Lumbar test 1 lab Flashcards
What does the lumbar spine look like if the multifidus becomes atrophied?
see divot or feel squishy
What should you be looking for with lumbar flexion movement?
symmetry
What are the aberrant motions that could show signs of instability?
painful arcs of motion
instability catch
Gowers sign
reversal of lumbo-sacral pelvic rhythm
This sign of instability is after lumbar flexion, the patient climbs up the thighs and has to put their hands on the thigh to get back up
a. painful arc
b. instability catch
c. Gowers sign
d. reversal of lumbo-pelvic rhythm
Gowers sign
This sign of instability is when during lumbar flexion there is a point of catching and then they go further
a. painful arc
b. instability catch
c. Gowers sign
d. reversal of lumbo-pelvic rhythm
instability catch
This sign of instability is when the pt extends their back then comes up with their hips
a. painful arc
b. instability catch
c. Gowers sign
d. reversal of lumbo-pelvic rhythm
reversal of lumbo-pelvic rhythm
Disc pressure (increases/decreases) with flexion
increases
What can limit lumbar extension?
degeneration
stenosis
If no symptoms with movement, do _
overpressure
Flexion, extension and sidebending are repeated 10x then asked how it changed the pain
repeated and sustained lumbar movements
This test is done with the PT standing on the opposite side of the pt, pt does active extension, add rotation towards the side being tested then sidebending
lumbar quadrant
Lumbar spine quadrant with overpressure maximized the
compression of the facet joints
Kneel behind patient on the table with the pt in a slump with sacrum vertical and apply load with forearms to shoulders
a. lumbar distraction
b. lumbar compression
c. neurological testing
d. seated slump
lumbar compression
Kneel behind the pt on the table and lift on the pts crossed forearms going straight up
a. lumbar distraction
b. lumbar compression
c. neurological testing
d. seated slump
lumbar distraction
Testing the dermatome on the lateral hips is for
a. L3
b. L2
c. L1
d. L4
L1
Testing the dermatome on the inside upper thigh is for
a. L2
b. L3
c. L1
d. L4
L2
Testing the dermatome on the medial side of the knee is for
a. L4
b. L2
c. L1
d. L3
L3
Testing the dermatome on the medial malleolus is for
a. L5
b. L2
c. L3
d. L4
L4
Testing the dermatome on the great toe is for
a. L5
b. L6
c. S1
d. L3
L5
Testing the dermatome on the small toe and lateral malleolus is for
a. S1
b. L4
c. L5
d. S2
S1
Testing the dermatome on the proximal achilles tendon is for
a. S1
b. L4
c. L5
d. S2
S2
The most common nerve roots effected are
a. L3, L4, L5
b. L4, L5, S1
c. L5, S1, S2
d. L4 and L5
L4, L5, S1
Hip flexion myotome test used to asses
a. L1, L2, L3
b. L4, L5
c. L5
d. L3, L4
L1, L2, L3
Knee extension myotome test is used to assess
a. L1, L2, L3
b. L4, L5
c. L5
d. L3, L4
L3, L4
Dorisflexion and inversion myotome test is used to assess
a. L1, L2, L3
b. L4, L5
c. L5
d. L3, L4
L4, L5
Big toe extension myotome test is used to assess
a. L5
b. L4, L5
c. S1
d. L3, L4
L5
Eversion myotome test is used to assess
a. L5
b. L4, L5
c. S1
d. L3, L4
S1
The knee reflex is used to test
a. L2, L3
b. L4, L5
c. L3, L4
d. S1, S2
L3, L4
The ankle reflex is used to test
a. L2, L3
b. L4, L5
c. L3, L4
d. S1, S2
S1, S2
A positive well leg raise will be indicated by
a. reproduced pain
b. neurological symptoms
c. reproduction of pain during raising of opposite extremity
d. lack of ability to raise leg
reproduction of pain during raising of opposite extremity
This can be described as a taught band, extra activity in the muscle and overactivity, a flick over and it will twitch
a. sensitized nerve
b. trigger point
c. muscle knot
d. referred pain
trigger point
It is common to see referred pain down into the thigh or knee with a poke after 60 seconds they experience it
a. sensitized nerve
b. trigger point
c. muscle knot
d. referred pain
trigger point
L5 disappears with
anterior pelvic tilt
The slump test is used to test
a. lumbar plexus
b. lumbosacral plexus
c. femoral nerve
d. scaitic nerve
lumbosacral plexus
What is the structural differentiator for the lumbar spine in a seated slump test?
a. knee extension
b. neck flexion
c. neck extension
d. dorsiflexion
neck extension
The sideling slump test is used to test
a. lumbar plexus
b. lumbosacral plexus
c. femoral nerve
d. sciatic nerve
lumbar plexus
What is the structural differentiator for the sidelying slump test?
a. knee extension
b. neck flexion
c. neck extension
d. dorsiflexion
neck extenstion
How do you test the obturator nerve in the sidelying slump test?
a. abduct
b. adduct
c. extend the knee
d. internally rotate
abduct to feel in groin/inner thigh
How do you test the lateral femoral cutaneous nerve in the sidelying slump test?
a. abduct
b. adduct
c. extend the knee
d. internally rotate
adduct after extension
This is used to test the neurodynamics of the dura
a. sidelying slump test
b. seated slump test
c. SLR
d. passive neck flexion
passive neck flexion
Passive neck flexion is relevant if it produces
LBP or leg pain
How can you differentiate the PNF?
pushing on chin get more lower cervical spine
Which myotome would you be testing with ankle eversion?
a. L4, L5
b. L5
c. S1
d. S2
S1
Which myotome would you be testing with dorsiflexion and inversion?
a. L4
b. L4, L5
c. L3, L4
d. S1
L4, L5
Which myotome would you be testing with knee extension?
a. L4
b. L4, L5
c. L3, L4
d. S1
L3, L4
Which myotome would you be testing with hip flexion?
a. L1, L2, L3
b. L2, L3
c. L4, L5
d. L3, L4, L5
L1, L2, L3
If a patient is standing in extension, what does this tell you?
compensation for feeling unsteady
There is (increased/decreased) disc pressure with flexion
increased
This test should only be done if no other test provokes symptoms
lumbar quadrant test
A positive lumbar spine quadrant test is identified by
local pain: facet problem
radiating radicular: nerve root problem
palpation of the lumbar spine has good reliability (true/false)
false
iliac crests are across from L_ in women and L_/_ in men
L4
L4/L5
L5 (small/larger) L4 (small/larger)
small
larger
bottom rib is line with
T12
What are you looking for when doing central PAs?
see if it is stiff
