Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OPP IV Final > Short Leg/ Scoliosis > Flashcards

Short Leg/ Scoliosis Flashcards

1
Q

Spinal Biomechanics

A

biomechanics from osteopathic perspective has evolved into a dual study of the adaptive responses of the body to gravitational force and the effects of alterations in joint mechanics that results from injury or impaired function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Spinal Biomechanics

A

biomechanics from osteopathic perspective has evolved into a dual study of the adaptive responses of the body to gravitational force and the effects of alterations in joint mechanics that results from injury or impaired function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

early postural compensation

A

longer single lumbar or lumbothoracic scoliotic curve, convex on side of low sacral base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

cranial movement in C shaped scoliotic curve

A

horizontal cephalad planes depressed on opp side the depressed pelvic horizontal plane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

chronic postural compensation

A

S shaped scoliotic curve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

shoulders and sacral location in S curve

A

shoulders and greater trochanteric planes typically depressed on same side as depressed sacral base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

functional or secondary curve

A

side bending that can reduce lateral curve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

a curve that is unable to be reduced by side bending

A

structural, fixed or primary curve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

management of spondylolisthesis has emphasis on what plane

A

sagittal plane strategies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

management of scoliosis has emphasis on what plane

A

coronal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

c scoliotic response

A 
pelvic shift to L
internal rotation L leg
short R leg
depressed L shoulder 
elevated R shoulder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

S scoliotic response

A 
short L leg
pelvic shifts to R
internal right leg rotation
elevated R shoulder
depressed L shoulder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

S scoliotic response

A 
short L leg
pelvic shifts to R
internal right leg rotation
elevated R shoulder
depressed L shoulder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Postural compensation is coordinated by

A

CNS with continuous feedback provided by visual information, vestibular information
kinesthetic/proprioceptive information from tendons and mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

goal of postural compensation

A

minimized energy requirements to distribute and balance somatic stress while keeping eyes and semicircular canals as level as possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

kyphotic curves or lordotic

A

normal postural curves in sagittal plane
forward bending kyphitc
lordotic backward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pathological kyphotic or lordotic curves

A

kyphosis or lordosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

kyphorotoscoliosis

A

all three planes involved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

rotoscoliosis

A

because rotation and side bending are inseparably linked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

kyphorotoscoliosis

A

all three planes involved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

kyphorotoscoliosis

A

all three planes involved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

crossover sites

A

named for vertebral level where group curves change direction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

where is the convexity in curve named rotoscoliosis right

A

right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

in sagittal plane which way does gravity cause sacrum and pelvis to move

A

sacrum ant
innominates post
L3 weight bearing gravitational line falls anterior to middle transverse sacral axis

25
Q

short leg syndrome misnomer

A

not due to discrepency of legs by because syndrome with variety of related biomechanical findings and Sx

26
Q

foot position on long leg side

A

pronation

so LE internally rotates

27
Q

Lumbar curve with R short leg

A

side bend L and Rotate R

28
Q

short leg syndrome misnomer

A

not due to discrepency of legs by because syndrome with variety of related biomechanical findings and Sx

29
Q

main bone involved in “short leg syndrome”

A

unlevel sacral base

30
Q

most common spinal response to an unlevel sacral base

A

rotoscoliosis

side bend lumbar curve away from low sacral base (short leg)

31
Q

preferred Dx for short leg syndrome

A

radiographic imaging

32
Q

spot that illicits most tenderness in a lumbopelvic curve

A

transverse L4 L5 or attachments of iliolumbar ligament to iliac

33
Q

mild to mod strain heel lift therapy

A

1/8 inch and increase no faster than 1/16 ea week or 1/8 every 2 weeks

34
Q

Tx short leg syndrome

A

lifting heel of leg side with depressed sacral base

35
Q

heel lift therapy for fragile patient

A

begin 1/16 lift and increase no faster than 1/16 inche every 2 weeks

36
Q

mild to mod strain heel lift therapy

A

1/8 inch and increase no faster than 1/16 ea week or 1/8 every 2 weeks

37
Q

Tx heel lift for sudden loss of leg length like hip prosthesis

A

lift full amount that was lost

38
Q

heel lift no higher than what if not lifting front of foot

A

1/2 inch

39
Q

heel lift in children

A

compressive force make bone grow faster

so closely monitor

40
Q

Sx scoliosis

A 
arthritic Sx
backaches
chest pains
neck pains
HA
Sx of organ dysfunction
41
Q

functional scoliotic curve

A

go away with side bending rotation or forward bending

42
Q

mild scoliosis Cobb method

A

5-15 degrees

43
Q

moderate scoliosis

A

20-45 degrees

44
Q

severe scoliosis

A

> 50 degrees
50 affects respiratory function
75 affects CV

45
Q

majority scoliotic curves

A

idiopathic

46
Q

conditions that can lead to acquired scoliosis

A 
osteomalacia
response to inflammation or irradiation
sciatic irritability
psoas syndrome
healed leg fracture
following hip prosthesis
47
Q

curves more likely to decompensate

A

unbalanced

48
Q

second most common scoliosis

A

single thoracic

49
Q

most common scoliosis

A

double major

thoracic and lumbar combination

50
Q

single thoracic scoliosis

A

sidebent R rotated L

L paraspinal rib humps

51
Q

second most common scoliosis

A

single thoracic

52
Q

single lumbar scoliosis

A

assoc with arthritic change

third most common

53
Q

junctional thoracolumbar scoliosis

A

single curve resulting in arthritic change because tends to be a longer curve that functionally over-stresses the spine

54
Q

junctional cervicothoracic scoliosis

A

very uncommon

55
Q

who should be referred to a specialist with spine curvature

A

scoliosis more than 15-20 degrees that has progressive curvature
intractable low back pain and irresponsive to conservative Tx

56
Q

back brace used in what patients

A

20-40 degree curves

57
Q

if electrical stimulation applied to lumbar curve

A

increases lumbar lordosis

58
Q

surgery for scoliosis

A

45-50 degrees

when resp and CV at risk

OPP IV Final (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions