Lordosis

Question 1

A 59-year-old man presents to your office with flattening of his lumbar lordosis. Which of the following conditions is most likely responsible for this finding?

Answer 1

Lumbar sprain and strain injury

Question 2

A 24-year-old woman presents to your office with multiple symptoms. On physical examination you note a markedly increased lumbar lordosis. Which of the following symptoms may be attributed to this condition?

Answer 2

Post-prandial abdominal pain *

Question 3

A 19-year-old man presents to your office with low back pain. On physical examination you note a significantly increased lumbar lordosis. Which of the following anatomic structures is most likely to generate pain due to this lordosis?

Answer 3

Facet Joints

Question 4

A 35-year-old woman presents to your office with an increased thoracic kyphosis due to a congenital failure of segmentation anomaly. Which of the following would you expect to find in the cervical region?

Answer 4

Increased Lordosis

Question 5

An 11-year-old boy is brought to your office for assessment of what his mother calls “a sway back”. Physical examination reveals the presence of mildly lordotic lumbar region. Standing x-rays of the lumbar spine are obtained and show a Fergusen’s angle of 35 degrees. This measurement is consistent with which of the following?

Answer 5

Normal lordotic curve

Question 6

A 27-year-old woman presents to your office with lower back pain.
On physical examination you note an increased lumbar lordosis. Further evaluation leads you to the conclusion that this condition is entirely the consequence of poor posture. Which of the following muscles when weakened would be responsible for this patient’s condition?

Answer 6

Rectus Abdominus

Question 7

A normal Ferguson angle is

Answer 7

30-40

Question 8

Mitchell’s angle

Answer 8

125-145

Question 9

Cobb angle

Answer 9

40-60

Question 10

Lumbo lumbar Lordotic angle

Answer 10

35-55

Question 11

Jungmans pelvic index

Answer 11

age
20=.55
50=.65
chronic LBP=.65-.75

Question 12

Kissing spines is known as what syndrome?

Answer 12

Baastrup syndrome

Question 13

Visceral ischemic syndrome can be caused by what 3 symptoms?

Answer 13

postprandial pain
anorexia
Weight loss

Question 14

Hip disorders that can cause lumbar lordosis are what 2?

Answer 14

Coxa Vara when the angle is less than 120

normal is 120-160

Question 15

What would cox vara cause?

Answer 15

anterior rotation of the pelvis
increase lumbar lordosis
- by changing pattern of muscle attachment

Question 16

What is a muscle contracture and it could cause?

Answer 16

fibrosis of a muscle producing permanent shortening

Question 17

Thomas Test tests what? muscles?

Answer 17

Hip Flexion contracture: supine patient has (1) knee to chest and the other hip should stay on the table
Psoas, iliacus, and rectus femoris

Question 18

What is Stiffen syndrome? how to treat?

Answer 18

” muscles never shut off and thy get worse with activity”

- OMT, exercises, and Valium

Question 19

The risk of Decreased lumbar lordosis is that it increases the risk of____________.

Answer 19

HNP

Question 20

Causes of dec of lordosis?

Answer 20

Lumbar Sprain and Strain, HNP, Psoas contracture

Question 21

Why is a flat back bad? how would you treat?

Answer 21

mitral valve issues and give them heel lifts

Question 22

Decreased cervical lordosis could be caused by?

Answer 22

Cervical sprain and strain ( CSS)
C-HNP
C-spondylosis
Flat back syndrome (FBS)

Question 23

irreversible types of lordosis are?

Answer 23

ankylosing spondylitis and osteoporosis