Lumbar Spine Flashcards by Caitlyn Hauswirth

Q

Acute/Chronic LBP CPG: Exercise for acute LBP

A

C level - use exercises including specific trunk m activation

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Q

Acute/Chronic LBP CPG: Exercise for acute LBP with leg pain

A

B level - trunk m stregthening and endurance, specific m activation
dec pain and disability

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Q

Acute/Chronic LBP CPG: Exercise for chronic LBP

A

A level - use exercise training intervention - trunk m strengthening/endurance, multimodal exercise interventino, specific trunk m activation, aerobic exercise, aquatic exercise, general exercise

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Q

Acute/Chronic LBP CPG: Exercise for Chronic LBP

A

B level - provide movement control exercise or trunk mobility exercise

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Q

Acute/Chronic LBP CPG: Exercise for chronic LBP with leg pain

A

B level - use exercise training interventions, specific trunk m activation and movement control

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Q

Acute/Chronic LBP CPG: Exercise for chronic LBP with movement control impairment

A

A level - use specific trunk muscle activation and movement control exercise

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Q

Acute/Chronic LBP CPG: Exercise for chronic LBP in older adults

A

A level - general exercise training to decrease pain and disability

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Q

Acute/Chronic LBP CPG: Exercise for postoperative LBP

A

C level - general exercise trianing following lumbar spine surgery

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Q

Acute/Chronic LBP CPG: Manual and other directed therapies for acute LBP

A

A level - thrust or nonthrust joint mobilization to decrease pain and disability

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Q

Acute/Chronic LBP CPG: manual and other directed therapies for acute LBP

A

B level - massage or STM for short term pain relief

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Q

Acute/Chronic LBP CPG: Manual and other directed therapies for chronic LBP

A

A level - thrust or nonthrust jt mob to decrease pain and disability

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Q

Acute/Chronic LBP CPG: Manual and other directed therapies for chronic LBP

A

B level - thrust or nonthrust jt mobs to decrease pain and disability in patients with LBP AND leg pain

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Q

Acute/Chronic LBP CPG: Manual and other directed therapies for chronic LBP

A

C level - consider dry needling in conjunction with other tx for short term pain and disability decrease

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Q

Acute/Chronic LBP CPG: Manual and other directed therapies for chronic LBP

A

B level - neural mob in conjunction with other tx for short term decrease in pain and disability for patients with CLBP and leg pain

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Q

Acute/Chronic LBP CPG: Manual and other directed therapies for chronic LBP

A

D level - should NOT use mechanical traction for pts with CLBP plus leg pain. lack of benefit when added with other interventions

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Q

Acute/Chronic LBP CPG: Classification systems for acute LBP

A

B level - use tx based classification to reduce pain and disability

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Q

Acute/Chronic LBP CPG: Classification systems for acute LBP

A

C level - mechanical diagnosis and therapy to decrease pain and disability

Q

Acute/Chronic LBP CPG: Classification systems for chronic LBP

A

B level - MDT, prognostic risk stratification, or pathoanatomic-based classification to reduce pain and disability

Q

Acute/Chronic LBP CPG: Classification systems for chronic LBP

A

C level - use TBC, cognitive functional therapy, or mvmt system impairment to reduce pain and disability

Q

Acute/Chronic LBP CPG: Education for acute LBP

A

B level - active education strategies vs passive: one-on-one ed
biopsychosocial contributors to pain
self management techniques: remain active, pacing strategies, back protection techniques.
Counseling on favorable natural history of acute LBP

Q

Acute/Chronic LBP CPG: Education for chronic LBP

A

B level - standard ed strategies but NOT as a standalone tx.

Advice related to exercise and staying active

Q

Acute/Chronic LBP CPG: Education for Chronic LBP

A

A level - pain neuroscience education alongside other PT interventions (exercise, manual)

Q

Acute/Chronic LBP CPG: Education for chronic LBP

A

A level - active treatments (yoga, stretching, Pilates, strength training) instead of stand along education interventions

Q

Acute/Chronic LBP CPG: Education for post-op LBP

A

B level - use general education (post surgical precautions, exercise, and resuming physical activity) for discectomy or decompression surgery.

Spinal Stenosis vs Intermittent Vascular Claudication: | Posture

SS: flex improves, ext worsens IC: no affect

Spinal Stenosis vs Intermittent Vascular Claudication: | Walking

SS: distance varies IC: consistent distance

Spinal Stenosis vs Intermittent Vascular Claudication: | Pain Relief

SS: must sit to get relief IC: stop activity to get relief

Spinal Stenosis vs Intermittent Vascular Claudication: | Pulses

SS: present IC: diminished or absent

Spinal Stenosis vs Intermittent Vascular Claudication: | Back pain

SS: common IC: uncommon

Spinal Stenosis vs Intermittent Vascular Claudication: | Leg pain

SS: bilateral (usually) IC: May be unilateral or asymmetric

Spinal Stenosis vs Intermittent Vascular Claudication: | Weakness

SS: occasionally IC: uncommon

Spinal Stenosis vs Intermittent Vascular Claudication: | Walking downhill

SS: worse IC: unchanged or better

Spinal Stenosis vs Intermittent Vascular Claudication: | Walking uphill

SS: better IC: unchanged or worse

L1 dermatome/myotome/reflex

Derm: iliac rest and groin Myo: psoas Reflex: none

L2 dermatome/myotome/reflex

Derm: ant thigh Myo: psoas Reflex: none

L3 dermatome/myotome/reflex

Derm: ant lower thigh and shin Myo: quads Relfex: patellar tendon

L4 dermatome/myotome/reflex

Derm: medial calf and big toe Myo: tib ant reflex: patellar tendon

L5 dermatome/myotome/reflex

Derm: lateral leg and ant foot Myo: extensor hallucis longus Reflex: none

S1 dermatome/myotome/reflex

Derm: lower half of post calf, sole of foot, lateral two toes Myo: Flex hallucis longus, gastroc Reflex: achilles

S2 dermatome/myotome/reflex

Derm: post thigh, sole and plantar aspect of heel Myo: hamstrings Reflex: lateral hamstring