Lumbar instabilities and Core stab.

Question 1

what is defined as a defect in the pars interarticularis?

Answer 1

spondylolysis (=broken)/ spondylolisthesis (=anterior slippage of body of vert.)

Question 2

pt. profile: severe LBP after vigorous activity, pain with ext. and rot., they are constantly moving and fidgeting to try and get comfortable, hx of catch/lock. agg. by prolonged positioning
Inc. lumbar lordosis, + Gower’s sign, extension hinging at one segment, poor pelvic control, central PA painful, leg load test pos.

Answer 2

functional instability–> leads to spondylolysis and spondylolisthesis

Question 3

how do u perform the leg load test?

Answer 3

pt is supine, knees up and soles of feet on mat, biofeedback unit longitudinal on side u are testing. inflate to 40 mmHg, perform co-contraction- see inc. in pressure

Question 4

tx for spinal instab?

Answer 4

TA and multifidus training

Question 5

prone test for TA activiation?

Answer 5

pt prone, laying on biofeedback, inflate to 70 mmHg, have them draw in and then hold it while taking 10 normal breaths, pressure should dec. 6-10mmHg, if it only dec. <2 mmHg or if it increases, not doing it right.