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Lumbar Spine
| Question | Answer | ||
|---|---|---|---|
| What degrees of flexion do you get for anterior/ posterior pelvic tilt | 20 degrees | ||
| How do you check the length of the QL | Lateral flexion | ||
| What is spondylitis | It is the inflammation of the spine. | What happens to the vertebrae? | The vertebrae fuses and becomes stiff |
| What is a disc prolapse | It is the impingement of the nucleus pulposus on the annulus fibrosus | ||
| What is spondylolisthesis | It occurs when the vertebrae slips forward onto the bone below it. | What ROM is painful and limited | Extension ROM |
| What does pain in flexion implicate? | Discogenic issues | ||
| What does pain in extension implicate? | Facet joint problems | What else does pain in extension implicate? | Spondylolisthesis and spondylosis |
| List three ways that TA and multifidus increases spinal stability | Increase in intra-abdominal pressure | Increase in joint stiffness | Increase in rotational stability |
| What is a disc extrusion | It is when the nuclear pulposus emerges through on the annulus fibrosus. | Which ligament is affected and what happens? | The posterior longitudinal ligament. But it remains intact. |
| What is a disc sequestration | It is when the nuclear pulposus emerges through the annulus fibrosus and the posterior longitudinal ligament is disrupted. | Where does the nucleus pulposus enter and what problems does it cause? | The epidural space. It causes nerve root issues |
| Name four functional back assessments | Segmental stability Single leg bridge hold Prone hip extension test Single leg squat | ||
| How do you test segmental stability? | Active flexion | What do you pay attention to? | Mobile or stuff segments |
| What does a single leg bridge hold test? | Tests glutes function | What else does it test? | Internal and external obliques |
| What does a prone hip extension test test? | Lumbopelvic stability | What else can you deduce from this test? What muscle action do you expect | Proprioceptive abilities. Glutes should fire most then hamstrings and the contralateral erector spinae |
| What movement analyses can be performed for the back? Name seven | Segmental bridges Bridge with rotation Bridge with extension Hip hikes Squat Single leg squat Lunge | ||
| Name two clearing tests to do to differentiate lower back pain | Squat and SIJ tests | Name the four SIJ tests | Gaenslins FABER Test Pain provocation test Anterior and posterior gapping |
Created by:
Kangai
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