Thoracic & Lumbar Screening and Segmental Dx

Question 1

Fryette’s Type 1 tends to compensate for awhat?

Answer 1

For a single Type 2 located at the APEX or at either END of a GROUP

Question 2

Can you only have one Type II?

Answer 2

No. They can occur singly or with another adjacent type II

Question 3

Clinically, the ______, ________ & _____ are thought responsible for maintaining Type II SDs

Answer 3

1. Rotatores
2. Intertransversari
3. Multifidi

RIM

Question 4

ONSET and the muscles involved:

Type 1

Type 2

Answer 4

Type 1–> long restrictor muscles of the back (think! more segments, bigger muscle)

Type 2–> short segmental muscles of the back

Question 5

Cool, dry skin

Decreased edema

Ropy

Fibrotic

—–This TART change describes what?

Answer 5

Type 1

Question 6

Erythematous

Increased moisture

^ Boggy ^

Hypertonic muscles

This describes what kind of dysx?

Answer 6

Type 2

Question 7

Can 1 unit have a Type I motion?

Answer 7

Yes. Although, they are mainly grouped

Question 8

When the thoracic and lumbar spine are forward or backward bent (flexed or extended), the coupled motions of SB and rotation in ONE vertebral unit occur in what direction

Answer 8

Same direction: this describes Fryette’s type 2 mechanics.

Question 9

Type 2 mechanics occurs when sagittal plane motion _____ the neutral range

Answer 9

exceeds

Question 10

In posterior to Anterior Springing of Spinous Processes, the direct force to the spine is _______

Answer 10

Perpendicular

Question 11

what is another name for the “Load & Spring” rotation

Answer 11

Short lever segmental rotation motion testing

Question 12

Rotated Left SD

Answer 12

Hard end feel at L TP

Likes to rotate to the L

Question 13

In the spring and load test, we look at the rotation of the TP in the ____ plane.

Answer 13

horizontal

Question 14

in loading and springing, ______________ causes SB

Answer 14

lateral translation

Question 15

In static vertebral motion testing in the lumbar area,

Resistance to extension –> ______________ SD.

Improving during extension–> ____________ SD,

Answer 15

Resistance to extension –> flexed or neutral SD.

Improving during extension–> extended SD,

Question 16

In static vertebral motion testingin the lumbar area,

Resistance to motion during flexion–> __________ SD

Improved motion in flexion–> __________SD

Answer 16

Resistance to motion during flexion–> extended or neutral SD

Improved motion in flexion–> flexed SD

Question 17

Dyanmic segmental motion testing for L1-L5

How do we test

Answer 17

Pt lays lateral recumbant with knees off the table,

Doc has bands on the SP thought to be involved .

Induced flexion and extension: SP should be approximate with extension and separate with flexion.

Question 18

Resistance to approximation–> ____

Resistance to seperation–> ____

Answer 18

Resistance to approximation–> flexed SD

Resistance to seperation–> extended SD

Question 19

Dynamic motion testing for T1-T6

Answer 19

Get in sphinx position (TV watching)

Use head as a lever to induce flexion and extension in UT

Question 20

Dynamic segmental motion testing thoracic for T7-T12

Answer 20

SAME AS THE DYANMIC MOTION TESTING FOR LUMBAR

Position: Lateral recumbant with knees off table

Doc uses hips to cause flexion and extension

Resistance to approximation–> flexed SD

Resistance to separation–> extended SD

Question 21

Static vertebral MT of the thoracic area

Answer 21

Springing and translation in sphinx position and child pose (cat back) to assess flexion and extension

Question 22

Positional diagnosing involves ______

Answer 22

sitting up

Question 23

What plane if F or E checked in?

Answer 23

saggital