Lumbar Interventions - MC

Question 1

Motor perfomance and function (Motor control/stabilization) encompasses….

Answer 1

strength, endurance and coordination generally of the “core”

Question 2

MP and function has been shown in the research to be successful with the Tx of LBP by:

Answer 2

• Decrease pain
• Improve function and activity tolerance
• Decrease work-related disability
• Prevent recurrence of LBP
• Improve function Post microdiscectomy

Question 3

IAP - Stability of Joints

Answer 3

Box/Can Concept
* Diaphram is the roof
* Mutifidus and Transverse Abdominis are walls
* Pelvic floor is the floor

When generating pressure within the abdominal cavity it supports the spine

Question 4

How does the pressure in the abdomen change with breathing?

Answer 4

Breath in: Diaphram contracts down and expands. AC, PC, PF come out.
Breath out: Diaphram relaxes, AC comes in and PC and PF come up and contract

Question 5

What muscles tend to be tight and which are inhibited?

Answer 5

• Postural Examples: QL, erector spinae, hamstrings, hip flexors, TFL, piriformis, rectus femoris, upper trap, scalenes, biceps
• Phasic muscles: abdominals, glut med/max, quads, soleus

Question 6

What are some qualifications for a stabilization exercise to be effective?

Answer 6

• Age less than 40
• Positive prone instability
• Prescence of aberrant motion with AROM (Gower;s sign, instability catch, reversed lumbopelvic rhythm
• Greater than 91 degrees on SLR
• Hypermobile patients: so mobile they rely on ligaments and bones rather than muscel resulting in ligaments getting stretched out over time

Question 7

One session of ____ can lead to less LBP

Answer 7

Motor Control

Question 8

Directional Preference - Lateral Shift Irriatibility and Exercise

Answer 8

• Low to moderate: Standing with shoulder into wall and slowly shuffling to full stand
• High: Prone or Supine

Question 9

Directional Preference Extension Irritability Exercise

Answer 9

High Irritability
* Prone with towl under hips
* Prone press ups
* Standing extension
* Standing extensions with pressure through spinal level for extension

Question 10

Directional Preference Flexion Irritability Exercises

Answer 10

High
* Posterior Pelvic Tilts
* Single Knee to Chest
* Double knee to Chest
* Hamstring stretch in supine
* Partial abdominal curl-ups
Low

Question 11

What do neurodynamic exercises do?

Answer 11

• Increase blood flow and axoplasmic flow and decrease mechanosensitivity

Question 12

How do specifically examine the Femoral Nerve?

Answer 12

• Knee flexion in prone with cervical flexion, relieved with cervical extension

Question 13

What is a better alternative word for exercise?

Answer 13

movement

Question 14

Traction

Answer 14

• No benefits to non-radicular pain
• Short term benefits of intermittment traction for patient with radicular Sx’s with: peripherlization with extension and/or + Well leg raise (SLR and get Sx on opposite leg)

Question 15

Aquatic Therapy and BW

Answer 15

• Unloads the spine but is also active (therefore better than traction)

Question 16

Heat and cold are often recommended for..

Answer 16

pain relief and to faciliate movement

Question 17

Electrotherapy is useful to..

Answer 17

facilitate movement

Question 18

What is another form of manual therapy that can be beneficial that evidence is building to show benefits?

Answer 18

dry needling