Spinal Classification

Question 1

McKenzie system emphasizes self-management through

Answer 1

active motion exercises

Question 2

With repeated movement in a specific direction, pain/paresthesiae move proximally in _____ .

Answer 2

centralization

Question 3

With repeated movement in a specific direction, pain/paresthesiae move distally or become aggravated in _____.

Answer 3

peripheralization

Question 4

McKenzie system classifies pts into one of 3 categories:

Answer 4

postural
derangement
dysfunctions

Question 5

Describe PIVM:

Answer 5

passive intervertebral motion

passively put pt. through osteokinematic motion, flex/ext/rotate, to assess motion

Question 6

Describe PAIVM:

Answer 6

passive accessory intervertebral motion

PA glides

Question 7

Sahrman “movement impairment syndrome” primarily based on:

Answer 7

assessing posture, flexibility, strength to classify pts into flex/ext categories, then exercise and posture for intervention

Question 8

Treatment Based Classification System classifies to identify how best to treat which type of pt?

Answer 8

acute

Question 9

What are the 4 Treatment Based Classification System categories?

Answer 9

specific exercise (active osteokinematic motion)
stabilization
manipulation
traction

Question 10

Factors favoring Extension category:

Answer 10

symptoms distal to buttock, peripheralize with lumbar flex, centralize with lumbar ext, preference for ext

Question 11

Factors favoring Flexion category:

Answer 11

Older than 50yoa, preference for flex, imaging evidence of l-spine stenosis

Question 12

Factors favoring Lateral shift category:

Answer 12

visible frontal plane deviation of shoulders relative to pelvis, preference for lateral translation of pelvis

Question 13

Factors favoring Stabilization category:

Answer 13

usually < 40yoa, often above average flexibility, maybe (+) instability testing, PA hyper mobility, aberrant motions (catching)

Question 14

Signs/Sxs specific to postpartum pts:

Answer 14

Greater general flexibility (postpartum, average SLR ROM (>91°)

Positive posterior pelvic pain provocation (P4), and ASLR (Active SLR) and modified Trendelenburg tests

Pain provocation with palpation of the long dorsal sacroiliac ligament or pubic symphysis

Question 15

Factors favoring Manipulation category:

Answer 15

Hypomobility of the lumbar spine
No symptoms distal to the knee
Recent onset of symptoms (35° for at least 1 hip)

Question 16

Factors favoring Traction category:

Answer 16

symptoms of nerve root compression, no movements centralize symptoms