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msk 2nd shift > thoracolumbar > Flashcards

thoracolumbar Flashcards

1
Q

most mobile spinal segment

A

cervical

pero in theory thoracic but mobility is negated by the ribs

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2
Q

usual spinal segment involved c neck dysfunction

A

cervical but thoracic should also be considered d/t upper crossed syndrome

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3
Q

what is mitchelle’s rule of 3

A
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4
Q

usual MOI for T1-T8

A

flexion injury

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5
Q

site of thoracic spine most commonly injured

A

T9-L2

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6
Q

usual MOI for L3-sacrum

A

axial load injuries

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7
Q

what to consider if pt is betw 15-40

A

disc herniation

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8
Q

what to consider if pt is betw 18-45

A

ankylosing spondylosis lalo na if male

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9
Q

what to consider if pt is > 45

A

OA and spondylosis

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10
Q

what to consider if pt is > 50

A

malignancy

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11
Q

what to consider if pt is betw 12-13

A

scoliosis lalo if female

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12
Q

what to consider if pt is betw 13-16

A

scheuremann’s disease or juvenile kyphosis

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13
Q

what to consider if pt has asthma

A

barrel chest

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14
Q

what to consider if pt is male

A

AS and stress on low back

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15
Q

what to consider if pt is female

A

LBP bcs of heels = inc lordosis

idiopathic scoliosis

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16
Q

possible condition if pain in flexion

A

acute IV disc herniation bcs it protrudes more

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17
Q

possible condition if pain in extension

A

facet injury since it closes and irritates each other = naiipit

18
Q

possible condition if pain in dermatome/myotome

A

neurological affectation

19
Q

possible condition if pain is proximal to distal

A

radicular or nerve root

20
Q

compare neurogenic and vascular affectation in LBP

A

neurogenic - frequent LBP

vascular - not as common

21
Q

compare neurogenic and vascular affectation in standing

A

neurogenic - provocative

vascular - not provocative

22
Q

compare neurogenic and vascular affectation in weakness

A

neurogenic - (+)

vascular - (-) unless chronic talaga

22
Q

compare neurogenic and vascular affectation in direction of radiation

A

neurogenic - downward

vascular - upward

23
Q

compare neurogenic and vascular affectation in reflex changes

A

neurogenic - affected reflex

vascular - reflex is unaffected

24
Q

compare neurogenic and vascular affectation in Arterial pulse

A

neurogenic - normal

vascular - decreased or heightened

25
Q

compare neurogenic and vascular affectation in walking uphill

A

neurogenic - later symptoms

vascular - early symptoms

25
Q

compare neurogenic and vascular affectation in walking downhill

A

neurogenic - early symptoms

vascular - later symptoms

26
Q

compare neurogenic and vascular affectation in bicycle

A

neurogenic - not provocative

vascular - provocative

27
Q

MMT of L2

A

hip flexors

27
Q

MMT of L3

A

knee ext

28
Q

MMT of L5

A

big toe ext

29
Q

MMT of S1

A

ankle pflex, everison and hip ext

30
Q

MMT of S2

A

knee flexors

31
Q

tests for thoracic spine

A

slump test
passive scapular approx
first thoracic nerve root stretch

32
Q

tests for neurologic dysfunction in lumbar spine

A

slump
SLR
prone knee bending
brudzinski-kernig
valsalva maneuver
femoral nerve traction
babinski
oppenheim
gluteal skyline

33
Q

tests for joint dysfunction in lumbar spine

A

stork standing
schober’s test

34
Q

tests for muscle tightness in lumbar spine

A

thomas
ober
90-90 SLR
rectus femoris

35
Q

in a normal S curve scoliosis what is found on convex side

A

elevated scap
body of vertebrae
rib hump
pelvic hike - tight QL

36
Q

in a normal S curve scoliosis what is found on concave side

A

tight muscles
spinous process

37
Q

how to DD structural and non-structural scoliosis

A

adam’s test may rib hump sa structural

nawalala or diminished pag non-structural

38
Q

usual cause of structural scoliosis

A

idiopathic
congenital
neuromuscular
neurofibromatosis
disease of vertebra

39
Q

MMT of L4

A

ankle dflex

msk 2nd shift (6 decks)

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