LUMBAR/THORACIC/RIBS Flashcards

1
Q

Paradoxical breathing refers to…

A

Contraction of the diaghram during exhalation

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2
Q

Rt on right sacral torsion has a potential associated lumbar dysfunction?

A

NRSrt L1-L5

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3
Q

what assessment indicates the left facet has an extension restriction

A

right prominent TP assessed in extension

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4
Q

is it possible to have an NRS condition which extends from the thoracic spine into the lumbar spine?

A

YES

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5
Q

You prescribe a passive stretch for your clients tight right multifidi. what position are they holding durring this excersise?

A

Right rotation

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6
Q

ERSlt @L2. What are the MOI

A

Lt multifidus inserting on the SP of L2

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7
Q

The QL stabilzes

A

Rib 12

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8
Q

Client presents with ERSrt of t6. which rib torsion may be created

A

superior torsion of right/rib, inferior torsion of the left rib

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9
Q

NRSlt assement indicated which of the following

A

Rt Prominent TPs

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10
Q

VBI test is positive. what is the correct protocol for the therapist to follow

A

maintain the clients neck and head in neutral for the duration of the assessment and treatment

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11
Q

NRSrt what are the MOI

A

Right erector spinae and the right multifidi

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12
Q

FRS Lt at L5. what are the MOI

A

Right multifidi originating on TP of L5

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13
Q

ERS and FRS are which type of dysfunction?

A

Non-neutral/type 2

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14
Q

The lumbar assessment presents with the prominent TP on the right at L4 in the flexed position which facet is dysfunctional?

A

the right facet is closed/has a flexion restriction

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15
Q

FRSlt. which rib torsions may be created?

A

Rt inferior
Lt superior

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16
Q

You assess an inhalation restriction. which rib torsion may be present?

A

inferior torsions

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17
Q

Type 1/neutral dysfunctions present with

A
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18
Q

why is rotation used as a patient effort during the isometric intrinsic treatment for FRS conditions

A

the MOI insert above the segment involved and rotation occurs top down

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19
Q

The right lumbar multifidi are hypertonic. which active ROM may be decreased?

A

Right rotation and left sidebending

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20
Q

Slump test is positive with increased neural symptoms into the leg. which of the following represents the mechanics of this outcome

A

posterior/lateral disc bulge

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21
Q

what is the intent of the straight leg test from SLWL testing

A

to create passive lumbar flexion

22
Q

your client presents with an exhalation restriction of ribs 3-5. what is the likely MOI

23
Q

assessment of T6-t12 reveals prominent right TPs at all segments in all assessment positions. which dysfunction is this?

24
Q

you want to incorporate a PNF stretch for the clients right multifidus. what is their effort during the 7-10 second contraction phase of this exercise?

A

Left rotation

25
Superior torsioning of the ribs may reduce the inhalation or exhalation?
exhalation
26
MOI for exhalation restrictions attach_______the ribs of involvement.
27
Client presents with prominent TP on the left at T2-T7 n the extended assessment position. which dysfunction/s are present
FRSlt T2-T7
28
Rib 1+2 motion
pump handle
29
RIBS 3-5 motion
PUMP (bucket handle)
30
Ribs 6-10 motion
Bucket handle
31
ribs 11+ 12 motion
caliper
32
Standing assessments
Posture (static and dynamic) active hip rom standing flexion test trendelenburg
33
seated assessments
active lumbar ROM seated flexion test slump valsalva questions T.P assessments
34
Supine assessments
check for false + assess tight/weak adductors SLWL Palpate ASIS position for rotation Palpate ASIS position for flares (+seated = +side) Check for aparent/anatomical short leg
35
Prone assessments
palpate sacral sulcus for rotation palptate sacral ILA for rotation springy lumbar
36
FRS is an _______restriction
extension/stuck open
37
FRS is caused by the muscle _______
Above and on the opposite side of the PTP.
38
ERS is an ________restriction
Flexion/Stuck closed
39
ERS is caused by a muscle _________
Below and on the same side of the PTP
40
FRS is found in? (position)
Extension
41
ERS is found in? (position)
Flexion
42
ERS AND FRS are what type of dysfuction?
segmental.Type II
43
NRS is what type of dysfuction
Type 1/Group
44
NRS
3 or more of the same segmental dysfunctions together, found in all 3 ranges.
45
NRS Intrinsic, therapist stands on the ______ side, patient efforts________
therapist stand on the convex side, patient effort is to rotate into therapist and side bend away.
46
ERS intrinsic, the therapist stands on the _______ side, the patient efforts_____.
The therapist stands on the opposite side, the patients effort is to turn into therapist and side bend away.
47
NRS MOI
1. Errectors 2. multifidi
48
NRS is tight on the _____ side
Concave
49
ERS intrinsic effort is to
side bend muscled below
50
FRS intrinsic effort is
rotation to the muscles above
51
Rib MOI
Scalens pecminor seratus ant. external obliques internal obliques Quad. lumb.