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Lumbar Spine


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