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practical > LUMBAR/THORACIC/RIBS > Flashcards

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

A

Pec minor

23
Q

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

A

NRSlt

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
Q

Superior torsioning of the ribs may reduce the inhalation or exhalation?

A

exhalation

26
Q

MOI for exhalation restrictions attach_______the ribs of involvement.

A
27
Q

Client presents with prominent TP on the left at T2-T7 n the extended assessment position. which dysfunction/s are present

A

FRSlt T2-T7

28
Q

Rib 1+2 motion

A

pump handle

29
Q

RIBS 3-5 motion

A

PUMP (bucket handle)

30
Q

Ribs 6-10 motion

A

Bucket handle

31
Q

ribs 11+ 12 motion

A

caliper

32
Q

Standing assessments

A

Posture (static and dynamic)
active hip rom
standing flexion test
trendelenburg

33
Q

seated assessments

A

active lumbar ROM
seated flexion test
slump
valsalva questions
T.P assessments

34
Q

Supine assessments

A

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
Q

Prone assessments

A

palpate sacral sulcus for rotation
palptate sacral ILA for rotation
springy lumbar

36
Q

FRS is an _______restriction

A

extension/stuck open

37
Q

FRS is caused by the muscle _______

A

Above and on the opposite side of the PTP.

38
Q

ERS is an ________restriction

A

Flexion/Stuck closed

39
Q

ERS is caused by a muscle _________

A

Below and on the same side of the PTP

40
Q

FRS is found in? (position)

A

Extension

41
Q

ERS is found in? (position)

A

Flexion

42
Q

ERS AND FRS are what type of dysfuction?

A

segmental.Type II

43
Q

NRS is what type of dysfuction

A

Type 1/Group

44
Q

NRS

A

3 or more of the same segmental dysfunctions together, found in all 3 ranges.

45
Q

NRS Intrinsic, therapist stands on the ______ side, patient efforts________

A

therapist stand on the convex side, patient effort is to rotate into therapist and side bend away.

46
Q

ERS intrinsic, the therapist stands on the _______ side, the patient efforts_____.

A

The therapist stands on the opposite side, the patients effort is to turn into therapist and side bend away.

47
Q

NRS MOI

A
  1. Errectors
  2. multifidi
48
Q

NRS is tight on the _____ side

A

Concave

49
Q

ERS intrinsic effort is to

A

side bend muscled below

50
Q

FRS intrinsic effort is

A

rotation to the muscles above

51
Q

Rib MOI

A

Scalens
pecminor
seratus ant.
external obliques
internal obliques
Quad. lumb.

practical (9 decks)

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