Lumbopelvic

Question 1

Common Pattern: Herniated Disc

Answer 1

Insidious
unilateral/symmetrical
worst with flexion, mornings’evenings
periods of no pain

Question 2

Lumbar Radiculopathy

Answer 2

pain down the leg, waking up and feeling funny
constant/intermittent
difficulty with gait

Question 3

Adherent Nerve root

Answer 3

hx of surgery
leg pain that never went away
sharp pain with flexion
better with walking

episodes of burning and aching

Question 4

Stenosis

Answer 4

chronic LBP
cramping with walking
better with flexion
worst with standing tall

Question 5

Spondylosis (Mechanical LBP)

Answer 5

varies depending of activity
episode time between decreases
localized

Question 6

Spondylolysis

Answer 6

localized/unilateral
insidious
worst with extension
stationary=ok

Question 7

Spondylolesthesis

Answer 7

catching sensation
difficulty transitioning from positions
pain standing up right
flexion better

Question 8

Lumbar Manipulation CPR

Answer 8

recent onset <16 days
FABQ <19 
lumbar hypomobility
radicular pain above the knee
Good Hip IR >35

Question 9

Hicks CPR for Stability Approach

Answer 9

Younger than 40yo
SLR >91 great flexibility
aberant/catching with flexion/extension ROM
Positive Prone instability test

Question 10

3 criteria for postive neuro test

Answer 10

reproduces the concordant sign
asymmetrical findings
sensitizing movement that changes patient symptoms

Question 11

LBP non thrust parameters

Answer 11

Grades I-II 30s 1-2 sets

Grades III-IV 4mins of 3-5 sets

Question 12

SI non thrusts parameters

Answer 12

P-A or rotation of inomonate anterior or posterior

Question 13

Direction of preference for lumbar

Answer 13

tyypically extension with hipoffset, then within 72 hours begin supine flexion

dysfunctions typically respond to movements into painful direction 6wks

Question 14

Direction of preference for SI

Answer 14

ant rotated inominate= needs knees to chest

post rotated inominate= needs half kneeling lunge