Lumbar Spine Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Term | Definition |
lumbar spine spondylosis | degenerative changes to the facet joints, vertebral bodies, & intervertebral discs of the lumbar spine; usually present w/ aging |
open-packed position of the lumbar spine | flexion |
close-packed position of the lumbar spine | extension |
Management of lumbar spondylosis | postural education, traction/distraction, core stabilization,epidural injection, surgery to shave off osteophytes, etc... |
lumbar spine stenosis | central or lateral narrowing of the lumbar vertebral foramen or intervertebral foramen |
central lumbar spine stenosis | narrowing of the A/P diameter of the vertebral foramen; can compress the spinal cord itself (usually higher vertebrae) or the spinal nerve roots (usually lower vertebrae |
lateral lumbar spine stenosis | narrowing of the IV foramen |
s/s of lumbar spine stenosis | Signs: postural adjustments (will use UE's for support & bend forward), walk w/ a flexed posture, pain w/ lumbar extension Symptoms: Radicular ache/cramp into the lower limbs caused by neurogenic claudication |
neurogenic claudication | compression of a nerve or a temporary interruption of blood supply to a nerve; will improve w/ trunk flexion |
intermittent claudication | pain in lower limbs due to an interruption of blood supply bc of muscle contractions |
management of L-spine stenosis | flexion progression, stretch hip flexors, laminectomy |
flexion progression | Start in PPT in hooklying; have pt bring 1 knee to their chest & then both knees to their chest |
lumbar spine spondylolysis | a fatigue/stress fracture of the pars interarticularis due to repetitive extension motions, congenital bone structure problems, traumatic events, degenerative bone changes, or pathologic bone changes, such as OA and osteopenia |
single leg hyperextension test | standing leg being tested is on the same side as the fracture; extend the spine; positive test- if pt's sxs are reproduced |
management of spondylolysis | bracing in slightly flexed position which prevents extension of the spine, core stability retraining, stretching of the hip flexors, and modified movement training (which motions to avoid) |
sponylolisthesis | ant slippage of 1 sup vert as a result of instability caused by a bilateral defect in the pars interarticularis; most common locations: L4-L5 or L5-S1; 4 grades of slippage |
s/s of spondylolisthesis | pain w/ extreme motion, especially extension; may complain of neurological symptoms |
management of spondylolisthesis | sx management, lumbar stabilization, fusion surgery (usually only for grades III & IV) |
compression fractures | usually occur more frequently in the thoracic spine due to the wedge-shaped bodies of the vertebrae |
management of a vertebral fracture | flexibility, strentgh of the core & lower limbs, surgery (vertebroplasty or kyphoplasty) |
intervertebral discs | very thick in lumbar spine to absorb shock from weight-bearing; 3 parts: 1. nucleus pulposus, 2. annulus fibrosis, 3. vertebral endplates |
nucleus pulposus | mostly water, proteoglycans, & collagen type II fibers; loads like a balloon |
annulus fibrosis | more collagen > elastin; adjacent lamellae (rings) have opposite orientations to each other in order to facilitate constant tension during any movement; weakest portion is posterolaterally; fxn's to decrease compressive & traction loads |
annulus fibrosis (cont...) | attaches to the cartilagenous endplates of the vertebral bodies |
lumbar disk injury | injury to lamella allow nucleus to protrude; pain due to either pressure on a nerve root or chemical irritation of a nerve root; 5 stages |
anterior longitudinal ligament (ALL) | ant surfaces of all vert bodies & the sacrum; well developed along lumbar lordosis; resists anterior shear, axial rotation, extension, distraction; slacks with flexion |
iliolumbar ligaments | prevent ant displacement of L5 on the sacrum; resists motion in all planes |
lumbar mobilizers | rectus abdominus, abdominal obliques, ant fibers of psoas major, iliocostalis, longissimus, quadratus lumborum |
lumbar stabilizers | multifidus, transverse abdominus, post fibers of psoas major, internal abd oblique (post fibers), musc attachments to Thoracolumbar Fascia |
innervated structures of the lumbar spine | post & lateral disc, PLL, ALL, superficial surface of ligamentum flavum, interspinous ligaments, facet joints |
scoliosis | most commonly curvature is in frontal plane; name curve by convexity; strengthen convex side; stretch concave side; surg for curves> 50-60 degrees; spinal fusion w/ or w/o Harrington Rods |
side glide | named in direction the shoulders travel |
quadrant tests | combined gross motion in multiple planes simultaneously |
Iliac crests | between L4 & L5 |
Created by:
MeganFultz2
Popular Physical Therapy sets