Lumbar Spine Flashcards
What are the red flags contraindications precautions to manual therapy?
Tumours and fractures
systematically unwell
fever
IV drug use a lot long-term use of steroids
unremitting night pain
cauda equina syndrome symptoms of spinal cord lesions,
Ankylosis,
spondylolythesis,
hypermobility,
rheumatoid arthritis
pregnancy
What are the key theories?
Maitland concept
concave /convex rule
Pain gate theory,
physiological effects of manual therapy
What is the Maitland concept?
The Maitland concept is a manual therapy approach that uses a variety of techniques to treat pain and stiffness treat the symptoms not the patient
What is the concave convex rule?
Concave means curving inwards convex means curving outwards the glide will occur in the opposite direction of the role
What is the pain gate theory?
A theory that explains how pain levels can vary and non-painful sensations can reduce painful sensations
What are the lumbar spine pathologies?
Disc herniation
spondylolysis
stenosis,
facet joint dysfunction
sacroiliac strain
What is disc herniation
Disc herniation is a soft cushion of tissue that has moved out of place that are full stages to this pathology
What is spondylolysis?
Spondylolysis is a defect or stress fracture in the articularis of the vertebral arch
What is stenosis?
Stenosis is an abnormal narrowing of a bodily passage such as a blood vessel canal or Foramen
What is facet joint dysfunction?
Facet joint dysfunction is a chronic arthritic syndrome that affects the facet joints where tear thins the fluid filled capsule that lubricates the Cartlidge
What is a sacroiliac strain?
Sacroiliac strain is when the sacred joint which connects the hip bone to the bottom of the spine are pushed out of place the symptoms of this are pain in the lower back pain that worms were moving and muscle spasms
What is included in the problem list and treatment plan?
Accessory,
mobilisations,
physiological,
mobilisations
set reps and timings
application,
clinical reasoning and justification
or other relevant modalities