Tx for Lumbar Flashcards
what 4 interventions would you use for facet impingement
-jt mob/manip
-STM and contract relax
-mus energy
-therex
What are the following for facet impingement tx:
Directional approach
Core strength/stab
Movement w/ posture re-ed
NMRE
Radiculopathy
Neural flossing
-directional: start in sagittal plane since it’s easiest
-NMRE: core initiation
No radiculopathy and neural flossing
What are the following for facet sprain tx:
Directional approach
Core strength/stab
Movement w/ posture re-ed
NMRE
Radiculopathy
Neural flossing
-directional: direction that’s stiff
-mvmnt/posture re-ed: stay upright, avoid bending
No radiculopathy
How to tx subacute facet sprain
mild to mod mob and ROM
How to tx mild/mod stage hypomob. for DDD
mobs, manual, mech traction, flexibility ex, postural training
How to tx mild/mod stage hypermob. for DDD
back supports, core stab, postural training
Which direction do you want to initially tx DDD
OPP direction of agg
What type of ex’s to do for hyperlordotic? Hypo?
flexion
ext
How to tx severe stage DDD
-active mob TE in position that decreases vertical loading
-bracing or support to decrease movement and vertical loading
How to tx intra spongy nuclear herniation? What should be avoided?
-rest and avoid compress factors
-control mus guarding
-hyperextension and mild traction (maybe)
-corset or brace
Tx techniques for lumbar radiculopathy
-traction
-STM, jt mobb, n mob, ergonomic cuing, postural cuing to decrease foraminal entrapment
What is important to keep in mind with lumbar radiculopathy pt
appropriate referral
Pt edu for lumbar radiculopathy
-pos of decreased nerve entrap/tension
-directional preference
What posture should be avoided with spinal stenosis
ext
