Lumbar

Question 1

Predictor Variables for Lumbar Manipulation

Answer 1

1. Pain does not travel below knee
2. Onset < 16 days ago
3. Lumbar hypomobility
4. Either hip has >35 degrees of IR
5. FABQ – Work subscale score <19

Question 2

The higher the FABQ score, the more ___ you want to do?

a. Manipulation
b. Mobilization
c. Traction
d. Active-Exercise Based Approach

Answer 2

D. Higher scores are an indication for active-exercise based approach in which feared activities gradually introduced to pt in controlled environment to assist overcoming fears

Question 3

True or false: Lower scores for work subscale are associated with improved likelihood to succeed with lumbopelvic spinal manipulations

Answer 3

True

Question 4

T/F An absolute contraindications for manipulation is a patient on anticoagulant medication

Answer 4

True

Question 5

T/F An absolute contraindications for manipulation is someone with an infectious disease

Answer 5

True

Question 6

T/F A precaution for manipulation is when someone lacks indications for lumbar manipulation

Answer 6

False: Absolute contraindication

Question 7

T/F A precaution for manipulation is when someone has vertebrobasilar insufficiency

Answer 7

False: Absolute Contraindication

Question 8

T/F A precaution for manipulation is when someone has a bone tumor in the cervical spine

Answer 8

False: Absolute Contraindication

Question 9

T/F An absolute contraindications for manipulation is someone with osteomyelitis

Answer 9

True

Question 10

T/F An absolute contraindications for manipulation is someone with an unstable fracture

Answer 10

True

Question 11

T/F A precaution for manipulation is when someone has a RA in the cervical spine

Answer 11

False: Absolute Contraindications

Question 12

Lumbar Stabilization for LBP Predictor Variables for Success

Answer 12

1. SLR >91 degrees
2. <40 years old
3. Aberrant motion present with forward bending
4. Positive prone instability test

Question 13

Lumbar Stabilization for LBP Predictor Variables for Non-Success

Answer 13

1. FABQ- Physical Activity subscale <8
2. Aberrant movement absent
3. No hypermobility during PA spring testing
4. Neg prone stability test

Question 14

To work on stability exercise for the lumbar, what muscles would you primarily be working? There are 6.

Answer 14

Exercises focusing on RA(Rectus abdominus), TrA(transverse abdominus), IO(internal oblique), ES(erector spinae), Multifidus, and QL

Question 15

Name the “Big Three” exercises that should be focused on for stability purposes

Answer 15

Curls ups, variations of side bridging, leg and arm extensions leading to progression of birddog

Question 16

Name 2 instability tests for the lumbar

Answer 16

1. Prone Instability Test

2. Active SLR

Question 17

Name the predictor variables for Prone Mechanical Traction with Signs of Nerve Root Compression

Answer 17

1. Peipheralization with repeated lumbar extension

2. Positive crossed SLR

Question 18

What percent of the body weight should be used for prone lumbar traction?

Answer 18

40-60%

Question 19

Name the supine traction predictor variables

Answer 19

o FABQ- Work subscale <21
o No neuro deficits
o >30 years old
o Non-manual working job status

Question 20

What percent of the body weight should be used for supine lumbar traction?

Answer 20

30-40%

Question 21

Name the predictor variables for extension exercises:

Answer 21

o Symptoms distal to butt
o Symptoms centralize with lumbar extension
o Symptoms peripheralize with lumbar flexion
o Directional preference for extension

Question 22

Name the predictor variables for flexion exercises:

Answer 22

o Older than 50
o Directional preference for flexion
o Imaging evidence of lumbar stenosis