Lumbar Diagnosis

Question 1

3 exams for Lumbar

Answer 1

1. Standing exam
2. Seated exam
3. Prone exam

Question 2

Standing Exam Tests

Answer 2

1. Lateral/AP curves
2. Standing flexion test
3. Pelvic sideshift test

Question 3

Seat Exam

Answer 3

1. Palpation TTC
2. Gross motion restrictions
3. Seated flexion test

Question 4

Prone Exam

Answer 4

1. TTC, muscle spasm, psoas tension, quadratus lumborum testing
2. Gross motion
3. Segmental diagnosis (3 planes)

Question 5

What is in motion, a group segment or single?

Answer 5

Group (opposite sides)

Question 6

Where is the psoas attached?

Answer 6

1. Anterior portion of lumbar spine and diaphragmatic crura
2. Passes under inguinal ligament joined by the iliacus muscle
3. Attaches to lesser trochanter of femur

Question 7

What is the psoas function? Shortening causes what?

Answer 7

Hip flexion; compression of hip joint, sacroiliac joint, and lumbar spine

Question 8

Pelvic sideshift (PSS) to right means what on left?

Answer 8

Tight psoas and lumbar curve convexity to the left

Question 9

What 2 components are involved in diagnosing a psoas? Don’t forget what?

Answer 9

1. Restriction of hip extension
2. Ipsilateral upper lumbar (L1 or L2) which is flexed, rotated and sidebent to the side of shorter psoas

DON’T FORGET UPPER LUMBAR COMPONENT

Question 10

How do you asses psoas?

Answer 10

Patient is prone, keep knee straight and lift

Question 11

What travels through psoas? Psoas spasm causes what?

Answer 11

Lumbar plexus; symptoms on anterior thigh

Question 12

Function of quadratus lumborum

Answer 12

Sidebends, stabilizes lower ribs in respiration

Question 13

Quadratus tension relates to what?

Answer 13

Innoniamte dysfunction or iliolumbar ligament tenderness