manual therapy

Answer 1

NSLBP 
MSK mechanical 
no Cis/red flags 
reproduced symptoms on AMT 
absence of NRC
symptoms reporduced in PAIVM - restriction in PPIVM

Question 2

Describe the grades for irritable and non-irratibile patients in regards to PAIVM and PPIVM

Answer 2

Irritable - grade 1/2, 1-3 sets, 30-45s

Non-irritable - grade 3/4, 1-3 sets, 45-60s

Question 3

How is the spine controlled

3

Answer 3

Global body system - how body is controlled
Spinal Position sense - know where body is in space
Intersegmental control - deep mm of spine

Question 4

In terms of activation, what do people with LBP have a delay of

Answer 4

delay of transverse abdominus with LBP

Question 5

What are the muscles that control intersegmental movement

Answer 5

TrA
diaphragm
pelvic floor
multifidus

People with LBP have increase in activity of superficial mm and reduced activation in deep muscles