Thoracic & Lumbar Screening and Segmental Dx Flashcards
Fryette’s Type 1 tends to compensate for awhat?
For a single Type 2 located at the APEX or at either END of a GROUP
Can you only have one Type II?
No. They can occur singly or with another adjacent type II
Clinically, the ______, ________ & _____ are thought responsible for maintaining Type II SDs
- Rotatores
- Intertransversari
- Multifidi
RIM
ONSET and the muscles involved:
Type 1
Type 2
Type 1–> long restrictor muscles of the back (think! more segments, bigger muscle)
Type 2–> short segmental muscles of the back
Cool, dry skin
Decreased edema
Ropy
Fibrotic
—–This TART change describes what?
Type 1
Erythematous
Increased moisture
^ Boggy ^
Hypertonic muscles
This describes what kind of dysx?
Type 2
Can 1 unit have a Type I motion?
Yes. Although, they are mainly grouped
When the thoracic and lumbar spine are forward or backward bent (flexed or extended), the coupled motions of SB and rotation in ONE vertebral unit occur in what direction
Same direction: this describes Fryette’s type 2 mechanics.
Type 2 mechanics occurs when sagittal plane motion _____ the neutral range
exceeds
In posterior to Anterior Springing of Spinous Processes, the direct force to the spine is _______
Perpendicular
what is another name for the “Load & Spring” rotation
Short lever segmental rotation motion testing
Rotated Left SD
Hard end feel at L TP
Likes to rotate to the L
In the spring and load test, we look at the rotation of the TP in the ____ plane.
horizontal
in loading and springing, ______________ causes SB
lateral translation
In static vertebral motion testing in the lumbar area,
Resistance to extension –> ______________ SD.
Improving during extension–> ____________ SD,
Resistance to extension –> flexed or neutral SD.
Improving during extension–> extended SD,
In static vertebral motion testingin the lumbar area,
Resistance to motion during flexion–> __________ SD
Improved motion in flexion–> __________SD
Resistance to motion during flexion–> extended or neutral SD
Improved motion in flexion–> flexed SD
Dyanmic segmental motion testing for L1-L5
How do we test
Pt lays lateral recumbant with knees off the table,
Doc has bands on the SP thought to be involved .
Induced flexion and extension: SP should be approximate with extension and separate with flexion.
Resistance to approximation–> ____
Resistance to seperation–> ____
Resistance to approximation–> flexed SD
Resistance to seperation–> extended SD
Dynamic motion testing for T1-T6
Get in sphinx position (TV watching)
Use head as a lever to induce flexion and extension in UT
Dynamic segmental motion testing thoracic for T7-T12
SAME AS THE DYANMIC MOTION TESTING FOR LUMBAR
Position: Lateral recumbant with knees off table
Doc uses hips to cause flexion and extension
Resistance to approximation–> flexed SD
Resistance to separation–> extended SD
Static vertebral MT of the thoracic area
Springing and translation in sphinx position and child pose (cat back) to assess flexion and extension
Positional diagnosing involves ______
sitting up
What plane if F or E checked in?
saggital
