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Lumbar Spine
McKenzie
| Question | Answer |
|---|---|
| McKenzie feels that all LBP is aggravated or perpetuated, if not caused, by what? | poor sitting postures (in BOTH sedentary and manual workers.) |
| Low back pain is the _____ most frequent reason for visits to the physician. | 2nd |
| Which part of the disk has more proteoglycans than collagen? | Nucleus Pulposus |
| Which part of the disk has more collagen than proteoglycans? | Annulus Fibrosis |
| Which part of the disk is thicker anteriorly and weaker posterolaterally? | Annulus Fibrosis |
| Structures that are first to become impinged upon are? | sinuvertebral nerve, dorsal nerve roots – sciatica |
| What patients may be excluded from McKenzie tx? | pt's with severe sciatica with neuro deficits, and those in which no position will reduce or centralize pain |
| What are the four stages of treatment? | Reduction of derangement, maintenance of reduction, recovery of function(flexion), and prevention of recurrence. |
| What is the most important question in the history part of the exam? | Is the pain constant or intermittent? |
| If the pain is constant then it could be caused by what? | Constant mechanical deformation or chemical irritation. |
| If the pain is intermittent then it is always caused by what? | Mechanical Deformation |
| Chemical pain occurs in _________ and _______ disorders. | Inflammatory and infective |
| Chemical pain persists for the first ____ to ___ days following trauma. | 10 to 20 |
| Does constant pain vary in intensity? | Yes |
| Does constant pain disappear? | no |
| Intermittent pain appears and disappears according to what? | Circumstances |
| In extension in lying(EIL) the weight of pelvis and abdomen and force is almost ___________ to the plane of the body and _____ efficient. | perpendicular, more |
| In extension is standing(EIS) the weight of pelvis and abdomen and force is ~ __ deg. to perpendicular to the plane of the body and is _____ efficient | 45,less |
| How is nerve tension(ANR) effected with FIL(flexion in lying)? | it is not effected (No effect(NE)) |
| How is nerve tension(ANR) effected with FIS(flexion in standing)? | it is stretched (worsened (W)) |
| If your patient is experiencing pain on the right side in EIL(extension in lying) what would you instruct your patient to do before having them retry the movement? | Shift their hips to the left(away from the pain). |
| If present, what must be corrected before any sagittal movements can be attempted? | Lateral Shift |
| What direction of movement do you start with when using McKenzie techniques? | Flexion |
| Once you have determined a derection bias you send the pt home with a HEP doing __ reps per __ hours. | 10 reps, 2 hrs |
| If pt pain is constant, they should do 10 reps every _____. | hour |
| Pain of spinal origin by prolonged end-range stress of normal tissue is known as what? | Posture Syndrome |
| What syndrome is potentially the most disabling? | Derangement Syndrome |
| The majority of recurrent back pt's fall into what category? | Derangement Syndrome |
| Rising from sitting increases pain in ________ syndrome only. | Derangement |
Created by:
txst spr 2009
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