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Muscskel > Spinal Conditions > Flashcards

Spinal Conditions Flashcards

1
Q

Are spinal manipulations indicated for a muscle Sprain?

A

Yes

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2
Q

Spondylolysis

A

Fx of pars interarticularis

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3
Q

What view and sign is uesed for spondylolysis?

A

Oblique view - scotty dog

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4
Q

Spondylolisthesis

A

Anterior or posterior slippage of one vertebra on another following bilateral fx of pars interarticularis

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5
Q

Grading of spondylolisthesis

A

1-4 with 1=24 and 4=100% slipped

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6
Q

Clinical test for spondylosis/spondylothesis

A

Stock Test

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7
Q

When doing PT with someone who has spondylosis/spondylothesis avoid what movments? (3)

A

Extension
Ipsilateral SB
Contralateral Rotation

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8
Q

Are spinal manipulations recommended for spondylothysis/spondylothlithesis?

A

No! Theres a fx dumbass

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9
Q

Where is there narrowing with spinal stenosis?

A

Central cananal and intervertebral forament

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10
Q

Signs/Symptoms of Spinal Stenosis

A
  1. Increased pain with Extension
  2. Bilateraly pain/paresthesia in back, butt, thigh, calves and feet
  3. Increased pain with walking
  4. Pain decreased with prolonged rest
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11
Q

Test for Spinal stenosis

A

Van Gelderen Bicycle test

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12
Q

When treating spinal stenosis - flexion ased or extnsion based exercises?

A

Flexion based - extension hurts!

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13
Q

What motions to avoid with spinal stenosis

A

Extension, Ipsilateral SB and ipsilateral rotation

They narrow the SC more

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14
Q

Cervical tx should be done at __ degrees of cervical flexion

A

15 degrees

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15
Q

Internal Disc disruption is most common where in the spine?

A

Lumbar Region

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16
Q

Spinal manipulation indicated for internal disc disruption?

A

No

17
Q

Why is a posterior bulge more common in lumbar spine? (3)

A
  1. Posterior disc narrower in height than anterior
  2. PLL not as strong and only centrally located in lumbar spine
  3. Posterior lamellae of annulus are thinner
18
Q

How long do you what to gap the spine with a posterior disc herniation

A

10 minutes

19
Q

Spinal manipulation with posterolateral bulge?

A

No

20
Q

Where is a central posterior bulge usually seen?

A

Cervical Spine

21
Q

How does a patient with a central posterior bulge present ?

A

With CNS symptoms (Hyperreflexia and (+) Babinski

22
Q

Spinal manipulation for Facet Joints DJD?

A

Can be useful

23
Q

Facet Entrapment caused by

A

Abnormal movement of fibroadipose meniscoid in facet during extension. Meniscoid does not properly reenter joint cavity and bunches up, becoming a space occupying lesion

24
Q

Does someone with Facet Entrapment prefer Flexion or extension

A

Flexion is better, Extension increases pain

25
Q

Two top treatments for Facet Entrapment?

A

Positional facet joint Gapping and Manipulation

26
Q

Spinal Manipulation used for whiplash?

A

Yes

27
Q

Manipulation for SIJ?

A

Yes

28
Q

2 types of bone tumors

A

Primary and Metastatic

29
Q

Signs/Symptoms of Bone Tumors:

A

Unvarying and progressive
Not relieved with rest or analgesics
Worse at night

30
Q

Esophageal cancer manifests

A

Back
Pain with swallowing
Dysphagia
Weight Loss

31
Q

Pancreatic Cancer manifests

A

Gnawing pain from chest to back

32
Q

Acute pancreatis manifests as

A

Mid-epigastric pain radiating through back

33
Q

Cholecysitis manifests as:

A

Abrupt, severe abdominal pain
RUE quadrant tenderness
Nausea, Vomiting, Fever

34
Q

Heart pain manifests as

A

Pain in chest, back, neck, jaw and UE

35
Q

AAA can appear as

A

Nonspecific lumbar pain

36
Q

Kidney, bladder, ovary and uterus disorder can refer to

A

Trunk, pelvis and thights

37
Q

3 causes for Temporomandibular joint pain

A
  1. DJD (OA/RA)
  2. Myofascial pain (muscles - incluing neck and shoulder)
  3. Internal derangement of joint (displaced disc, dislocated jaw, congenital anatomical anomalities)
38
Q

Primary glide of TMJ

A

Inferior which allows a gap in the jointt and stretches the capsule

Muscskel (12 decks)

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