Other Exam Three Ortho Stuff Flashcards
CPR for lumbar/SIJ manipulation: Probabilities of success
Probability of success:
- one positive: 46%
- two positive: 49%
- three positive: 68%
- four positive: 95%
Variables (basically same as manual category + 1):
- Duration of s/s < 16 days
- At least one hip with >35 degrees IR
- Hypomobility with lumbar spring test
- FABQ work subscale score
- no s/s distal to knee
Two Don’ts for Good Body Mechanics
Don’ts for Good Body Mechanics:
- Bend with our back or lift with your legs straight
- Twist your back when carrying a load
Six Do’s for Good Body Mechanics
- keep your load close to your body (at arm’s lenght the load on your back is 10x the load in your hands)
- Bend at the knees and maintain a straight back
- Turn with your feet not your back
- Keep the weight close to your body
- Push, don’t pull objects
- When lifting, ensure that you keep one foot in front of the the other to maintain your balance
What to tell patients about posture and back pain:
“I want my back to stay happy, and my back is happiest when I am in good posture, so I keep two pillows on the couch, in the car, and at work. Your back wants to be in neutral position. If you do the work to keep your back happy, your back will be happy.”
Cervical Traction, HNP angle of pull
15-20 degrees
Treatments for Lumbar Manual Classification: (4)
- CPA
- UPA
- Transverse Pressure
- Long Finger
Which evaluation tool is considered the ‘gold standard’ of low back functional outcome tools?
Oswestry Low Back Pain Disability Questionnaire
Five risk factors for Poor Posture
- Poor posture
- Tight muscles
- Weak muscles
- Poor body mechanics
- Poor fitness/Poor nutrition/Tobacco/Stress
Supine Spinal Progression (13)
- UL sh flex with ab brace
- Bilat sh flex with ab brace
- Alt knees to chest with ab brace
- Bilat knees to chest with ab brace
- Dead bug with ab brace
- Curl up with ab brace
- Rotational partical cit up with ab brace
- reverse* curl-up w/ab brace (ecc sit up - full range)
- Bridge with march & ab brace
- Bridge feet on s. ball, knees bent) w/ab brace
- Bridge feet on s. ball, knees straight w/ab brace
- Supine ham curl with s. ball (w/ab brace?)
- S. ball pull-over with ab brace
*I had this word crossed out in my notes
Three Biofeedback options for ADIM
- Ultrasound
- BP cuff/stabilizer
- PT feeback
FABQ measurement characteristics
Measurement Characteristics:
- The FABQ hs been demostrated to be valid and reliable in chronic LBP population and
- appears to be useful screening tol for identifying actue LBP patients who will not return to work by 4 weeks
Relationship between cervical pain/ROM and thoracic manipulation
Research has indicated that thoracic manips can have a positive impact on cervical pain and ROM, so Dr. Worst often manipulates T-spine in patients with cervical pain, especially when cervical patients aren’t improving with treatment onlh in the neck.
Sitting Ergonomics/Body-Mechanics Consisderations (6)
- Screen Height
- Desk height
- Chair (can you even put a lumbar support in it?)
- Do feet touch?
- Key-board distance
- Vision problems
High Kneeling Spinal Progression (6 - but 3 are in standing)
- Bilateral shoulder flexion
- Alternating shoulder flexion
- Body Blade (any direction)
- Wall Slides (standing)
- Forward lunge (standing)
- Backward lunge (standing)
How to do the BP cuff/stabilizer method of ADIM biofeedback
- Pump to 40 mmHg
- Usine to ensure absence of PPT compensation
- Hold for 10 seconds per rep
- Do 10 reps
Gibbus Deformity
Gibbus deformity:
- hump back deformity with is a localized, sharp posterior angulation
- Has sharper angule than Dowager’s hump , which is more rounded
Two important themes/principles from McKenzie progressions
- Find the level that makes pt feel completely better (no need to do all the levels)
- Start by trying to keep hands off, progress to hands on if hands off exercises don’t work
Two types of leg length differences:
- true leg length difference
- Functional/apparent leg length difference
Contraindications for throacic manipulation:
- Osteoporosis
- Chronic corticosteroid use (> 1 month)
- Recent fracture
- Spinal cord compression
- Cauda equina compression
- Active degeneration (RA)
- positional dizziness (dizziness brought on by C-spine movments)
- Malignancy
- Active inflammatory condition: osteomyelitis/Ankylosing Spondylitis
Prone Spinal Progression (3)
- Alternating hip extension
- Alternating shoulder flexion
- Superman!
Six tps for Good Posture
- Avoid sitting on soft, squishy chairs
- Use lumbar rolls to support your lower back when sitting in regular chairs or driving the car
- Switch to ergonimic chairs in the office, or for any activity that requires you to sit for long periods of time
- Make sure your mattress is supportive enought to keep your spine sraight when lying on your side
- Use a pillow that supports your neck
- Keep your back straight anduse your thigh muscles when lifting heavy weights
CPR for lumbar/SIJ manipulation: Variables (5)
Variables (basically same as manual category + 1):
- Duration of s/s < 16 days
- At least one hip with >35 degrees IR
- Hypomobility with lumbar spring test
- < 19 FABQ work subscale score
- no s/s distal to knee
Probability of success:
- one positive: 46%
- two positive: 49%
- three positive: 68%
- four positive: 95%
4 lumbar traction equipment parts that I find difficult to remember the names of
- pelvic harness
- thoracic harness
- wieght rope
- thoracic straps
Sitting Spinal Progression (4)
- Sitting balance on swiss ball
- marching in place sitting on swiss ball
- sit to stand from swiss ball
- Torso twisting with plyoball on swiss ball
Visceral Pain
Visceral: pain originating in visera
- Deep vauge achey (could be sharp if bad)
Specific Exericse Tx Category indications (2)
- repeated motion tests
- Strong preference for sitting or walking