thoracolumbar Flashcards
most mobile spinal segment
cervical
pero in theory thoracic but mobility is negated by the ribs
usual spinal segment involved c neck dysfunction
cervical but thoracic should also be considered d/t upper crossed syndrome
what is mitchelle’s rule of 3
usual MOI for T1-T8
flexion injury
site of thoracic spine most commonly injured
T9-L2
usual MOI for L3-sacrum
axial load injuries
what to consider if pt is betw 15-40
disc herniation
what to consider if pt is betw 18-45
ankylosing spondylosis lalo na if male
what to consider if pt is > 45
OA and spondylosis
what to consider if pt is > 50
malignancy
what to consider if pt is betw 12-13
scoliosis lalo if female
what to consider if pt is betw 13-16
scheuremann’s disease or juvenile kyphosis
what to consider if pt has asthma
barrel chest
what to consider if pt is male
AS and stress on low back
what to consider if pt is female
LBP bcs of heels = inc lordosis
idiopathic scoliosis
possible condition if pain in flexion
acute IV disc herniation bcs it protrudes more
possible condition if pain in extension
facet injury since it closes and irritates each other = naiipit
possible condition if pain in dermatome/myotome
neurological affectation
possible condition if pain is proximal to distal
radicular or nerve root
compare neurogenic and vascular affectation in LBP
neurogenic - frequent LBP
vascular - not as common
compare neurogenic and vascular affectation in standing
neurogenic - provocative
vascular - not provocative
compare neurogenic and vascular affectation in weakness
neurogenic - (+)
vascular - (-) unless chronic talaga
compare neurogenic and vascular affectation in direction of radiation
neurogenic - downward
vascular - upward
compare neurogenic and vascular affectation in reflex changes
neurogenic - affected reflex
vascular - reflex is unaffected
