MSK Small Group 2 Flashcards
What is a limitation of lumbar spine movement?
The supraspinous ligament
When did physical medicine and rehabilitation start as a specialty?
1947
Polio, post-war injuries, and the start of people living longer with morbidities began.
What do PM&R doctors do?
They are physicians who diagnose and treat patients with physical disabilities. The goals of treatment are function and quality of life.
Subspecialties include the following: • Pediatrics •Post-stroke care •Musculoskeletal •Sports medicine
Dr. Sullivan: “As a physician looking into the future, you need to ______________.”
make sure you add value to the system: that you’re not just a glorified PA
What is the lifetime prevalence of lower back pain?
85%
What percent of 30-year-olds will have some kind of abnormality on MRIs of their lower back?
30%
45% of 40-year-olds and 90% of 60-year-olds will have abnormalities.
To treat refractory lower back pain, doctors can radiooblate ____________.
the peripheral nerves that innervate the zygapophyseal facets
Where does most of the flexion of the lumbar spine take place?
L4 - S1
What kind of medication is cyclobenzaprine?
Cyclobenzaprine (brand name Flexeril) is a muscle relaxant. It is similar in structure to the tricyclic antidepressants and was originally marketed as such.
Spasticity and clonus are ________________.
rate-dependent increases in tone, meaning they will be smooth if you move their limbs slowly but rigid and stiff if you move their limbs fast
Where does the term “-opathy” come from?
PATHology
The biggest predictor of osteoporosis is _______________.
family history
What two tendons are involved in De Quervain tenosynovitis?
Abductor pollicis longus and extensor pollicis brevis
“All Peanut Lovers Eat Peanut Butter.”
In a study done in Europe, what percent of soccer players were able to return to play after an ACL tear without surgery?
40%
About one-third of people do not have displacement because their hamstrings stabilize the knee. (John Elway played in the NFL with an ACL-deficient knee.)
How long does recovery take after ACL repairs?
About a year
