Lumbar Spine SD

Question 1

what % of Low Back Pain is due to mechanical dysfunction?

Answer 1

90

Question 2

what is lumbar spine frequent site of?

Answer 2

strain, pain, disability

Question 3

what are some mechanical dysfunctions of lumbar?

Answer 3

artritis, spondylosis/spondylisthesis, degenerative disc disease, somatic dysfunction

Question 4

what are the two categories of non-mechanical LBP etiology?

Answer 4

viscerogenic: renal colic, endometriosis
vasculogenic: abdominal aortic aneurysm

Question 5

what kind of infections can cause LBP?

Answer 5

osteomyelitis, diskitis

Question 6

what sort of movement do you get the most of in lumbar?

Answer 6

flexion and extension

Question 7

what is sacralization?

Answer 7

L5 becomes part of sacrum, fusion

Question 8

what is lumbarization?

Answer 8

S1 doesn’t fuse to sacrum

Question 9

if the scotty dog has a collar?

Answer 9

spondylolysis

Question 10

what is a common cause of spondylolysis?

Answer 10

weight adding to hyperextension

Question 11

where does filum terminale begin?

Answer 11

L1 or L2

Question 12

what causes herniated disc to go posterolateral?

Answer 12

posterior longitudinal ligament

Question 13

how does a sponylolistethesis occur?

Answer 13

with spondylolysis bilaterally

Question 14

What is the general overview for lumbosacral mechanics?

Answer 14

move in opposite directions

Question 15

what maintains type 1 mechanics?

Answer 15

long restrictors

Question 16

what maintains type 2 mechanics?

Answer 16

short restrictors (multifidus, etc)

Question 17

what occurs first in type 2 rotation or side bending?

Answer 17

rotations

Question 18

what exams should be done while a pt is seated or standing?

Answer 18

TART, HIP Drop, ROM, Gross motion and single segment motion

Question 19

what exams are done with pt prone or seated?

Answer 19

rotation neutral and with flexion/extension

Question 20

patellar reflex n?

Answer 20

L4

Question 21

dorsiflexion n?

Answer 21

L5

Question 22

plantar flexion n?

Answer 22

S1

Question 23

what reflex does S1 do?

Answer 23

ankle jerk

Question 24

what age groups more susceptible to LBP?

Answer 24

> 50 or <20

Question 25

what are caudal equine symptoms?

Answer 25

saddle anesthesia, new onset bladder/bowel dysfunction, severe or rapidly progressive neurological symptoms

Question 26

what are constitutional symptoms of LBP?

Answer 26

fever, chills, unexplained wt loss, recent bacterial infection, IV drug abuse, immune suppression, severe nighttime pain

Question 27

what is a failure of fusion of lamina?

Answer 27

spina bifida

Question 28

what are the 3 kinds of spin bifid a?

Answer 28

occulta, meningocele, myelomeningocele

Question 29

what type of SB is most common?

Answer 29

myelomeningocele

Question 30

what causes caudal equine syndrome?

Answer 30

edema of spinal canal

Question 31

lumbar spine anterior chapmans points: periumbilical?

Answer 31

adrenal, kidney, bladder

Question 32

lumbar spine anterior chapmans points: 5th ICS?

Answer 32

stomach (L), liver (R)

Question 33

lumbar spine anterior chapmans points: 6th ICS?

Answer 33

stomach (L), liver/gallbladder (R)

Question 34

lumbar spine anterior chapmans points: 7th ICS?

Answer 34

spleen (L), pancreas (R)