Lumbar Flashcards

0
Q

percentage of visits to doctor due to lbp

A

3

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1
Q

1 year incidence of lbp

A

6.3 - 15.3%

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2
Q

direct cost of lbp

A

85 bill

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3
Q

indirect costs from lost work due to lbp

A

7 bill

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4
Q

13-20 percent of patients with lbp have this

A

si dysfunctino

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5
Q

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

A

si area, si dysfunction

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6
Q

different pathologies of lbp

A

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

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7
Q

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

A

insidious, flexion

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8
Q

herniated discs may have periods of blank

A

no pain

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9
Q

herniated discs are often worse in the blank

A

mornings/evenings

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10
Q

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

A

lumbar radiculopathyw

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11
Q

knee pain caused by blank nerve roots

A

L3-L4

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12
Q

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

A

adherent nerve root

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13
Q

adherent nerve root will not follow a blank

A

dermatome

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14
Q

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

A

stenosis

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15
Q

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

A

spondylosis

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16
Q

spondylosis is blank

A

oa

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17
Q

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

A

spondylolysis

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18
Q

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

A

spondylolisthesis

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19
Q

most cases of si issues begin from some sort of blank

A

trauma

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20
Q

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

A

fortin sign

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21
Q

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

A

red flags

22
Q

red flag conditions

A

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

23
Q

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

A

shoulders, pelvis

24
Q

discogenic in nature

A

derangement

25
Q

mechanical back pain such as ddd, djd, spondylosis

A

dysfunction

26
Q

normal tissue is under strain

A

postural

27
Q

postural, dysfunciton, deragnement can be teased out during

A

repeated movements

28
Q

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

A

kyphotic

29
Q

goal of acute deformities

A

fix deformity by the end of the day

30
Q

two types of acute deformities

A

relevant lateral shift, kyphotic

31
Q

flexed forward to relieve symptoms position

A

stenotic

32
Q

acute deformities become blank in a few weeks

A

permanent

33
Q

only blank get better or worse with repeated movements

A

derangements

34
Q

prom is graded like this

A

normal, hypomobile, hypermobile

35
Q

this identifies patients more likely to benefit from a stabilization approach

A

hicks cpr on stabilization

36
Q

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

A

33, 67

37
Q

symptoms below the buttock warrants a blank

A

LQS (dermatomes/myotomes)

38
Q

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

A

referral out

39
Q

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

A

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

40
Q

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

A

quadrant test

41
Q

there is blank intertester reliability for the sacroliliac special tests

A

bad

42
Q

combining blank increases reliability of finding sij issue

A

special tests

43
Q

four low back pain classifications

A

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

44
Q

predicting success with manipulation has 4 or more of these presents

A

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

45
Q

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

A

spondylolysis, spondylolisthesis

46
Q

derangements respond to blank most often

A

extension

47
Q

return to function after derangement should perform blank in blank

A

flexion, supine

48
Q

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

A

centralize

49
Q

dysfunctions usually respond to movements in the blank direction

A

limited

50
Q

dysfunction progressss is blank while derangement is blank

A

slow, fast

51
Q

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

A

posterior

52
Q

posterior rotated pelvis needs anterior rotation… ex) ….

A

half kneel lunge