Week 3

Question 1

Name 5 indications for muscle energy.

Answer 1

1. Mobilize restricted joints
2. Stretch tight muscles and fascia
3. Improve circulation
4. Alter related respiratory and circulatory function
5. Balance neuromuscular relationships to alter muscle tone.

Question 2

Where are the spinous processes of the lumbar vertebrae in relation to the vertebral body.

Answer 2

Spinous processes are at the same level as the vertebral bodies.

Question 3

Main motion of the lumbar spine.

Answer 3

Flexion/Extension

Question 4

Where can hypertonic latissimus dorsi muscles radiate pain.

Answer 4

Shoulder

Question 5

This ligament narrows in the lumbar region leading to increase risk of disc herniation.

Answer 5

Posterior Longitudinal Ligament (PLL)

Question 6

First ligament to become tender with lumbar posture changes.

Answer 6

Iliolumbar Ligament

Question 7

Best way to rule out etiologies for lower back pain.

Answer 7

TAKE A GOOD HISTORY!

Question 8

Patient presents with severe low back pain with sudden onset and NO history of trauma.

Answer 8

Dissecting Aortic Aneurysm

Question 9

Patient presents with low back pain that wakes him or her up from sleep.

Answer 9

Malignancy until proven otherwise

Question 10

Patient presents with low back and rapidly decreasing neural deficits.

Answer 10

Epidural Abscess of Infection

Question 11

Patient presents with claudication symptoms with low back pain.

Answer 11

Spinal Stenosis

claudication means impaired ability to walk

Question 12

When is FDR used?

Answer 12

Type II flexion somatic dysfunciton in the lumbar spine.

Question 13

When is SUE used?

Answer 13

Type II extension somatic dysfunction in the lumbar spine.