TRUNK- Practical cases - EXAM

Question 1

Stage II subacute low back pain
- Waiter’s bow test +
- Sitting knee extension test +
-> Prescribe 2 exercises for the 2 firsts weeks of rehab

Answer 1

1. Cat camel 8-10 reps x 2-3 sets
2. Superman 10’s x 8 reps x 2 sets
3. Pelvic tilt 8reps x 3-4 sets
4. Waiter’s bow 8-10 reps x 2-3 sets

Question 2

Subacute low back pain w/ low risk of chronicity
-> 2 motor control exos for mid-stage (moderate motor control) rehab

Answer 2

1. Dead bug 8 reps x 3-4 sets
2. Bird dog 8 reps x 3-4 sets

Question 3

Chronic low back pain w/ minor yellow flag
No PA in 2 years
-> Prescribe 2 strengthening exercise appropriate for 2 firsts weeks of rehab

Answer 3

1. Waiter’s bow 8-10 reps x 2-3 sets
2. SLR supine or sitted 8-10 reps x 2-3 sets
3. Bridging x10’s x 8 reps x 2-3 sets ?
   => Core strengthening

Question 4

Mid thoracic pain for 2 weeks
Difficulties to hold an uprigtht position for a sustained period
-> Prescribe 2 home-based exos

Answer 4

1. Thread the niddle x 10 reps x 2-3 sets
2. Controllateral extension 15-20 reps 2-3 sets x 5d/week

Question 5

Lumbar discopathy 2 years ago & suffers from recurrent LBP since
- Prone instability test +
-> Prescribe 2 exos

Answer 5

1. Dog bird 5’s hold x 10 reps x 2 sets
2. Superman 5’s hold x 10 reps x 2 sets
3. Prone instability ex 10’s x 10 reps x 2-3 sets

Question 6

Lumbar strenosis & Recurrent LBP
- Prone knee bend test +
- Foward rocking test +
-> Prescribe 2 home-based exos for 1st week of rehab

Answer 6

1. Pelvic tilt 8-10 reps x 2-3 sets
2. Waiter’s bow 8-10 reps x 2-3 set
3. Foward rocking 8-10 reps x 2-3 set
4. Bridging 10’s x 8 reps x 2 sets ?

Question 7

Acute neck pain following a minor trauma w/o yellow flags
-> Prescribe 2 exos appropriate frot he 2 weeks of rehab

Answer 7

1. Deep Flexors ex 6’s hold x 10 reps x 2 sets
2. Harris test 6’s hold x 10 reps x 2 sets

Question 8

Reccurent neck pain w/ foward head posture
- Harris test +
- Low endurance for eretor spinae
-> Prescribe 2 exos to improve his sympts

Answer 8

1. Harris ex 6’s hold x 10 reps x 2 sets
2. Extensor endurance exercise 6’s x 10 reps x 2 sets

Question 9

Back surgery 4 weeks ago
No Pain, no yellow flags, decent motor control
-> Prescribe 2 exos to impri her trunk strength

Answer 9

1. Bird dog 5’s hold x10 reps x 2 sets
2. Dead bug 5’s hold x10 reps x 2 sets

Question 10

Grade II neck pain for 7 weeks
Lost a lot of muscle strength
Kinesophobia
-> Prescribe 2 exercises that would be appropriate

Answer 10

1. Resisted Cx rotation 5’s hold x 10 reps x 2 sets
2. Deep neck flexors muscle 5/6’s x 10 reps x 2 sets
3. Isometric supine neck extension 5’s x 10 reps x 2 sets

Question 11

Grade II neck pain w/ psychosocial dominance
Kinesophobia , believes her neck might break upon mvt
-> Prescribe 2 exos that might reduce her kinesophobia, within 1st week of rehab

Answer 11

1. Isometric supine neck extension 5’s x 10 reps x 2 sets
2. Deep neck flexors muscle 5/6’s x 10 reps x 2 sets
3. Resisted Cx rotation 5’s hold x 10 reps x 2 sets

Question 12

Stage II mechanical LBP w/ Psychosocial dominance
Afraid of mooving ++
-> Prescribe 2 exos, to reduce her kinesophobia within 1st week of rehab

Answer 12

1. Vacum 5’s x 10 reps x 2 sets
2. Pelvic tilt 10 reps x 2 sets