Lumbar test 2 lab Flashcards

1
Q

Which tests and observations will help determine instability?

A

aberrant motion
passive intervertebral motion testing
prone instability test

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2
Q

What are the aberrant motions that can occur with trunk ROM showing instability?

A

Painful arc of motion in flexion or extension
gowers sign
instability catch
reversal of lumbo-pelvic rhythm

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3
Q

Passive intervertebral motion testing is

A

segmental mobility

pain provocation

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4
Q

Segmental mobility has (good/poor) inter and intra rater reliability

A

poor

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5
Q

Pain provocation for passive intervertebral motion testing has (good/poor) reliability

A

good

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6
Q

The prone instability test is only done if there is pain when doing a _

A

central PA

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7
Q

A positive prone instability test is indicated by

A

pain going away after the patient raises their legs

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8
Q

What tests are in the Laslett test cluster for SI joint dysfunction?

A
distraction 
compression 
thigh thrust 
Gaensels 
sacral thrust
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9
Q

The distraction and compression tests are named for

A

what they do to the anterior part of the joint

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10
Q

The thigh thrust test is completed by pushing back on the _ bone

A

innominate

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11
Q

The Gaenslens test is named for by

A

the leg that is down

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12
Q

A positive sacral thrust test is indicated by

A

reproduction of pain with downward pressure

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13
Q

How can you palpate the SI ligament?

A

drop off of PSIS medially

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14
Q

If what two tests are positive should you refer out?

A

Babinksi

Clonus

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15
Q

If a Babinksi or Clonus test is positive, you should

a. keep treating
b. keep treating and then refer
c. ignore these findings
d. refer out do not treat

A

refer out do not treat

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16
Q

What is a sign for central sensitization?

A

allodynia

17
Q

What is considered clinically significant for a pressure algometry test?

A

15% reduction

18
Q

What are you looking for with the pressure algometry testing?

a. tingling
b. weakness
c. local pain
d. widespread pain

A

widespread pain

19
Q

Pressure algometry, localization testing, 2-point discrimination are used for testing

A

nervous system sensitization

20
Q

What is the normative value for 2point discrimination in the lumbar spine?

A

55.5 mm

21
Q

Neutral and nonneutral manipulation are for patients with

a. stenosis
b. disc bulge
c. hypermobility
d. facet issues

A

facet issues