Spine ROM, Strength Measurement Lab

Question 1

Spine ROM measurement methods

Answer 1

• ROM % estimate
• Tape Measure
• Inclinometers/goniometers

Question 2

Spine ROM estimate measurement method

Answer 2

• least objective, often used
• recommended to perform 3 measurements to obtain an average

Question 3

Spine ROM estimate Measurement Method: Quantity

Answer 3

• estimate % of spine ROM in each direction
• Clinicians may also label limitation as mild, moderate or severe

Question 4

Spine ROM % estimate measurement method: quality

Answer 4

• if one region is limited they may have excessive motion from another region
• observe where motion is occuring
• is there normal lumbo-pelvic rhythm
• L/S lack of curve reversal
• Compensations?
• Shaking/juddering, deviation from planar path could mean an instability
• area of focal segmental angulation = stress point
• may also look at extension w/ prone press-up

Question 5

Abdominals MMT grading

Answer 5

• 0: no contraction or motion noted
• 1 trace: palpable contraction no motion
• 2 Poor: arms at sides, only CS raised scapular remains on the table
• 3: fair: arm extended, scapula clears
• 4 good: arms folded on chest scapula clears
• 5 normal: arms behind head scapular clears
• obliques is the same but with diagonal trunk raise

Question 6

Leg lowering MMT for abdominals

Answer 6

• 3 fair: 50% = lower to 75º
• 3+ fair: 60% = lower to 60º
• 4 good: 80% = lower to 30º
• 5 normal: 100% = lower to table
• back raises up than the core is weak/that is not engaged

Question 7

Isometric abdominal endurance

Answer 7

• patient rests at angle of 60º with hips and knees at 90º and arms across chest
• patients feet are stablilized
• back rest is lowered away and patient maintains positions as long as possible = timed
• tests endurance

Question 8

Spine extensors MMT grades

Answer 8

• 0: no contraction or motion noted
• 1 trace: palpable contraction no motion
• 2 poor: arms at sides, only CS raised chest remain on table
• 3 Fair: arms at sides, extend off table
• 4 good: hands folded behind head extend off table
• 5 normal: arms outstretched above head to extend off table

Question 9

Spinal extensors endurance

Answer 9

• prone - pelvis and legs supported and stabilized/strapped to table
• upper trunk off table - initially supported by arms on chair
• patient extends trunk, holds position for as long as possible - timed

Question 10

Spinal extesnor endurance times

Answer 10

• asymptomatic subjects: mean hold time = 133 sec (normal)
• subjects with previous LBP = 108 sec
• currnet LBP subject = 33 sec
• significant decline in endurance

Question 11

Dynamic horizontal side support-side bridge

Answer 11

• testing quadratus lumborum abds and obliques
• 5 = normal; lift pelvis up and hold spine straight 10-20 sec
• 4 = good; difficult holding spine straight can hold 5-10 sec
• 3 = fair; if hold spine straight < 5 sec
• 2 = poor; unable to lift spine off table

Question 12

Back rotators/multifidus test

MMT

Answer 12

• patient quadriped holding neutral pelvis performing dynamic extremity movements
• 5 = normal; contralateral arm and leg lift holding neutral pelvis for 20-30 secds
• 4 = good; single leg lift holding neutral pelvis for 20 sec
• 3 = fair; ability to do single arm lift holding neutral pelvis 20 sec
• 2 = poor; while doing single arm lift unable to hold neutral pelvis