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pt clin med 2 > Lumbosacral > Flashcards

Lumbosacral Flashcards

0
Q

number of people off work from lbp per day in us

A

10 mil

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1
Q

manipulations are effective for blank pain

A

acute

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2
Q

us industries lose blank per year from employees with lbp

A

14 bil

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3
Q

lbp is as common in blank workers as blank

A

sedentary, heavy work

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4
Q

highest risk for lbp occupation

A

truck driver

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5
Q

lbp is self blank

A

limiting

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6
Q

percentage of people with lbp better in one week

A

44

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7
Q

percentage of people with lbp better in one month

A

86

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8
Q

percentage of people better in two months

A

92

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9
Q

percent of lbp recurrent

A

90

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10
Q

this originates in the internal organs and stems from a variety of causes. dull and achy pain that can refer somewhere else

A

visceral

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11
Q

herniation of the disc is non synonymous but may be related to blank

A

ddd

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12
Q

age older than blank are more likely to have ddd

A

60

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13
Q

herniations are predominate in blank

A

younger males

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14
Q

herniations often have a blank but could be insidious

A

moi

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15
Q

annular tear is aka blank of a herniated disc

A

fragmentation/joint mouse

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16
Q

derangement that would hurt with flexion

A

posterior

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17
Q

acute blank often results from ivd herniation

A

sciatica

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18
Q

there is often blank of the muscles present with a deviation from an ivd

A

spasm

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19
Q

central or symmetrical pain across l4/5 rarely buttock or thigh pain, no deformity

A

d1

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20
Q

central or symmetrical pain across L4/5 with or without buttock and or thigh pain, with deformity of flat or kyphotic

A

d2

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21
Q

unilateral or asymmetrical pain across l4/L5, with or without buttock and or thigh pain, and with deformity of lateral shift

A

d4

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22
Q

unilateral or asymmetrical pain across l4/5 with or without buttock and or thigh pain, and with pain below knee, no deformity

A

d5

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23
Q

deragnement with pain below knee and deformity of lateral shift

A

d6

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24
Q

deformity of accentuated lumbar lordosis and can be asymmetrical or symmetrical

A

d7

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25
Q

derangement that should not be manipulated because there is blank

A

d6, pain below knee

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26
Q

central symmetrical derangements

A

1,2,7

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27
Q

unilateral asymmetrical symptoms to knee

A

3,4,7

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28
Q

unilateral asymmetrical to below knee

A

5,6

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29
Q

there is an interrelation of blank disease and posterior blank disease

A

ivd, facet joint

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30
Q

djd is most common in the blank

A

spine

31
Q

more blank segments are more at risk for djd in the spine

A

mobile

32
Q

late stage ddd where the segment is now stiff and stable less likely acute pain source and has a loss of ROM and stiffness in back

A

segmental narrowing

33
Q

iv disc narrowing leads to blank changes

A

posterior facet

34
Q

af bulging creates large blank at bony margins

A

osteophytes

35
Q

segmental narrowing is present in 90 percent of people over this age

A

60

36
Q

bony narrowing of the spinal canal either centrally or in its lateral recesses including the intervertebral foramen

A

spinal stenosis

37
Q

late stage ddd, segment is stiff and stable and less likely acutee pain source

A

segmental narrowing

38
Q

central canal symptoms would be blank

A

bilateral

39
Q

segmental narrowing has limited ROM mostly in blank

A

extension

40
Q

disc space narrowing leads to blank changes as well

A

posterior facet

41
Q

annulus fibrosus bulging creates large blank at margins

A

osteophytes

42
Q

bony narrowing of spinal canal centrally or laterally that can include iv foramen

A

spinal stenosis

43
Q

central spinal stenosis can cause blank compression

A

cauda equina

44
Q

lateral stenosis causes more blank symptoms

A

peripheral unilater, LMN

45
Q

protrusion of the disc, osteophyte, lig flavum folding or bulging, djd, congenital narrowing, subperiostial thickening over the vertebral body and laminar arch can lead to blank

A

spinal stenosis

46
Q

cauda equina related diffuse pain/can be radicular

A

central stenosis

47
Q

radicular pain is from blank stenosis

A

lateral

48
Q

spinal stenosis mimics intermittent claudication associated with blank

A

muscle ischemia

49
Q

stenosis usually tolerates blank while blank doesnt

A

biking, intermittent claudication

50
Q

extension blank spinal canal space

A

decreases

51
Q

instability is more likely to have neurological findings and pain with palpation than blank

A

hypermobility

52
Q

superior vertebrae moves blank and blank during segmental hyperextension

A

posterior, inferior

53
Q

segmental hyperextension can lead to a sprain or blank

A

posterior subluxation

54
Q

spur development from segmental instability can cause development of which narrows the joint space

A

osteophytes

55
Q

pars interarticularis break xray

A

spondylolysis

56
Q

25 percent displaced

A

grade 1

57
Q

half vertebrae displaced

A

grade 2

58
Q

75 % vertebrae is displaced

A

grade 3

59
Q

grade 2 and grade 3 results in

A

joint space narrowing

60
Q

spondylolisthesis is more comfortable with blank

A

flexion

61
Q

spondylolysis is found in blank percent of people

A

10%

62
Q

forward slippage of one vertebra that results in a step deformity

A

spondylolisthesis

63
Q

injection of dye into spinal column imaging

A

myelography

64
Q

costly test for that is good for viewing just about everything

A

mri

65
Q

for picking up small fractures

A

bone scan

66
Q

removal of disc

A

discectomy

67
Q

laminectomy is often used for blank

A

stenosis

68
Q

invasive but non surgical treatment of back pain

A

epidural steroid injection

69
Q

same indications as discectomy and laminectomy along with instability from degenerative changes and or trauma

A

fusion

70
Q

things to keep foramen open after discectomy

A

titanium cages

71
Q

when large midline disc herniation compresses several roots of the cauda equina

A

cauda equina syndrome

72
Q

erosion, sclerosing, and fusion of si joints is called

A

ankylosing spondylitis

73
Q

disease that affects osteoblasts and osteoclasts in patients over 40, present with things like flat lumbar spine, slow gait, bowing legs, hearing loss, tinnitus, vertigo

A

paget’s disease

74
Q

to help page’ts disease, medications can be used to inhibit blank

A

bone loss

pt clin med 2 (4 decks)

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