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Conditions > Presentations week 4 > Flashcards

Presentations week 4 Flashcards

1
Q

What is Lumbar Discogenic Pain

A

Lumbar discogenic pain is a form of
back pain that is caused by
mechanically or chemically damaging
the intervertebral disc

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2
Q

What are the risk factors or causes of LDP?

A

-Hereditary
-Intensive strain on back
-strain on lower back due to sitting for too long
- Weak core muscles
- Obesity
- Smoking
- Age
-This damage can find its origin in traumatic events, as well as in deterioration due to ageing.

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3
Q

What population does LDP affect?

A

Olders
Obese
Those that smoke

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4
Q

Signs and symptoms of LDP

A

Lower back pain
Leg tingling
Numbness
Discomfort in LE
Radiating pain

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5
Q

What body parts are affected by LDP?

A

The intervertebral disc (IVD) is the principal joint between two vertebrae in the vertebral column.
Each IVD is composed of three structures:

  • The nucleus pulposus (NP), a gelatinous inner part;
  • The annulus fibrosus (AF), an outer ring of fibrous tissue that encloses the nucleus pulposus;
  • two endplates of hyaline cartilage.
    • The endplates serve as an interface between the disc and the vertebrae, they cover the upper and lower level of the annulus fibrosus and the nucleus pulposus.
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6
Q

What Physiological functions are affected by LDP?

A
  • Rotation
  • Flexion
  • Range of motion
  • Lifting
  • Climbing up
  • Movement of transferring
  • Sitting for too long
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7
Q

What exercises/treatment can be done for LDP?

A

Cat cow while sitting
Supine hamstring stretch
Stationary bike
Plevic tilt
Walking

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8
Q

What is the general idea of treatment for LDP? OTA/PTA role

A

PTA- Modalities
Heat therapy
Ice therapy
Walker
Cane
Assist with every tasks
modification.
OTA- Manual therapy including joint mobilization and myfascial release
Dry needling
Enhance mobility
Personalized strategies - exercises

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9
Q

What is a Lumbar Compression Fracture?

A

An LCF is when one of the bones in your lower back, called a vertebra, collapses or breaks due to pressure or force

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10
Q

What are CAUSES and risk factors of an LCF?

A

Passive fracturing: fracture happens over time( possibly no pain can be caused by osteoporosis
Trauma: falls, high speed car crashes

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11
Q

WHAT ARE THE RISK FACTORS for LCF?(continued)

A

Age
Gender
Unhealthy lifestyle choices: smoking, unhealthly alcohol consumption, and sedentary lifestyle
Osteoporosis

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12
Q

What population is affected by LCF

A

More common in women
40% of women over the age of 80 have at least some form of CF
Seen most in post menopausal women Older population

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13
Q

Signs and symptoms of an LCF?

A

Non radiating pain along midline of the back
Possibly no pain is possible with a spontaneous fractures
Stooped posture
Loss of height- up to 15cm over time

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14
Q

What physiological functions that are affected by LCF?

A

Restricted ROM
Trunk Rotation
Trunk Flexion/Extension
Loss of height
Weakness or numbness in LE if nerves are affected

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14
Q

What body parts are affected by an LCF?

A

Vertebrae of the Lumbar Spine
Commonly, L1 vertebrae at the thoracolumbar (T12-L2) joint
Typically affecting anterior portion of lumbar vertebrae
Reduction in overall height of the vertebrae
Can affect lumbar curvature

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15
Q

What exercises can be done for LCF?

A

Elbows back in sitting position
Trunk mobility while seated
Bridging in supine—progress into hip extension in prone
Four point kneeling with transverse abdominus
Seated row with dumbells

16
Q

General idea of treatment for LCF?
OTA/PTA

A

PTA
-Supervising exercises, providing/documenting information
-Manual therapy techniques
-Improving trunk stability, mobility and posture
-Spinal strengthening exercises
OTA
-Dressing, showering and additional aids for SDLs
-Instructions of exercises for strengthening core, imporve posture and body mechanics

17
Q

What is Lumbar Spodylolisthesis?

A
  • Spondylolisthesis is the slippage of a vertebrae out of place, also known as slipping a
    disk.
  • Usually the vertebrae slips anteriorly but sometimes it can slip posteriorly.
  • Spondylolisthesis occurs when one vertebra in the spinal column becomes fractured and the
    spine slips out of place, usually in the lumbar area.
18
Q

What are risk factors/causes of LST?

A

Three types of causation-
Congenital
Patholgical
Traumatic

19
Q

What population does LST affect?

A

Athletes - gymnstics
More common in females

20
Q

Signs and symptoms of LST?

A

Pain in extension and rotation of the spin
Weakness in legs
Tenderness
Increased forward leaning posture
Lower back pain
Difficulties with coordination and balance
Pain with remaining in one position

21
Q

What body parts are affected from LST?

A
22
Q

What physiological functions are impacted by LST?

A

Range of motion - Repeated or sudden bending, extending, or
twisting motions
- Weakness in the legs
- Tenderness where the vertebrae is out of place
- An increased forwards leaning posture (semi-kyphotic)
- Lower back pain
- semi/permanent spinal nerve root damage
- Difficulties with coordination and balance (difficulty walking)
Tense hamstrings, hamstrings spasms

23
Q

What exercises can be done for LST?

A

Pelvic Tilts
Partial sit-ups
Knee-to-chest
Hamstring stretch
Standing lunges
Seated trunk flexion
Full squat

24
Q

What is the general treatment for LST?
OTA/PTA

A

Stretches and strength
Maintain a positive attitude

Instruct pt on good posture and proper body mechanics
Proper donning and doffing
Pain managment techniques

25
Q

What is Lumbar Spondylosis?

A

Degenerative condition
Wear and tear of discs, joints and bones

26
Q

What are the risks/causes of LS?

A

Age
Adoposity

27
Q

What population is affected by LS?

A

Older, mid aged adults to elders
Age- 20-64

28
Q

What are signs and symptoms of LS?

A

Impaired mobility and walking
Limited standing and upright activities
Challenges with prologned sitting

29
Q

What body parts are affected by LS?

A

Intervertebral discs
- Vertebral bodies
- Facet joints
- Spinal nerves
- Spinal cord

30
Q

What physiological functions are effected by LS?

A

Range of Motion
- Nerve Compression
- Spinal Stability
- Posture and Gait
- Muscle Function
- Daily Activities
- Quality of Life

31
Q

What exercises can be done for LS?

A

Deep abdominal strength
training
- Lumbar multifidus strength
training
- Hamstring and glute
strengthening exercises
-Pelvic tilt
- Knee to chest
- Cat-cow stretch
- Hamstring stretch

32
Q

What is Lumbar Radiculopathy?

A
32
Q

General idea of treatment for LS?
OTA/PTA

A

Inplementing stretches
Exercise
Educating patient
Pain relief
Massage tools to relieve tension and pain
Supporting PT with techniques
Cupping
Acupuncture
Tapping

Spinal brace, cane or walker
Help with modfications to ADLs

Conditions (5 decks)

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