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Spinal
| Question | Answer |
|---|---|
| Clinical prediction rules (CPR) for predicting success with spinal hypermobility treatment | Age < 41 (most important factor) Positive prone instability test SLR > 91 Aberrant(shaking) movement patterns |
| Hypermobility Clinical Features RE: Pain | pain increased with extension, worse at the end of the day, hypertonicity of lumbar PVM, poor strength & coordination |
| Clinical prediction rules (CPR) for predicting failure with spinal hypermobility treatment | Lack of hypomobility with PIVM, negative prone instability test, lack of aberrant movements, FABQ <9 |
| Demographics of Spondylolithesis | Males > Females (although female slippage is 4 x as likely to continue to progress) |
| Signs of Spondylolsis | Muscle banding w/ standing, "Step" prescence in standing (both disappear in prone position), bilateral sciatica, increased lordosis, hamstring tightness |
| Grades of Spondylolithesis | 1-25% slip (anterior) 2-50% slip 3-75% slip 4- 100% slip |
| Symptoms of spondylolsis | Unable to sit extended period of time, relief w/flexion & rest, radiation into leg, episodic or recurrent LBP |
| 7 clinical signs of instability | 1- Inability to sit for a prolonged period 2- increased muscle tone with standing 3- "step" (spondylolithesis) on standing 4- decreased muscle tone in prone 5- shaking while bending forward 6- Grade 5-6 on PIVM (unstable) 7- Radiological findings |
| CPR for acute LBP manipulation | <16 days sxs, >35 degrees hip IR, PAIVM reveals hypomobility, FABQ <19, No sxs distal to the knee |
| Lumbar Spine Coupled movement with flexion | Sidebending & Rotation to SAME side |
| Lumbar spine Coupled movement with extension | Sidebending & rotation OPPOSITE side |
| Non-coupled movement of Lumbar spine with flexion | Sidebend to right with active rotation to the left (OPPOSITE) |
| Non-coupled movement of Lumbar spine with extension | Sidebend to right with active rotation to right (SAME) |
| 3 models for treating back pain | Pathanatomical, Biopsychosocial, and Segmental Dysfunction |
| 2 categories of Segmental dysfunction model | 1- Altered segment stiffness 2- Altered Motor control |
| CPR for cervical HVT | 1-NDI < 23%, 2-Bilateral involvement, 3- Don't perform sedentary work > 5 hrs/day, 4- Feel better w/neck movement, 5- Don't feel worse with cervical extension, 6- Dx of spondylosis without radiculopathy |
| 5 contraindications for upper cervical manipulation | downs syndrome, MVA, RA, Long term steroid use, hypermobility |
| 6 special test for cervical radiculopathy | Vertebral artery, spurling's test, neck distraction, ULNT1 (median), Cervical ROM, Bakody's sign (shoulder abduction test)C4-C5 |
| CranioCervical vertebral ligaments of the spine: Cruciate ligament , alar ligament, posterior longitudinal ligament, ligamentum flava, ligamentum nuchae, anterior longitudinal ligament | limit extension of vertebral column |
| Purpose of the alar ligament | limit rotation |
| What type of joint is the Atlantoaxial (AA) joint? | Uniaxial synovial (diarthodial) |
| What level of the Lumbar spine is at the same height as the Iliac Crest? | L4-L5 interspace |
| What sacral level is the PSIS of the pelvis used to locate? | S2 level |
| How do you locate the SI Joint? | Inferior and medial to the PSIS |
| What area can be located once the SI Joints are located bilaterally? | Coccyx |
| Location of the Ala on the Sacrum? | Lateral superior portion ("wings") |
Created by:
sgerding01
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