Practical 2 Flashcards

1
Q

Disc Lesion w/ radiculopathy presentation

A

Prefer to be in extension
LBP and leg pain below knee
Numbness/tingling in specific dermatome
Sway back posture can be a presentation

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2
Q

Disc lesion with radiculopathy tests

A

Crossed SLR: stretches sciatic nerve

Bowstring: puts pressure on nerve

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3
Q

Disc lesion with radiculopathy mobilization

A

extension bias PA

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4
Q

Disc lesion with radiculopathy exercise

A

prone press up

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5
Q

Facet syndrome presentation

A

Prefer to be in flexion
Well localized LBP with hip/buttock pain above the knee
Absence of neurological deficits and nerve root tension signs/tests
AROM provokes pain (flexion/extension)
Hypomobility with spring testing
Referrals to lumbar spine region, gluteal region, trochanteric region, posterior thigh pain, lateral thigh region, groin region
kyphosis-Lordosis posture is can be presentation

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6
Q

Facet syndrome tests

A

○ Stork would be acceptable: extension, stress on capsule, increases weight bearing load on joints and causes pain
repeated or prolonged ext: stress/weight on joints

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7
Q

Facet syndrome mobilization

A

Flexion bias PA

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8
Q

Facet syndrome exercise

A

Bilateral knee to chest

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9
Q

Spinal Stenosis presentation

A

Prefer to be in flexion
More commonly in elderly >65
Onset of pain with walking and relief after resting 20 minutes or maintaining a flexed position
Normal peripheral pulses
Decreased lumbar extension and difficulty standing or lying in erect position
Neurological deficits may be cross dermatomal

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10
Q

Spinal Stenosis tests

A

Rhomberg Prolonged Extension

Flexion preference – repeated or prolonged flex/ext (10 reps/30 sec

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11
Q

Spinal Stenosis mobilization:

A

flexion bias PA

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12
Q

Spinal Stenosis exercise:

A

Bilateral knee to chest

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13
Q

Spondylolisthesis presentation:

A

○ Prefer to be in flexion
Mechanical pain worsened with activity and alleviated with rest
May be asymptomatic or made worse with extension
Prominent spinous process or indented spinous process
Grade 3 or greater have transverse skin furrow and hyperlordosis

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14
Q

Spondylolisthesis tests:

A

stork

Step defect

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15
Q

Spondylolisthesis mobilization:

A

Flexion bias PA above and below segment

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16
Q

Spondylolisthesis exercise

17
Q

Piriformis syndrome presentation

A

○ Unilateral buttock and posterior leg pain and paresthesia
Neurological MSR normal
Palpation of muscle causes referred pain down back of leg

18
Q

Piriformis syndrome tests

A

Resisted ER

SLR

19
Q

Piriformis syndrome mobilization:

A

contract relax ER

20
Q

Piriformis syndrome exercise:

A

piriformis stretch

21
Q

Ankylosing Spondylitis presentation

A

Young males
Stiff low back with pain that may radiate into the buttock, anterior or posterior thighs
Stiffness when rising with relief with movement
Loss of lumbar lordosis with increasing kyphosis in the thoracic spine and decrease in chest expansion

22
Q

Ankylosing Spondylitis tests:

A

Chest expansion test

○ Structural vs Non-Structural kyphosis

23
Q

Ankylosing Spondylitis mobilization:

A

Gentle PA mobilizations to get movement

24
Q

Ankylosing Spondylitis exercise:

A

○ Prone lying and press ups- start lying, ½, and then full

25
Abdominal Aneurysm | Presentation
``` Usually asymptomatic until rupture Mild to sever middle abdominal or LBP May be associated with complaint of leg pain with exertion (claudication) Pulsatile mid or upper abdominal mass Auscultation may reveal bruit Peripheral pulses may be prominent ```
26
Abdominal Aneurysm tests
Auscultation for bruits | Observation – look for palpable mass (Do first)
27
SIJ Dysfunction presentation:
Primarily pain over the SI joints, butt and lateral side of the thigh Improves with walking, standing
28
SIJ Dysfunction tests:
Distraction | Compression
29
SIJ Dysfunction mobilization:
Gaenslen's contract/relax
30
SIJ Dysfunction exercise:
birddog
31
Instability presentation:
``` Painful arc in flexion Painful arc on return from flexion Instability catch Reversal lumbopelvic rhythm Gower’s sign ```
32
Instability special test
Prone instability test | Aberrant motion/gowers sign
33
Instability mobilization
soft tissue of paraspinals
34
Instability exercise:
birddog