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Spine > Spine Quiz Material > Flashcards

Spine Quiz Material Flashcards

1
Q

exam findings of lumbar disk herniation/radiculopathy

A

Peripheralized with flexion
Possible neuro s/s
Centralized with extension
May have lateral shift
Positive slump/SLR
Reduced sx with unloading
Imaging with clinical correlation
Lateral Shift

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2
Q

exam findings of degenerative spinal stenosis

A

Reduced sx with repeated flexion
Possible neuro s/s
Increased sx with extension
Reduced extension ROM
Imaging with clinical correlation
Positive two stage treadmill test

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3
Q

exam findings for spondylolisthesis

A

Pain with loading
Step off deformity
Increased pain with repeated extension Imaging with clinical correlation

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4
Q

exam findings of lumbar disk degenration

A

Clinical correlation with imaging
No directional preference
General stiffness with PA

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5
Q

exam findings of facet joint degenration

A

Pain with lumbar quadrant
Reduced pain with flexion
Pain with PA

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6
Q

exam findings of cervical disk hernation

A

Positive Spurlings test
Positive ULTT A
Reduced sx with unloading Reduced ROM ipsilateral
Possible neuro s/s (Could be a cause of myelopathy) Increased muscle tone (guarding)
Imaging clinical correlation

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7
Q

exam findings of cervical degenerative stenosis

A

Increased sx with extension
Increased with ipsilateral flexion
Reduced with unloading Neuro s/s (Could be a cause of myelopathy)
Distal symptoms changed with cx pain/motion
Imaging clinical correlation

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8
Q

exam findings of locked facet

A

Rotation reduced primarily in 1 direction (right or left)
Pain with ipsilateral quadrant (right rotation/ext/side bend)
Sharp pain with motion, minimal pain at rest

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9
Q

exam findings of cervical headache

A

Headache changed by cervical motion
Sx changed with sub-occipital pressure
Restricted upper cervical rotation
Trigger point pressure reproduces symptoms

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10
Q

exam findings of cervical myelopathy

A

(B) UE and or LE symptoms increase with cx flexion
Reduced sensation ((B) UE and or LE)
Increased reflexes (DTR, Hoffman’s, Clonus, Babinski)
Bowel/bladder dysfunction
Imaging clinical correlation EMG

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11
Q

exam findings of thoracic disk hernation

A

Sx changed with thoracic PA
Sx reduced with unloading
Imaging clinical correlation

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12
Q

exam findings of costochondritits

A

Pain with palpation of costal cartilage

Pain with PA of rib

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13
Q

exam findings of compression Fx

A

Pin point pain with PA/Palpation
Flexion deformity
Reduced flexion ROM with pain
Imaging clinical correlation

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14
Q

difference between herniation and radiculopathy

A

herniated disc= “slipped”. one of the disces is damaged and has pused back into the exterior structures of the spine

radiculopathy= disease of the nerve root. condition due to a compressed nerve that can cause pain, numbness and tingling

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15
Q

history of lumbar disk herniation

A

Under 60 years old
(most common 35-45)
Sudden onset
Possibility of neuro s/s
Pain below the knee
Worse in AM
Reduced pain with standing/walking
Increased pain with
• sitting
• static weight bearing
• lifting/twisting

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16
Q

history of lumbar degenerative spinal stenosis

A

Over 60
Gradual onset
Possibility of neuro s/s
Increased walking-better with shopping cart
Better uphill walking
Quickly better with sitting
Calf pain

17
Q

history of lumbar spondylolisthesis

A 
Teens and 20s
Female > Male	
Flexible                                                                
Reduced sx with flexion
Involved in extension activities                            
 Possibility of neuro s/s
Heavy loading 
Increased sx with extension
18
Q

history of lumbar disk degeneration

A 
Over 60	
Family history   
Gradual onset                                       
Better when unloaded (lying down)
Increased pain with flexion
Increased pain with loading activities
19
Q

history of lumbar facet joint degernation

A

Over 60
Pain with extension
Pain sometimes with rotation
No pain below knee

20
Q

history of cervical disk herniation

A

Under 60 years old
(most common 35-45)

Sudden onset (can be gradual)                                     Possibility of neuro s/s  Pain below the elbow                                                Pain in shoulder/scapula                             Reduced pain with arms supported                     Increased pain with loading
21
Q

hisotry of cervical degenerative stenosis

A

Over 60 Gradual onset
Possibility of neuro s/s (could lead to myelopathy)
Improved laying down
Pain with extension and Lateral flex
Chronic stiffness
Arm and possibly LE symptoms

22
Q

history of cervical locked facet

A 
More common middle aged and younger	
Acute                              
 Significant reduction in motion (specific direction) 
Less pain at rest               
May be associated with headache
23
Q

history of cervical headache

A

Women > Men
May start in sub-occipital area
Ram horn distribution
Related to neck position/movement
Unilateral

24
Q

history of thoracic disk hernation

A

More common middle aged and younger
Localized thoracic pain
Radiation around rib
Chest pain
May have dermatomal sensory loss

25
Q

history of costochondritis

A

Woman > Men
Sharp chest pain near bone/cartilage junction Pin point pain
Pain with deep breathing Increased with coughing

26
Q

history of compression fx

A

Women>Men, older, thin build
Deep boring pain
Localized pain lying supine
Sudden onset (although can be gradual) Increased with flexion
Increased with compression

27
Q

classification for stabilization exercises

A

hypermobile patients with symptoms

28
Q

movement implications for lumbar spinal stenosis

A 
try FLEXION
situps
knee to  chest
draping body over physioball
seated forward bends
29
Q

what might you find on examination to indicate a spondylolisthesis?

A

aberrant motion
step off deformity
worse with extension

30
Q

movement implications for spondylolisthesis

A

NO extension; will cause disc to move forward

emphazie flexion

31
Q

what is clinical instability

A

loss of the spines ability to maintain its patterns of displacement under physiologic loads so there is no initial or additional neurological deficit no major deformity

32
Q

clinical instability signs

A

catch in the back
painful arc moving into and returning from flexion
Gowers sign

33
Q

factors in favor of stabilization

A 
Younger Age
\+ Prone Instab Test
Aberrant motions
Greater SLR ROM
Hypermobility with spring test
Increasing episode frequency
Three or more prior episodes
34
Q

factors in favor of manipulation

A 
Recent  pain onset (35 degrees IR)
Hypomobility of at least one segment in L spine
LBP only
FABQ score less than 19
At least one hip with >35 degrees IR
35
Q

factors against manipulation

A

Leg symptoms
No pain with spring test
Increasing episode frequency
Peripheralization with motion testing

36
Q

factors for specific exercise

A

Strong preference for sitting or walking
Centralization with motion testing
Peripheralization in direction opposite to centralization

37
Q

factors against specific exercise

A

LBP only

Status quo with all movements

Spine (1 decks)

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