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DPT 617 > LPHC > Flashcards

LPHC Flashcards

1
Q

t/f: the pelvic girdle is a system of interdependent joints

A

True

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2
Q

If a pt has LBP what other body part should we be looking at?

A

The hips

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3
Q

When stepping forward, the leg that is accepting weight should go into IR or ER?

A

IR

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4
Q

What forces go through the pelvis?

A

The HAT and lower extremities

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5
Q

What plane is there the most motion in the lumbar spine?

A

In the sagittal plane

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6
Q

What is the facet orientation in the lumbar spine?

A

Sagittal

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7
Q

What planes is there most cervical spine motion?

A

sagittal and transverse planes

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8
Q

Why is there such little motion occurring at the thoracic spine?

A

Bc of the ribs

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9
Q

The upper thoracic spine acts like the ____ spine

A

Cervical

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10
Q

The lower thoracic spine acts like the ____ spine

A

Lumbar

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11
Q

As you go down the lumbar spine, is there an increase or decrease in motion?

A

an increase

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12
Q

T/f: as there is more motion at a jt, there is more risk for pathology

A

True

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13
Q

What is the spinal motion segment?

A

Disc, facets, lower portion of the segment above, and upper portion of the segment below

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14
Q

What is the primary role of the IV disc?

A

Shock absorption and allows motion in all directions

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15
Q

What is the primary role of the facet joints?

A

To direct motion

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16
Q

Does the IV disc erode from the inside or outside

A

Inside

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17
Q

Why is there no pain when the inner portion of the IV disc is eroded?

A

Bc there are no nerve endings in the inner portion, only in the outer portion

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18
Q

Does forward bending open or close the facets?

A

Opens the facets

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19
Q

Does the disc migrate anterior or posterior with forward bending?

A

Posterior

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20
Q

Does backward bending open or close the facets?

A

Closes the facets

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21
Q

Does the IV disc migrate anterior or posterior with backward bending?

A

Forward

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22
Q

Does forward or backward bending close the neural foramina?

A

Backward bending

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23
Q

What checks motion and what direct motion in the spine?

A

Ligaments check motion and the facets direct motion

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24
Q

T/f: the posterior longitudinal ligament is more robust centrally causing more disc herniations AP or ML

A

True

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25
What ligament checks sidebending contralaterally?
Intertransverse ligaments
26
Sidebending opens the ____ facet and closes the _____ facet
Contralateral, ipsilateral
27
To open lumbar facets, what are the triplanar motions?
Flexion, SB away, rotation towards
28
To close lumbar facets, what are the triplanar motions?
Extension, SB towards, rotation away
29
What is type one lumbar SB?
SB and rotation to opposite sides
30
Is type one lumbar SB functional or non functional?
Non functional SB
31
What is type two lumbar SB?
SB and rotation to the same side
32
Is type two lumbar SB functional or non functional?
Functional SB
33
What is the lowest level moving segment of the spine?
L5/S1
34
Is there motion at the SI joint?
Yes but not a lot
35
Is the amount of motion at the SI joint clinically significant and clinically detectable?
Not really
36
What is the difference bw iliosacral motion and sacroilial motion?
iliosacral motion is the ilium moving on the sacrum Sacroilial motion is the sacrum moving on the ilium
37
What are the sagittal plane iliosacral motions?
Anterior rotation Posterior rotation
38
Is anterior or posterior rotation associated with hip extension and lumbar extension?
Anterior rotation
39
Is anterior or posterior rotation associated with hip flexion and lumbar flexion?
Posterior rotation
40
How does the ASIS move during anterior rotation of the IS?
Inferior and anterior
41
How does the ASIS move during posterior rotation of the IS?
Superior and posterior
42
What are the transverse IS motions?
Inflare and outflare
43
What are the frontal plane IS motions?
Upslip and downslip
44
Is inflare associated with hip IR or ER?
IR
45
Is outflare associated with hip IR or ER?
ER
46
Does upslip occur more in stance phase or swing phase?
Stance phase
47
Does down slip occur more in stance phase or swing phase?
Swing phase
48
T/f: the SI joint is triplanar
True
49
What is another name for forward bending?
Nutation
50
What is another name for backward bending?
Counter nutation
51
What are the three axes of the SIJ?
Superior, middle, and inferior transverse axes
52
When the lumbar spine flexes, the sacrum initially goes into ____
Extension (goes forward)
53
When the lumbar spine extends, the sacrum initially goes into ____
Flexion (goes back)
54
When the sacrum flexes (lumbar extension), does the sulci become more deep or more shallow?
More shallow
55
When the sacrum extends (lumbar flexion) does the sulci become more deep or more shallow?
More deep
56
Moment towards the axis is ____ torsion
Forward
57
Movement away from the axis is ___ torsion
Backward
58
With R on R forward torsion, what sulci deepens?
The L sulci
59
With L on L forward torsion, what sulci deepens?
The R sulci
60
With L in R backward torsion, what sulci deepens?
The R sulci
61
With R on L backward torsion, what sulci deepens?
The L sulci
62
With lumbar flexion, should the sacrum move back or forward?
Back
63
With lumbar extension, should the sacrum move forward or backward?
Forward
64
What are the components of AROM?
Quantity of motion Quality of motion
65
T/f: subjects without LBP have less HS flexibility
False, they have greater HS flexibility
66
If there is an altered pattern in lumbopelvic rhythm, can this contribute to LBP?
Yes
67
In early forward bending, what is the ratio of lumbar and hip motion?
2:1 L/H
68
In middle forward bending, what is the ratio of lumbar and hip motion?
1:1 L/H
69
In end stage forward bending, what is the ratio of lumbar and hip motion?
1:2 L/H
70
In early lumbar extension, what is the ratio of lumbar and hip motion?
2:1 H/L
71
In middle lumbar extension, what is the ratio of lumbar and hip motion?
1:1 H/L
72
In late lumbar extension, what is the ratio of lumbar and hip motion?
1:2 H/L
73
T/f: the LBP group had greater lumbar motion in early extension and greater lumbar velocity with tighter HS
True
74
T/f: tighter HS could produce greater hip extension velocity due to passive tension in the early phase of extension
True
75
Should we mob the mobile painful segment or the painless segment with decreased mobility?
We should mob the painless segment with decreased mobility
76
If a mob produced a lot of pain, should we do more?
No
77
If a mob produced a little pain should we do more?
Yes

DPT 617 (14 decks)

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