Advanced Lumbar Spine I and II

Question 1

Misstep off a curb, fall on ischial tuberosity, or hip hyperflexion injuries can cause what type of pubic dysfunction

Answer 1

Superior pubic dysfunction

Question 2

Upward lift on body with foot fixed or hip hyper extension injuries can cause what type of pubic dysfunction

Answer 2

Inferior

Question 3

Flexed sacrum

Flick test
ROM most limited
Sacral base compared to ILAs

Answer 3

+
Into flexion
Sacral base anterior to ILA

Question 4

Extended sacrum

Flick
Motion most limited

Answer 4

+
Extension (hard time standing up straight)

Question 5

Anterior or posterior ilium dysfunctions are defined as being present if at least 3/4 what tests are positive

Answer 5

1. Bony palpation
2. Standing flexion test
3. Supine to long sit
4. Prone knee flexion

Question 6

Right outflare

Cause
ASIS palpation
GT
Limited motion

Answer 6

Fall into lateral aspect of R PSIS

R ASIS more post than L

Distance between ASIS and GT is shorter than L

IR and ADD

Question 7

Right inflare

Cause
ASIS palpation
GT
Limited motion

Answer 7

Fall into lateral aspect of R ASIS

R ASIS more ant than L

Distance between ASIS and GT is greater than L

ER and ABD

Question 8

Does extension centralize pain or nucleus

Answer 8

Pain, not nucleus

Question 9

McKenzie postural syndrome criteria

Answer 9

Pain brought on with sustain postures only

Can be separate or simultaneously in cervical, thoracic and lumbar spine

Question 10

McKenzie dysfunction syndrome criteria

Answer 10

Pain always at end range of motion, never during

Must be present for 6-8 weeks

Question 11

McKenzie derangement syndrome criteria

Answer 11

Most common

Question 12

Lateral shift towards or away painful side

Answer 12

Most common is away (96%)

Question 13

Relevant vs non relevant shift

Answer 13

Relevant “hard” true fixed shift, non responsive to tx and needs clinician assistance

Non relevant “soft” is correctable and does not need clinician help

Question 14

Lateral shifts are highly correlated with what

Answer 14

Herniated discs

Question 15

Relevant lateral shift present if

Answer 15

• upper body visibly shifted
• occurs with LBP
• unable to self correct
• if they can correct they can’t maintain it
• correction affects intensity of sx
• correction affects site of sx

Question 16

Cuff with PPT

Answer 16

Pump to 40 mmhg and contract to 50 mmhg

10x10sh

Question 17

Heel slide, BKFO, SLR cuff

Answer 17

50-60 mmhg

Question 18

Prone knee bend hip ext

Answer 18

Pump to 70 mmhg, lower to 60-64 mmhg, lift knee making sure cuff stays under 80 mmhg

Question 19

Internal oblique (upper ab) sit ups

Answer 19

60% with arms in front of body

80% with arms crossed over chest

100% with arms behind head