Quizes: What type of pain? AND Which muscle is tight? Flashcards
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Achey, vague
S, V
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Associated with certain days of the month
V
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Entire posterior thigh
S, R
somatic is better
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Lancinating
R, V
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Associated with large meals
V
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Narrow band of superficial band
R
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Not associated with movement or position
V
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Mechanical pattern of agg/ease
S, R
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Mild
S, R, V
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Pain expands distally as problem worsens
S, R, V
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Pain and paresthesia
R
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Pain without other sensory complaints
S, V, R
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Poorly locatized
S, V
paired with achey, vague
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Superficial
R
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Deep
V, S
For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular
Severe
S, V, R
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh does not reach the table and the knee is flexed to 80*.
D
wont know until the knee is extened
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh reaches the table and the knee is flexed to 50*
C
**make sure that the pt is relaxed and they are on the edge of the table
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh is on the table and the knee is flexed to 80*
A
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh is on the table and the knee is flexed to 60. When the knee is flexed further, the thigh lifts from the table 20
C
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh does not reach the table ad the knee is flexed 45*. When the knee is straighten, the thigh drops halfway to the table.
D
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh does not reach the table and the knee is flexed to 60*. When the knee is straightened, the thigh drops halfway to the table.
D
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh does not reach the table and the knee is flexed 70*. When the knee is straightened, the thigh lowers to the table.
C
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh does not reach the table and the knee is flexed 70*. When the knee is flexed further, the thigh raises further from the table.
D
Choose one of the following for each of the Thomas test results:
A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris
The thigh doesn’t reach the table. Knee at 80*. straightened and flexed and thigh stays the same.
B
The capsular pattern of the spine causes limited
A: contralateral LF and rotation
B: contralateral LF and ipsilateral rotation
C: ipilateral LF and rotation
D: ipsilateral LF and contralateral rotation
B: contralateral LF and ipsilateral rotation
A pt with very flexible hamstrings are likely to have
A: limited hip contribution to flexion
B: excessive hip contribution to flexion
B: excessive hip contribution to flexion
An inclinometer that is placed on the sacrum during flexion will give a good assessment of
A: hip mobility and/or hamstring flexibility
B: lumbar jt mobility and muscle flexibility
C: overall lumbar and hip/hamstring flexibility
A: hip mobility and/or hamstring flexibility
A pt with a dics herniation at L5/S1 with nerve root impingement is most likely to have weakness in
A: ankle DF
B: great toe ext
C: PF
C: PF
You pt with lower lumbar spine pain has 3+ R Achilles DTR. All other STR’s in B extremities are 2+. This hyperreflexia suggests
A: a lower lumbar vertebral canal problem
B: a CNS problem
C: Nerve root irritation
D: Nerve root compression
B: a CNS problem
Your 69 yo pt has excessive thoracic kyphosis and FHP and reports B symmetrical LBP of several weeks duration. He says he started working as a WalMart greeter a few months ago, which involves standing on his feet several hours per shift. His pain is worst in standing, best with reclining in his armchair. Sitting in an upright chair is also uncomfortable but not as bad as standing. He thinks his posture has deteriorated since starting this job. How can you decide where his postural problem are relevant to his LBP?
A: Assess baseline symp, have him actively improve his standing posture with instructions, then reassess symp.
B: Assess baseline symp, have him actively improve his sitting posture with instructions, then reassess symp.
C: Do the two stage treadmill test to look for reproduction of symp which would suggest spinal stenosis
D: Instruct him to put a pillow or lumbar roll in his lumbar spine in the recliner and then reassess the effect next visit.
A: Assess baseline symp, have him actively improve his standing posture with instructions, then reassess symp.
Joe has LB and R leg P and stands with his shoulders level but to the L of his pelvis. Which of the following describes this observation? A: L lateral shift, which is typical B: L lateral shift, which is atypical C: R lateral shift, which is typical D: R lateral shift, which is atypical
A: L lateral shift, which is typical
Joe says that he started “standing crooked” a few days ado when his back and R calf P began but that he cant correct it when you cue him to do so. What should you do to decide if this is a relevant lateral shift?
A: I don’t need to do anything bc the P and shift started at the same time which automatically makes it relevant
B: Manually correct the shift and if that improves his back pain then it is relevant
C: Manually correct the shift and if his calf pain diminishes by the next visit then it is relevant
D: Manually correct the shift and if his distal calf pain diminishes but the proximal calf pain remain the same then it is relevant
D: Manually correct the shift and if his distal calf pain diminishes but the proximal calf pain remain the same then it is relevant
Before Joe leaves treatment your CI reminds you to instruct Joe in home shift correction since you got such good results with manual shift correction today. The instructions for Joe should be to stand with his \_\_\_\_ arm against the wall with the elbow at 90* and slide his hips to the \_\_\_\_. A: R, R B: R, L C: L, L D: L, R
C: L, L
If Joe’s leg P increased with shift correction but his back pain improves, the best course of action would be to
A: stop the standing shift correction and try the unloaded shift
B: Teach him self shit correction for his HEP
C: Continue the shift until overcorrection has been achieved and reassess
D: Start the prone progression by placing him over 2-3 pillow
A: stop the standing shift correction and try the unloaded shift
The lumbar quadrant is best used in pt with LBP
A: and hip P to help you decide if you should further evaluate the lumbar spine
B: to help rule in SIJ as a possible contributing source
C: that increased with ext and increased with ips flexion to rule in spondylosis
D: rule out spinal stenosis when cont flexion and flexion each increase P
A: and hip P to help you decide if you should further evaluate the lumbar spine
During slump testing, you tell the pt to slump and she drops her face toward her lap at the same time she rounds her spine. She says this increased her buttock pain. This is
A: OK since dropping her head fwd is the next step anyways and the therapist should proceed with extending the knee to continue the test
B: Not OK since flexing the head forward puts the nervous system on slack and will limit her knee ext range
C: Not OK since neurodynamic tests must be done in a careful stepwise progression in order to make the appropriate assessment
D: OK since next flexion tells me that the pain has a neurodynamic source, I can skip the rest if the slump test and call it (+)
C: Not OK since neurodynamic tests must be done in a careful stepwise progression in order to make the appropriate assessment
You pt reports R buttock and thigh pain when doing downward dog since she started trying to use yoga DVD at home to rehab from a mild R hamstring strain after resting it for a couple of months by doing no exercise or recreational activity. She L SLR is 105* (with DF) and (-). Her R SLR is 90* and DF increases her familiar P. What is your assessment of these results?
A: Her R SLR is (+) for neurodynamic contribution to her pain
B: Her R SLR is also (+) since her SLR ROM is within normal limits
C: It is unclear until a sensitizing maneuver has been done to clarify HS from neurodynaics
D: SLR is not an appropriate test; slump is better for this type of suspected neurodynamic problem.
A: Her R SLR is (+) for neurodynamic contribution to her pain
Why is it important to evaluate the hip in a pt with LBP?
Compensation for hip P or ROM
or visa versa
Which of the following is NOT a common S/S of hip OA A: a report of lateral hip pain B: significant limitation of hip IR C: painful arc during active SLR D: (+) Scour test, esp loaded.
C: painful arc during active SLR
