M2: Lumbar Objective 3 Flashcards
List steps in repeated motion testing
- Establish baseline resting sx and explain what you want them to do
- During motions, continually ask pt about changes in sx behavior
- After 10-15 movements or onset, pt relaxes and reports current sx
Which movements (plane) are performed first in repeated motion testing?
Sagittal plane
Why would frontal plane movements be used for repeated motion testing?
assessing for lateral or rotational DP
Repeated motion testing: if pt’s response is worsening or peripheralization occurs:
Movements discontinued prior to completing all reps
Repeated motion testing: it pt is centralizing or getting better,…
- additional reps may be required
- try a different loading strategy
Repeated motion testing definitions:
Centralized
- Pain in extremity coming from the spine is abolished
- Progressively moves in a proximal direction
- Remains abolished after testing
At the same time, proximal pain may develop or increase in the spine!
Repeated motion testing definitions:
Peripheralized
- opposite of centralized
- pain coming from the spine is produced distally, spreads distally, or increased distally
- remains in the extremity after testing
Repeated motion testing definitions:
Better
Sx decreased or abolished remain better after testing
Repeated motion testing definitions:
No better
Sx decreased or abolished return to baseline after testing
Repeated motion testing definitions:
Worse
Sx produced or increased with movement remain increased after testing
Repeated motion testing definitions:
No worse
Sx produced or increased with movement return to baseline after the test
Repeated motion testing definitions:
No effect
sx do not change during or after testing
What differentiates derangements, dysfunctions, and postural syndromes?
They are different in their responses to repeated motions
What is a derangement?
- repeated motions provokes pain AND
- centralizes or peripheralizes
What is a dysfunction?
- repeated motions provokes pain but only at end ROM AND
- pain goes away at neutral (doesn’t get better or worse)
