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MSK 2 > MSK Spine Disorders > Flashcards

MSK Spine Disorders Flashcards

1
Q

anterior innominate

A

OE * Palpation: inf ASIS and sup PSIS, longer LE in supine, shortens in long sit

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2
Q

anterior innominate agg factors

A

gait, stair descent

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3
Q

anterior innominate ease factors

A

hip flexion, non WB

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4
Q

anterior innominate hx

A

activity related: ie, kicking a ball

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5
Q

central stenosis agg factors

A

extension, prolonged postures, standing and walking, lying down flat, walking downhil

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6
Q

central stenosis history

A

gradual onset

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7
Q

central stenosis pain

A

back and leg pain, bilateral, extrasegmental

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8
Q

central stenosis profile

A

60-70

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9
Q

DDD/DJD

A

OE * palpation: central PA > unilateral PA stiff/pain if acute

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10
Q

DDD/DJD history

A

episodic due to repeated annular tearing

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11
Q

DDD/DJD profile

A

55-60

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12
Q

DDD>DJD pain

A

bilateral blow back symptoms (1 side possibly worse than the other). possible referral to buttock.

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13
Q

disc (IDD, EDD) profile

A

20-40

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14
Q

disc agg factors

A

acute - cough/sneeze. repeated bending, sitting, lifting, stooping chronic: sitting in lordosis, carrying in extension, pain with stooping

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15
Q

disc w/ N root involvement: ProL history

A

typical fast onset

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16
Q

disc w/ N root involvement: ProT history

A

recurrent episodes

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17
Q

disc w/ nerve root

A

central and unilateral PA stiff and painful

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18
Q

disc with N root involvement agg factors

A

flexion, sitting. standing, walking. sneezing

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19
Q

disc with N root involvement: history

A

bending lifting, episodic

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20
Q

disc with N root irritation: ExT pain

A

leg pain worse than back pain; polysegmental (radicular and non-radicular pain)

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21
Q

disc with N root irritation: extrusion profile

A

30-45

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22
Q

disc with N root irritation: PPL pain

A

little to no lumbar pain; dermatomal pattern

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23
Q

disc with N root irritation: PPL, proT/proL profile

A

18-35

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24
Q

disc with N root irritation: ProL pain

A

leg pain worse than back pain; dermatomal pattern

25
Q

disc with N root irritation: ProT pain

A

bilateral paravertebral with buttock/leg pain in partial or complete dermatomal line

26
Q

disc with nerve root involvement, lateral stenosis

A

which dx have positive SLR, Slump, PKB?

27
Q

disc with nerve root irritation (central proL/proT) profile

A

40-45

28
Q

DJD>DDD pain

A

facet can be local pain and refer to buttock, posterior thigh, groin

29
Q

downslip

A

OE * Palpation: inferior ASIS and PSIS

30
Q

downslip hx

A

trauma: being pulled by one extremity

31
Q

DRG (dorsal root ganglion) pain

A

paraesthesia and radicular lancinating pattern

32
Q

ease factor for DDD/DJD, IDD/EDD, and a disc with N root involvement

A

lying down, unloading

33
Q

EDD pain

A

bilateral paravertebral

34
Q

extension limited and painful, SB/Quadrant

A

OE * ROM for lateral stenosis

35
Q

extension limited and painful/SB

A

OE * ROM for central stenosis

36
Q

facet

A

OE * palpation unilateral PA stiff/painful

37
Q

facet agg factors

A

more pain in standing vs sitting. 3D motion extension (cartilage) vs. flexion (capsule)

38
Q

facet ease factor

A

variable

39
Q

facet pain

A

local unilateral pain. can refer to buttock, posterior thigh, groin

40
Q

facet profile

A

chronic >55-60

41
Q

Flexion, SB

A

OE * ROM for DDD/DJD

42
Q

IDD pain

A

local, unilateral pain. Spreads with progression; referral to buttock

43
Q

IDD/EDD

A

OE * palpation: central PA> unilateral PA stiff and painful

44
Q

IDD: negative, EDD: positive

A

What are the results of a neurodynamic test of IDD/EDD?

45
Q

inflare

A

OE * Palpation: medial ASIS and lateral PSIS

46
Q

inflare ease factors

A

IR, non WB

47
Q

inflare hx

A

activity related: hip in end range IR, ie: kicking a soccer ball while cutting

48
Q

inflare/outflare, upslip/downslip agg factors

A

gait

49
Q

instability

A

OE * palpation pain/spasm with central PA pressure. Excessive PPIVM and PAIVM findings

50
Q

instability agg factors

A

prolonged postures, forward bending, sudden unexpected movements, return to erect posture after FB, lifting, loading in extension. PM s/s: possibly clunking with position change. AM s/s: ache that worsens throughout the day

51
Q

instability history

A

gradual or episodic. hx of recurrent dysfunction that becomes worse with each episode. Minor provocations produce disabling pain

52
Q

instability pain

A

highly variable. catching, unilateral pain, deep dull ache. back feels weak or feels as if it will “give way” with certain movements. Sharp pain with sudden or unexpected trunk movements.

53
Q

instability profile

A

young, older if degenerative

54
Q

lateral shift to opposite side of s/s, ipsilateral side bending

A

OE * ROM for shoulder lesion (disc w/ N root)

55
Q

lateral shift to same side of s/s, contralateral side bending

A

OE * ROM for axillary lesion (disc w/ N root)

56
Q

lateral spinal stenosis pain

A

leg pain (patchy, dermatomal, multi-segmental)

57
Q

lateral stenosis and central stenosis ease factor

A

flexing spine (sitting or squatting, walking uphill)

58
Q

lateral stenosis history

A

gradual or sudden unguarded movement

59
Q

limit in sagittal plane movements

A

OE * ROM for ProL and Ext

MSK 2 (16 decks)

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