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Lumbar Spine
Stabilization and Exercise
| Question | Answer |
|---|---|
| What are some pt signs a PT should recognize when considering stability exercise? *hint 6 things | generalized ligament laxity, painful arc on return, SLR >90, + segmental instability test, painful arc on return, flex/ext radiographs |
| What are some recommended treatment options for stabiliztion?* hint 3 things | start with pn-free muscle firing exercises, gentle AROM ( hand heel rock, pelvic tilt),then support and palliative modalities as needed |
| What are some common history findings for pts that would be a good candidate for stabilization?*hint 6 things | frequent recurrance, min perturbation, previous history of lateral shift, freq manips, pregnancy, positive response to supportive device |
| What are the steps of the standardized baseline examination?*hint 3 things | History, Self-Reports(ODI, FABQ, pn rating), Physical Examination |
| What are the 4 parts of the physical examination when thinking about stability exercises?*hint 4 things | ROM(aberrant motions), Segmental Mobility, Generalized Ligamentous Laxity, Special Tests |
| When ROM testing what are some things you should look for during Aberrant Motion Assessment?*hint 5 things | painful arc in flexion, painful arc on return from flexion, gower's sign, instability catch, reversal of lumbo-pelvic rhythm |
| What do you do to assess segmental mobility? | the Prone Posterior-Anterior Segmental Mobility Assessment |
| What is a positive PIT? | when a PA with hip extension relieves a painful segment |
| When predicting dramatic success for a stability program, what 3 or more findings should be present?*hint name all 4 | PIT, aberrant motions, average SLR>91, age<40 |
| When predicting improvement for a stability program, what 2 or more findings should be present?*hint name all 4 | PIT, aberrant motions, hypermobility, FABQ-PA< or = 8 |
| What are 5 things to look at when classifying someone for stabilization exercises?*hint this is the classification requirements | PIT, aberrant motions, hypermobility, younger age, greater SLR ROM |
| What can be done to increase the complexity of stabilization exercise? | Increase lever arm. Example: can have pt extend leg while performing TA activation in quadriped. |
| How many crieteria must be present for predicting dramatic improvement for stabilization exercise TBC? | 3 of 4 |
| Pretest probability for dramatic success with stabilization exercise = ___%...post test = ___%. | 33%, 67% |
| Unlikely to respond well to stabilization exercise if several of following presetn: | FABQ-PA (physical activity)>9, neg PIT, No abberant motions, Not hypermobile |
Created by:
txst spr 2009
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