Lumbar

Question 0

percentage of visits to doctor due to lbp

Answer 0

3

Question 1

1 year incidence of lbp

Answer 1

6.3 - 15.3%

Question 2

direct cost of lbp

Answer 2

85 bill

Question 3

indirect costs from lost work due to lbp

Answer 3

7 bill

Question 4

13-20 percent of patients with lbp have this

Answer 4

si dysfunctino

Question 5

lumbar spine can refer pain to the blank area which mimics blank

Answer 5

si area, si dysfunction

Question 6

different pathologies of lbp

Answer 6

herniated disc, sciatica (radiculopathy), lumbago, djd, ddd, strain, stenosis, spondylosis, spondylolysis, spondylolisthesis, si dysfunciton

Question 7

herniated disc is usually blank onset, unilateral or symmetrical, and worse with blank

Answer 7

insidious, flexion

Question 8

herniated discs may have periods of blank

Answer 8

no pain

Question 9

herniated discs are often worse in the blank

Answer 9

mornings/evenings

Question 10

initially back pain presents before leg pain, is intermittent, weakness, difficult gait, vary depending on position

Answer 10

lumbar radiculopathyw

Question 11

knee pain caused by blank nerve roots

Answer 11

L3-L4

Question 12

common presentation of this is an episode of back pain months ago where leg symptoms never went away, bending forward causes sharp pain in LE

Answer 12

adherent nerve root

Question 13

adherent nerve root will not follow a blank

Answer 13

dermatome

Question 14

common presentation is with chronic back pain, intermittent symptoms in back like stiffness, one or both legs cramping with walking, sitting relieves leg pain, aggravated by standing

Answer 14

stenosis

Question 15

can be symmetrical or asymmetrical, localized, episodic, not many functional limitations until tissue is engaged

Answer 15

spondylosis

Question 16

spondylosis is blank

Answer 16

oa

Question 17

commonly presents with localized back pain, trauma or repetetive force, mostly insidious, extending or sidebending hurts

Answer 17

spondylolysis

Question 18

commonly presents with back ache, catching, intense stabbing pain, flexion activities are okay but extension hurts, transitioning into and out of positions, feels weak and difficulty standing upright

Answer 18

spondylolisthesis

Question 19

most cases of si issues begin from some sort of blank

Answer 19

trauma

Question 20

si pain is often in the psis region and this is called blank sign

Answer 20

fortin sign

Question 21

serious medical conditions presenting as low back pain in a small percentage of patients, failure to improve with conservative care >30 days

Answer 21

red flags

Question 22

red flag conditions

Answer 22

cancer, cauda equina syndrome, infection, compression fracture, aortic aneurysm

Question 23

a shift is named by the relationship of the blank to the blank

Answer 23

shoulders, pelvis

Question 24

discogenic in nature

Answer 24

derangement

Question 25

mechanical back pain such as ddd, djd, spondylosis

Answer 25

dysfunction

Question 26

normal tissue is under strain

Answer 26

postural

Question 27

postural, dysfunciton, deragnement can be teased out during

Answer 27

repeated movements

Question 28

flexed at the hip and unable to stand straight, testing starts prone over pillows to accomodate deformity

Answer 28

kyphotic

Question 29

goal of acute deformities

Answer 29

fix deformity by the end of the day

Question 30

two types of acute deformities

Answer 30

relevant lateral shift, kyphotic

Question 31

flexed forward to relieve symptoms position

Answer 31

stenotic

Question 32

acute deformities become blank in a few weeks

Answer 32

permanent

Question 33

only blank get better or worse with repeated movements

Answer 33

derangements

Question 34

prom is graded like this

Answer 34

normal, hypomobile, hypermobile

Question 35

this identifies patients more likely to benefit from a stabilization approach

Answer 35

hicks cpr on stabilization

Question 36

3 out of 4 variables of hicks cpr increases the likelihood of success with a lumbar stabilization program from blank to blank percent

Answer 36

33, 67

Question 37

symptoms below the buttock warrants a blank

Answer 37

LQS (dermatomes/myotomes)

Question 38

no improvement in sensation after a couple visits then we should consider blank

Answer 38

referral out

Question 39

a positive test for slr or slump will do one of these things

Answer 39

reproduce comparable sign, asymmetrical findings, sensitizing movement changes pt symptoms

Question 40

feet shoulder width apart, patient leans back, rotates and side bends, movement is repeated on opposite side, positive test is reproduction of concordant sign

Answer 40

quadrant test

Question 41

there is blank intertester reliability for the sacroliliac special tests

Answer 41

bad

Question 42

combining blank increases reliability of finding sij issue

Answer 42

special tests

Question 43

four low back pain classifications

Answer 43

manipulation/exercise, promote centralization, stabilization exercises, mechanical traction

Question 44

predicting success with manipulation has 4 or more of these presents

Answer 44

recent onset, low fabq, no symptoms below knee, lumbar stiffness, more than 35 hip ir

Question 45

multifidus and transverse abdominis stabilization training can help with improving blank and blank

Answer 45

spondylolysis, spondylolisthesis

Question 46

derangements respond to blank most often

Answer 46

extension

Question 47

return to function after derangement should perform blank in blank

Answer 47

flexion, supine

Question 48

once you got the patient to blank, after about 72 hours of no symptoms, next time at PT start the return to function phase

Answer 48

centralize

Question 49

dysfunctions usually respond to movements in the blank direction

Answer 49

limited

Question 50

dysfunction progressss is blank while derangement is blank

Answer 50

slow, fast

Question 51

anterior rotate pevlis needs blank rotation, pulling involved leg toward chest

Answer 51

posterior

Question 52

posterior rotated pelvis needs anterior rotation... ex) ....

Answer 52

half kneel lunge