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OCS > Lumbar Spine > Flashcards

Lumbar Spine Flashcards

1
Q

Acute/Chronic LBP CPG: Exercise for acute LBP

A

C level - use exercises including specific trunk m activation

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2
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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3
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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4
Q

Acute/Chronic LBP CPG: Exercise for Chronic LBP

A

B level - provide movement control exercise or trunk mobility exercise

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5
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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6
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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7
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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8
Q

Acute/Chronic LBP CPG: Exercise for postoperative LBP

A

C level - general exercise trianing following lumbar spine surgery

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9
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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10
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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11
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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12
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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13
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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14
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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15
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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16
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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17
Q

Acute/Chronic LBP CPG: Classification systems for acute LBP

A

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

18
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

19
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

20
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

21
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

22
Q

Acute/Chronic LBP CPG: Education for Chronic LBP

A

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

23
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

24
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.

25
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Posture

A

SS: flex improves, ext worsens
IC: no affect

26
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Walking

A

SS: distance varies
IC: consistent distance

27
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Pain Relief

A

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

28
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Pulses

A

SS: present
IC: diminished or absent

29
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Back pain

A

SS: common
IC: uncommon

30
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Leg pain

A

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

31
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Weakness

A

SS: occasionally
IC: uncommon

32
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Walking downhill

A

SS: worse
IC: unchanged or better

33
Q

Spinal Stenosis vs Intermittent Vascular Claudication:

Walking uphill

A

SS: better
IC: unchanged or worse

34
Q

L1 dermatome/myotome/reflex

A

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

35
Q

L2 dermatome/myotome/reflex

A

Derm: ant thigh
Myo: psoas
Reflex: none

36
Q

L3 dermatome/myotome/reflex

A

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

37
Q

L4 dermatome/myotome/reflex

A

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

38
Q

L5 dermatome/myotome/reflex

A

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

39
Q

S1 dermatome/myotome/reflex

A

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

40
Q

S2 dermatome/myotome/reflex

A

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

OCS (21 decks)

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