SMT 421-480 Flashcards
1
Q
- What is a (+) ER test?
A
pain with extension combined with rotation towards the painful side
2
Q
- Who obtained a concensus from expert Australian & NZ for LBP
A
Wilde et al 2007
3
Q
- What did 94% of the panel agree on
A
localized unilateral LBP
4
Q
- How did Delitto et al 1995 diagnose lumbar segment instability?
A
if LBP is caused by minimal perturbations
- presence of lateral shift deformity
- short term relief from manipulation
- trauma
- use of oral contraceptives
- bracing improve symptoms
5
Q
- Paris 1985 and Maitland 1986 diagnose LSI by?
A
presence of a step off between adjacent Spinous processes
hypermobility on PPVIM and PAIVM
6
Q
- O’Sullivan in 2000 diagnose LSI by?
A
- giving way, slipping out or locking with presence of reverse lumbopelvic rythm
- presence of posterior shear stress using posterior force
7
Q
- What 3 authors relate LSI to aberrant motions such as an instability catch?
A
Paris 1985 ; Nachemson 1985 and Ogon et al 1997
8
Q
- What is an aberrant motion?
A
- a sudden acceleration or deceleration of movement
and movements occuring outside the plane of motion like SB or rotation with flexion occurs from a flexed position
9
Q
- Have aberrant motions ever been related to symptoms or abnormal movements in imaging studies?
A
No concurrent validity to date
10
Q
- What did Barnes et al 2009 contribute to LSI studies
A
a variation from normal spine coupling
11
Q
- Who attempted to demonstrate consistent coupling patterns?
A
Legaspi & Edmonds 2007
12
Q
- Did Legaspi & Edmonds 2007 find a consistent coupling pattern between SB and Rot in Lx spine?
A
No.
13
Q
- Is there evidence to support the use of coupled motion to evaluate or treat LBP?
A
No.
14
Q
- Is coupling detectable by palpation?
A
No. The motion is only +/
15
Q
- What 6 criteria did Paris 1985/2003 use as exam findings for LSI?
A
- Instability catch
- Hypertrophied band horizontal raised muscle tone on standing
- Step off on standing that disappears on lying
- shaking/shuddering on forward bending (Ogon et al 1997)
- Imbalance on SLR
- Grade 5 or 6 on PPIVM
16
Q
- Kirkaldy-Wallis & Farfan 1982, O’Sullivan 2000 use what findings in their studies?
A
- painful arc during motions
- inability to stand erect s assistance from hands