Lumbar Spine Flashcards

1
Q

what is the ROM for lumbar extension?

A

25-35 degrees

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2
Q

what is the ROM for lumbar flexion?

A

50 degrees

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3
Q

What are the features of the lumbar vertebra?

A
  • Vertebra bodies are larger and more kidney shaped
  • Short, thick SP’s
  • Long, thin TP’s
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4
Q

How does the lumbar vertebral canal differ from the cervical and thoracic?

A

it is trinagular and smaller

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5
Q

where is the lamina found on the lumbar veretbrae bodies?

A

bony bar between TP and SP (one on each side)

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6
Q

What makes up the lumbosacral joint?

A

Articulations between the first sacral segment, L5 and intervertebral discs

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7
Q

what does a motion segemnt consist of?

A

consists of 2 adjecnet vertebrae, the intervening intervertebral disc in between and the nerve root from the intervertebral foramen.

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8
Q

what does the intervertebral disc consist of?

A

2 vertebral end plates on either side
Annulus fibrosis
Nucleus pulposis- oval shape, made up of mostly water, jelly like structure

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9
Q

What is disc herniation?

A

slipped disc

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10
Q

how does disc herniation occur?

A

occurs when the soft inner core (nucleus pulposis) of an intervertebral disc protudes through the tough outer layer (annulus fibrosis) and puts pressure on a near by nerve or the spinal cord.

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11
Q

what are the stages of disc herniation?

A

-Disc degeneration
-Proplapse
-Extrusion
-Sequestration

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12
Q

what is the ROM for lumbar side flexion?

A

15-20 degrees in each direction (very little in lumbosacral region)

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13
Q

what is the ROM for lumbar rotation?

A

3-18 degrees in each direction (very little in lumbosacral region)

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14
Q

what is the O/I/A of the quadratus lumborum muscle?

A

reveresed origin and insertion
O: iliolumbar ligament and iliac crest
I: TP’s of L1-L4 + lower posterior border of rib 12
A: hip hike, side flexion and extension

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15
Q

what is the O/I/A of the mutifidus?

A

Reveresed origin and insertion
O: sacrum, PIIS, iliac crest
I: SP’s of vertebrae
A: extension, stabiliser

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16
Q

what are the 3 muscles within the erector spinae?

A

medial = SPINALIS (cervicis/ capitis/ thoracicis)
middle = longissimus (cervicis/capitus/ thoracicis)
lateral = Ilicostalis lumborum (cervicis/thoracics)

17
Q

what is lumbo-pelvic rhythm?

A

the co-ordinated activity of lumbar flexion and anterior rotation of the pelvis