Lumbar Thoracic Mechanics Flashcards

1
Q

L4-L5 herniation

  • what nerve
  • weakness
  • difficulty walking on what
  • affected reflexes
A

L5 nerve
weak dorsiflexion
heel
internal hamstring reflex

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2
Q

L5-S1 herniation

  • what nerve
  • weakness
  • difficulty walking on what
  • affected reflexes
A

S1 nerve
weak plantarflexion
toes
calcaneal reflex

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3
Q

viscerosomatic reflexes controlled by the pelvic splanchnic n.

A
  1. lower GU
  2. bladder
  3. lower GI
  4. uterus/cervix
  5. LE, urethra, erectile tissue
  6. prostate
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4
Q

viscerosomatic reflexes controlled by the vagus n.

A
  1. head/neck
  2. heart
  3. lungs
  4. esophagus/UE
  5. upper GU
  6. upper GI
  7. middle GI
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5
Q

what spinal level controls the adrenal medulla

A

T10

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6
Q

what spinal level controls the appendix

A

T12

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7
Q

cervical superior facet orientation

A

backwards, upward, medial (BUM)

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8
Q

thoracic superior facet orientation

A

backwards, upward, lateral (BUL)

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9
Q

lumbar superior facet orientation

A

backwards, medial (BM)

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10
Q

iliolumbar ligament

A

connects 4th and 5th lumbar vertebrae to the iliac crest

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11
Q

rotatores origin and insertion

A

T1-T12 –> between transverse and spinous processes

brevis: adjacent vertebrae
longus: skipping one vertebra

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12
Q

rotatores action

A

extension

unilateral rotation to opposite side

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13
Q

multifidus origin and insertion

A

O:
L1-L5 (sacrum, ilium, mamillary processes)
T1-T4, C4-C7 (transverse and articular processes)
I:
skipping 2 to 4 vertebrae

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14
Q

multifidus action

A

extension
unilateral flexion to same side
unilateral rotation to opposite side

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15
Q

semispinalis capitis origin and insertion

A

O: C4-C7
I: occipital bone

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16
Q

semispinalis cervicis origin and insertion

A

O: T1-T6
I: C2-C5

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17
Q

semispinalis thoracis origin and insertion

A

O: T6-T12
I: C6-C4

18
Q

semispinalis ms. action

A

extension
unilateral bend of head to same side
unilateral rotation to opposite side

19
Q

lumbar flexion

A

40-90

20
Q

lumbar extension

A

20-45

21
Q

lumbar sidebending

A

15-30

22
Q

coupled motion vs linkage

A

coupled: one action cannot be done without other action along a second axis
linkage: increasing ROM by linking multiple structures; one can move without other

23
Q

cobb angle

  • <25
  • 24-45
  • > 45
  • > 50
  • > 70
A
angle used to measure scoliosis
<25: conservative, frequent radiographs
24-45: bracing, non-operative
>45: surgical fusion
>50: respiratory compromise
>75: cardiac compromise
24
Q

straight leg raise

A

+pain 15-30 degrees

25
Q

workup for radiculopathy

  • pain in dermatome distribution
  • LE weak
  • diminished reflexes
  • +straight leg
A

MRI

26
Q

workup for spinal stenosis

  • bilateral LE pain
  • neurogenic claudication
  • LE weak
  • diminished reflexes
  • +straight leg
A

MRI

27
Q

workup for cauda equina

  • saddle anesthesia
  • LE weakness
  • diminished reflexes
  • urinary retention
A

MRI

28
Q

head and neck viscerosomatic reflex spinal levels

A

T1-T4

29
Q

heart viscerosomatic reflex spinal levels

A

T1-T5

30
Q

lungs viscerosomatic reflex spinal levels

A

T2-T7

31
Q

esophagus/UE viscerosomatic reflex spinal levels

A

T2-T8

32
Q

upper GI viscerosomatic reflex spinal levels

A

T5-T9

33
Q

middle GI viscerosomatic reflex spinal levels

A

T10-T11

34
Q

lower GI viscerosomatic reflex spinal levels

A

T12-L2

35
Q

upper GU viscerosomatic reflex spinal levels

A

T10-T11

36
Q

lower GU viscerosomatic reflex spinal levels

A

T12-L2

37
Q

bladder viscerosomatic reflex spinal levels

A

T11-L2

38
Q

uterus and cervix viscerosomatic reflex spinal levels

A

T10-L2

39
Q

LE, urethra, erectile tissue viscerosomatic reflex spinal levels

A

T11-L2

40
Q

prostate viscerosomatic reflex spinal levels

A

T12-L2