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Lumbar Spine Classification > Lumbar Spine Classification > Flashcards

Lumbar Spine Classification Flashcards

1
Q

DDD/DJD (profile)

A

55-60 y/o

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2
Q

Disc (profile)

A

Young (20-40 y/o)

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3
Q

Disc w/ nerve root irritation

A

40-45 (central proL/proT)
30-45 (exT)
18-35 (PPL proT/proL)

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4
Q

Spinal Stenosis (profile)

A

40-60 y/o

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5
Q

Central Stenosis (profile)

A

60-70 y/o

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6
Q

Facet (profile)

A

chronic > 55-60 y/o

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7
Q

Instability (profile)

A

young, older if degenerative

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8
Q

DDD>DJD (body chart)

A

Disc can present with bilateral low back symptoms (one side can be greater); can refeer to butt

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9
Q

DJD>DDD (body chart)

A

facet can be local pain and refer to butt, posterior thigh, groin

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10
Q

IDD (body chart)

A

local unilateral pain, spreads with progression, referral to butt

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11
Q

EDD (body chart)

A

bilateral Paraverterbral

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12
Q

Disc ProT (body chart)

A

ilateral paravertebral with butt/leg pain in partial or complete dermatomal line

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13
Q

Disc PPL (body chart)

A

little to no lumbar pain, posterior leg pain

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14
Q

Disc ProL (body chart)

A

leg pain> back pain; dermatomal pattern

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15
Q

Disc ExT (body chart)

A

leg pain> back pain, poly segmental (radicular and non radicular)

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16
Q

Spinal Stenosis (lateral) (body chart)

A

Leg pain with patchy, dermatomal, multi segmental

Acute: distal worse than proximal
Chronic: proximal worse than distal
DRG: paraesthesia and radicular pain

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17
Q

Central Stenosis (body chart)

A

back and leg pain, bilateral, extra segmental

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18
Q

Facet (body chart)

A

Local unilateral pain

facet can refer to butt, posterior thighs, and groin

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19
Q

Instability (body chart)

A

Highly variable

Catching, unilateral pain, deep dull ache

The Back feels weak or feels as if it will “give way” with certain movements

Also sharp pain with sudden or unexpected movements of the trunk

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20
Q

DDD/DJD (Agg factors)

A

Acute disc: cough/ sneeze, repeated bending, sitting, lifting, stooping

Chronic Disc: sitting in lordosis, carrying in extension, pain with stooping

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21
Q

Disc (IDD, EDD) (Agg factors)

A

Acute disc: cough/ sneeze, repeated bending, sitting, lifting, stooping

Chronic Disc: sitting in lordosis, carrying in extension, pain with stooping

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22
Q

Disc w? nerve root invlovement (Agg factors)

A

Flexion, sitting (disc)

Standing, walking (nerve root involvement)

Sneezing

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23
Q

Spinal Stenosis (lateral) (Agg Factors)

A

Extension postures, prolonged standing and walking, lying flat, walking downhill

24
Q

Central Stenosis (Agg factors)

A

Extension postures, prolonged standing and walking, lying flat, walking downhill

25
Q

Facet (Agg Factors)

A

More pain with standing vs sitting, 3-D motion (quadrant)

Extension (cartilage) and flexion (capsule)

26
Q

DDD/DJD (Ease factors)

A

lying down, unloading

27
Q

Disc (IDD, EDD) (Ease factors)

A

lying down, unloading

28
Q

Disc w/ nerve root involvement (Ease factors)

A

lying down, unloading

29
Q

Spinal Stenosis (lateral) (Ease factors)

A

flexing spine (sitting or squatting, walking uphill)

30
Q

Cental Stenosis (Ease factors)

A

flexing spine (sitting or squatting, walking uphill)

31
Q

facet (ease factors)

32
Q

DDD/DJD (History)

A

episodic, repeated annular tearing

33
Q

Disc w/ nerve root involvement (history)

A

ProT: recurrent history

ProL: typical fast onset

Bending, lifting

Episodic

34
Q

Central Stenosis (history)

35
Q

Facet (history)

A

gradual or sudden unguarded movement

36
Q

Instability (history)

A

Gradual or episodic. History of recurrent dysfunction that becomes more pronounced with each successive episode.

Minor provocations produce disabling pain

37
Q

DDD/DJD (Neurodynamic Testing)

38
Q

Disc (IDD, EDD) (neurodynamic testing)

A

IDD: negative

EDD: positive

39
Q

Disc w/ nerve root involvement (neurodynamic testing)

A

Positive: SLR/Slump, PKB

40
Q

Spinal Stenosis (neurodynamic testing)

A

Positive: SLR/Slump, PKB

41
Q

Central Stenosis (neurodynamic testing)

42
Q

Facet (neurodynamic testing)

43
Q

Instability (neurodynamic testing)

A

Variable adverse mechanical tension findings

SLR>91 degrees

44
Q

DDD/DJD (Neuro Exam)

45
Q

Disc (IDD,EDD) (Neuro Exam)

46
Q

Disc w/ nerve root involvement (Neuro Exam)

A

ProT: negative or mild neurological signs

Central ProL: negative segmental; possible reduced DTRs

PPL ProL: positive

ExT: positve

47
Q

Spinal Stenosis (lateral) (Neuro Exam)

A

Dorsal and Ventral: Hypo or a-reflexia

Dorsal: sensation

Ventral: motor loss (segmental paresis)

48
Q

Central Stenosis (Neuro Exam)

A

Dorsal and Ventral: diminished reflexes

Dorsal: sensation

Ventral: motor loss

49
Q

Facet (Neuro Exam)

50
Q

Instability (Neuro Exam)

51
Q

DDD/DJD (palpation)

A

Central PA> unilateral PA

Stiff/pain if in acute episode

52
Q

Disc (IDD, EDD) (palpation)

A

Central Pa> unilateral PA

Stiff and pain

53
Q

Disc w/ nerve root involvement (palpation)

A

Central PA and Unilateral PA stiff and painful

54
Q

Spinal Stenosis (lateral) (palpation)

A

Unilateral PA may be stiff/painful

55
Q

Central Stenosis (palpation)

A

Central PA, Unilateral PA stiff and painful

56
Q

Facet (palpation)

A

Unilateral PA stiff/painful

57
Q

Instability (palpation)

A

Pain/ spasm with central PA pressure

Excessive PPIVM and PAIVM findings

Lumbar Spine Classification (1 decks)

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