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Med1

LB

QuestionAnswer
Lumbar Spine ROM Flexion, Extension, Lateral Flexion left and right
functional unit of the spine two vertebrae and the disc between them
back is physical and physchosocial
Treatment for low back pain massage, physical therapy, manipulation and mobilization
nonspecific low back pain tissues involved cannot be determined
what do back muscles become in reaction to an injury hypertonic
what is the back pain from a neuromuscular cause the same dysfunctional pattern as pain from muscle strains
use of DTF techniques to treat back pain cause therapeutic inflammation and back muscles may react as in injuries, they may brace or protectively splint and spasm
trigger points LB sprain/strain commonly created in back muscles, chronic source of pain if not treated correctly, referred pain (both into low back and from low back muscles) can be deceptive, refer from distal area or give appearance of a different condition
LB strains injury to muscle-tendon unit, trauma or repetative stress weakening the mm-tendon unit
LB sprains overstretch injury to ligament, sudden twist or wrenching of a joint beyond its normal ROM, stress can weaken ligaments making easier for sprains to occur
Reduce hypertonicity LB sprain/strain effleurage with inc levels of pressure, static compression techniques, deep longitudinal stripping
Range of severity Sprains/Strains mild (first degree) to severe (third degree=complete rupture or avulsion fracture)
how to stimulate ligament healing DTF
why is DTF not used in the back because web of ligaments to deep
where is LB pain from LB sprains/strains close to the spine and aggravated by movements that pull on the damaged ligament or mm-tendon unit
H LB sprain/strain low back may or may not have an identifiable trauma
O LB sprain/strain strains in more superficial mm may have local swelling or bruising
P LB sprain/strain hypertonic mm near the injury, if injury palpable, pain at the injury site,
R LB sprain/strain pain with movements that stretch the injured ST, pain with resisted contraction of injured mm/tendon
TX LB sprain/strain rest rom offending activity, reduce hypertonicity, treat trigger points, when healed cautions stretching and stretching with longitudinal stripping
lumbar facet syndrome LBP that originates from the articular dysfunction of the facet joints
where do vertebrae articulate at the 4 facet jts
facet jts 4=2 superior, 2 inferior
synovial capsule each facet jt has a synovial capsule
cause of facet jt syndrome chronic stress on the posterior portion of the vertebrae also by trauma
acute facet jt syndrome immediate pain at time of injury
H facet jt syndrome deep aching pain close to the spine or referred distally (low back, buttock, groin, post thigh and/or foot), morning pain, aggravated with immobility and lumbar ext and sleeping prone or prolonged sitting
O facet jt syndrome may have hyperlordosis
P facet jt syndrome hypertonicity and trigger points in the spinal erectors, deep palp in the lamina groove may demonstrate exaggerated tenderness
R facet jt syndrome all other movement aggravates except flexion
Tx facet jt syndrome postural distortion, postural re-ed and proper body mechanics, stop offending activity, ice to decrease pain, reduce hypertonicity of intrinsic spinal mm with deep longitudinal stripping in lamina groove, stretch erectors c flexion, lat flexion when able
spondylolysis & spondylolisthesis involve fx of post vert structures, fx at pars interarticularis, result of stress loading on pars, repetitive flexion and ext of L/S, hyperlordosis and carrying heavy backpacks, dx req x-ray
pars interarticularis portion of bone between superior and inferior facet joints
spndylolysis one side vert fx that occurs from excessive loads, chronic or scute, precursor to spondylolisthesis
spondylolisthesis fwd slippage of vert body, both sides have stress fx, separate vert arch from body of vert, slide ant, HS hypertonic(post rot pelvis to compensate)
Created by: mloft
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