Question Bank Flashcards
Pt. presents with severe back pain, numbness when they sit, and trouble initiating urination.
What syndrome are you concerned this pt. has?
What are other typical signs of this syndrome?
Cauda equina
Sx: bladder/bowel dysfunction, saddle numbness, severe pack pain, bilateral leg pain, motor weakness
T/F: Cauda equina is not a medical emergency.
False:
Cord compression is not a medical emergency
Cauda equina IS a medical emergency
Pt. presents with a hyper-reflexive, weakness in her LE, and also has difficulty initiating urination.
What syndrome are you concerned this pt. has?
What are other typical signs of this syndrome?
Cord compression
Sx:
- Motor changes: increased tone, weakness, unsteady gait
- Sensory changes: N/T, paresthesia
- Hyper-reflexive
- +/- bladder/bowel dysfunctions
- +/- pain
The 5 D’s of vertebral artery symptoms
- Drop attack - LOB/falling w/o loss of consciousness
- Dizziness
- Diplopia (double vision)
- Dysarthria (difficulty talking)
- Dsyphagia (difficulty swallowing)
Why would you scan a peripheral joint for a spine condition?
LE joints may contritue to spinal conditions over time
Check peripheral joints closest to the spine (i.e. shld and hip girdle)
What information is gained from applying OP?
Information about the passive structures of the joint
Describe the difference between MMT and myotome testing
MMT tests muscle integrity. Consistent weakness would be indicative of a musculoskeletal issue.
Myotome tests neurological integrity. Fatiguing weaknes would be indicative of a neurological issue
Whenever a load is applied to a muscle only ____% of the available MU are activated
20
Describe the difference between consistent and fatiguing weakness
Consistent weakness: repeated testing will elicit the same strength response because the mm is switching which (20%) MUs are active
Fatiguing weakness: repeated testing will result in a rapid drop in strength because the MUs that are use are depeleted until all MU are used up
Describe the difference between PPIVM and PAIVM
PPIVM: passive physiological intervertebral motion is equivalent to osteokinematics
PAIVM: passive accessory intervertebral motion is equivalent to arthrokinematics
What are the parts of the assessment?
- SINS statement
- Problem list
- Tx goals
- Prognostic factors
If treating a unilateral spine condition which side should you treat first?
Painful side first
If treating with rotation for a spine condition which side should you treat first?
Treat painful side up
If treating for pain what parameters would you use for mobilization?
Choose the least painful technique
Shorter duration: 1-2 bouts, 15-30 seconds
If treating for resistance what parameters would you use for mobilization?
Treat most painful level first at the end range
Increase vigor as tolerated, quicker speed
Longer duration: 3-5 bouts, 45-60 sec