Spinal Ortho DOs 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
Question | Answer |
Fx of pars interarticularis | Spondylolysis |
XR sign of spondylolysis | Scotty dog on oblique view |
Anterior or posterior slippage of one vertebra on another following bilat Fx of pars | Spondylolisthesis |
XR view to see spondylolisthesis | lateral |
Exercise focus for spondylolisthesis or spondylolysis | Trunk stabilization, Flexed to neutral trunk work, avoid extension / IL sidebending / CL rotation |
Spinal manip for spondy | possibly contraindicated |
Narrowing of spinal canal or IVF with hypertrophy of spinal lamina, lig flavum, facets | Spinal stenosis |
Sx of spinal stenosis | bilat pain/paresthesia in back/butt/legs, extension sensitive, increases with walking, relieved with prolonged rest |
PT Tx for spinal stenosis | joint mobilization, flexion based exercise, trunk stability, traction |
Internal disc annulus disrupted without damage to external structures | internal disc disruption |
Internal disc disruption most common where? | lumbar region |
Sx of internal disc disruption | constant deep achy pain, pain increases with mvmt, no objective neuro findings but may be referred pain into LEs |
PT Tx for internal disc disruption | joint mobs, manipulation may be contraindicated, body mechanics, trunk stability |
Overstretching or tearing of annular rings, vertebral endplate or lig structures | disc bulge/herniation, usu occurs posterolateral |
MOI of disc bulge or herniation | high compressive forces or repetitive microtrauma |
Precipitating factors for herniation posteriorly | posterior disc narrower in height, posterior longitudinal lig not as strong and only central, posterior lamellae of annulus thinner |
Sx of disc bulge | loss of strength, radicular sx, paresthesia |
PT Tx for posterolateral disc bulge | trunk stability, positional gapping, manipulation contraindicatied, body mechanics, traction |
Positional gapping L bulge | 10 min. R sidelying with pillow under R trunk to incr sidebend R. Flex hips/knees. Rotate trunk to left. |
Central posterior disc bulge or herniation usually seen | in cervical spine |
Possible serious sequelae of Cx disc bulge | SC compression with CNS sx – hyperreflexia, Babinski’s |
DJD of facets results in | bony hypertrophy, capsular fibrosis, hyper or hypomobility of joints, synovial proliferation |
Sx of facet DJD | decreased spinal mobility, pain, nerve root impingement signs with loss of strength & paresthesias |
Exam to include for Facet DJD | Quadrant test |
“Locked back” or facet entrapment | abnormal mvmt of fibroadipose meniscoid in facet when Flex to Ext. Meniscoid bunches up and becomes space occupying lesion, distends capsule, causes pain. |
PT treatment for facet entrapment | Facet joint gapping, manipulation |
Early Sx of WAD | HA, neck pain, decr ROM, reversal of lower Cx lordosis, decr upper Cx kyphosis, vertigo, vision/hearing changes, noise/light irritability, dysesthesias of face & UEs, nausea, dysphagia, emotional lability |
Late Sx of WAD | chronic head/neck pain, decr ROM, TMD, limited ADL tolerance, disequilibrium, anxiety, depression |
Clinical findings in WAD | postural changes, excessive muscle guarding, soft tissue fibrosis, segmental hypermobility with gradual devel of restricted segmental motion cranial & caudal to injury |
Abnormal increase in ROM at a joint due to insufficient soft tissue control | hypermobile spinal segments |
Clinical tests for SIJ conditions | Gillet’s, IL anterior rotation test, Gaenslen’s, Long-sitting test, Goldthwait’s test |
Created by:
Jenwithonen
Popular Physical Therapy sets