Lumbar

Question 1

main fxns of lumbar spine

Answer 1

protect spinal cord
F/E mostly, also R/S
support upper body

Question 2

structures w/ pain sensing

Answer 2

anterior longitudinal ligament
annulus
posterior longitudinal ligament
vertebral body
supraspinous ligament
zygapophyseal joint

Question 3

lumbar vertebrae anatomy

Answer 3

large bodies
SP and TP are flat
articular facets oriented vertically
nerve roots ext foramen below corresponding vertebrae

Question 4

caude equine

Answer 4

collection of nerve roots

L2 - S5

Question 5

anterior longitudinal ligament

Answer 5

along ant of vert bodies

limits extension

Question 6

posterior longitudinal ligamnet

Answer 6

along post of vert bodies
ant to spinal cord in spinal canal
thin
limits flexion (more flexible)

Question 7

intervertebral discs

Answer 7

separate vertebrae

annulus fibrosis + nucleus pulposus

Question 8

ligamentum flavum

Answer 8

post wall of spinal canal

btwn lamina of subsequent vertebrae

Question 9

interspinous ligaments

Answer 9

btwn consecutive spinous processes

Question 10

supraspinous ligament

Answer 10

most post lig

run over pot edge of SPs

Question 11

intertransverse ligaments

Answer 11

connects TPs of vertebrae

Question 12

thoracolumbar fascia

Answer 12

broad CT
mainly encompass latissimus dorsi
O: sacrum
I: occiput

Question 13

iliocostalis lumborum (O/I/N/A)

Answer 13

O: sacrum, iliac crest, thoracolumbar fascia
I: rib 6-12, thoracolumbar, upper lumbar TP
N: spinal C8-L1
A: (u) spine ST (b) extends spine

Question 14

longissimus thoracis (O/I/N/A)

Answer 14

O: sacrum, iliac crest, lumbar SP, lower thoracic TP
I: rib 2-12, lumbar costal processes, thoracic TPs
N: spinal C1-L5
A: (u) spine ST (b) extends spine

Question 15

spinalis thoracis (O/I/N/A)

Answer 15

O: T10-L3 SP
I:T2-T8 SP
N: spinal n
A: (u) cervical and thoracics ST (b) extend cervicals and thoracics

Question 16

multifidus

Answer 16

O: C2-sacrum
I: same as O
N: spinal n
A: (u) flex spine same side, RA (b) extend spine

Question 17

interspinales lumborum

Answer 17

O: L1-L5
I: same
N: spinal n
A: (u) lumbar ST (b) extend lumbar

Question 18

intertransversii mediales lumborum

Answer 18

O: L1-L5
I: same
N: spinal n
A: (u) lumbar ST (b) extend lumbar

Question 19

intertransversii laterals lumborum

Answer 19

O: L1-L5
I: same
N: spinal n
A: (u) lumbar ST (b) extend lumbar

Question 20

fryette’s law

Answer 20

type I - N SxRy (groups–>)

type II - F/E SxRx (single)

Question 21

lumbar type I ME

Answer 21

P: seated, genie, dr behind (under)
A: STRA
T: 3-5s, 3-5x
F: release, return, reassess

Question 22

lumbar type II ME

Answer 22

P: seated, genie, dr behind (over)
A: SARA
T: 3-5s, 3-5x
F: release, return, reassess

Question 23

lumbar ME (lateral recumbent)

Answer 23

P: R side up, top leg flexed (same as HVLA)
A: push tubercle to barrier
T: 3-5s, 3-5x
F: release, return, reassess

Question 24

lumbar HVLA

Answer 24

P: R side up, top leg flexed
A: push tubercle to barrier, HVLA thrust
T: 3-5s, 3-5x
F: release, return, reassess

Question 25

anterior lumbar tenderpoints

Answer 25

L1: medial to ASIS
L2: medial to AIIS
L3: lateral to AIIS
L4: inferior to AIIS
L5: pubic symphysis

Question 26

anterior lumbar counterstrain techniques

Answer 26

L1: F STRA
L2: F SART
L3: F SART
L4: F SART
L5: F SARA

Question 27

posterior lumbar tenderpoints

Answer 27

L1-L5: inferolateral SP or TP
L3: lateral gluteus (1/2 btwn L4/5 at inf aspect of iliac crest)
L4: lateral gluteus (1/2 btwn greater trochanter and iliac crest)
UL5: superior PSIS
LL5: 2 cm inferior to PSIS

Question 28

posterior lumbar counterstrain techniques

Answer 28

L1-L5: E SARA
L3: gluteus - E ER Add
L4: gluteus - E ER Add
UL5: hip E ER Add
LL5: hip F IR Add