Mob/Manip Class Notes 3: RAT 3 Flashcards
Which of the following is one of the most serious adverse effect of lumbar spinal mob/manip?
A. CES
B. Cervical spinal stenosis
C. Spinal compression fx
D. Severe hypertension
A. CES
CES = adverse effect of
lumbar manip
CAD (Cervical artery disease) = adverse effect of
cervical manip
Your 53 y/o pt has severe LBP which began insidiously and has worsened gradually over the past few months. Part of why he came as a direct self-referral to you was because he doesn’t have a regular physician (he goes to the ER when he’s sick). He has many agg factors and his AROM is equally limited in all directions. He doesn’t have any radicular sx’s and the neuro screen is negative. His mobility is only limited by pain (empty end-feel limits most special tests). What is the most appropriate action?
A. Trial SI mobs because he can’t tolerate SI manipulation yet
B. Traction b/c he can’t tolerate anything else (no radicular symptoms, doe)
C. Treat pain and try manip when he can tolerate
D. Refer pt for further diagnostic testing and then treat
D. Refer pt for further diagnostic testing and then treat
Your 53 y/o pt has severe LBP which began insidiously and has worsened gradually over the past few months. Part of why he came as a direct self-referral to you was because he doesn’t have a regular physician (he goes to the ER when he’s sick). He has many agg factors and his AROM is equally limited in all directions. He doesn’t have any radicular sx’s and the neuro screen is negative. His mobility is only limited by pain (empty end-feel limits most special tests). What is the most appropriate action?
A. Trial SI mobs because he can’t tolerate SI manipulation yet
B. Traction b/c he can’t tolerate anything else (no radicular symptoms, doe)
C. Treat pain and try manip when he can tolerate
D. Refer pt for further diagnostic testing and then treat
Why is D the best answer?
because he had “undiagnosed” pain
Which is not one of the 3 categories of traction intervention?
A. Manual
B. Mechanical
C. Oscillatory
D. Positional
C. Oscillatory
Which is not a good technique to work on hip extension mobility with spinal stenosis
A. Theraband hip ext in standing
B. Anterior glide in prone
C. Pillow under distal knee in prone
D. Supine hip ext with contralateral knee flexed
C. Pillow under distal knee in prone
Which is not a good technique to work on hip extension mobility with spinal stenosis
A. Theraband hip ext in standing
B. Anterior glide in prone
C. Pillow under distal knee in prone
D. Supine hip ext with contralateral knee flexed
Why is C the correct answer?
- because they have LSS, will have limited hip extension
- when you put the pillow under their knee, will most likely result in increased lumbar extension
Which is NOT a finding that would lead you to think the pt belongs in the stabilization category?
A. Age over 40
B. Hypermobility
C. Sx in the lumbar, buttock, and thigh areas
D. No centralization
A. Age over 40
correct answer would be under 40
Which of the following is NOT one of the key tx for a pt in extension DSE?
A. Avoid sitting whenever possible
B. Sit with lumbar support
C. Perform passive extension several times a day
D. Minimize excessive anterior pelvic tilt
Minimize excessive anterior pelvic tilt
Which of the following is NOT one of the key tx for a pt in extension DSE?
A. Avoid sitting whenever possible
B. Sit with lumbar support
C. Perform passive extension several times a day
D. Minimize excessive anterior pelvic tilt
Why would D not be a good thing to do for this pt?
increases lumbar extension
A pt with _____ should NOT have traction?
A. Severe pain
B. Radicular pain
C. OA
D. Hypermobility
D. Hypermobility
Which is NOT a finding that would lead you to think the pt belongs in the Mob/Manip category?
A. Lumbar joint mobility deficits
B. Low fear avoidance behavior
C. Avg SLR over 91°
D. Symptoms limited to lumbar, hip/buttock, thigh
C. Avg SLR over 91°
Which is NOT a finding that would lead you to think the pt belongs in the Mob/Manip category?
A. Lumbar joint mobility deficits
B. Low fear avoidance behavior
C. Avg SLR over 91°
D. Symptoms limited to lumbar, hip/buttock, thigh
What category would C likely be placed in?
stabilization
Ultimate goal of stabilization program
A. Meeting the criteria of either prone or supine TrA contraction tests (pressure biofeedback)
B. Being able to demo a maximal abdominal brace > 1 minute and still being able to breathe in supine
C. Holding the extensor and flexor endurance tests for the same amount of time without excessive effort
D. Demo spinal control during functional movements, including agg activities
D. Demo spinal control during functional movements, including agg activities
