L Spin Scan Flashcards

(33 cards)

1
Q

L spine mandatory questions

A

saddle paraesthesia
bladder / bowel functin
bilateral LE symtoms

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2
Q

region specific questions for L spine

A

pain in cough sneeze
effect of sitting
effect of standing, walking, sitting, lying down
is sleep effected
night pain, unexplained w loss, night sweats
meds
investigation

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3
Q

L1/2 whats it do n was fatiguable weakness of

A

hip flexion

iliospoas

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4
Q

l3 does what n fatiguable weakness

A

knee extention

quads

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5
Q

l4 does what n fatiguable weakness of

A

ankle DF

tib ant

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6
Q

l5 does what n fatiguable weakness of

A

great toe ext

EHL

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7
Q

s1 does what n fatiguable weakness

A

ankle PF

gastroc

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8
Q

s2 does what n fatigues

A

hip ext

glute max

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9
Q

patellar reflex

A

l3/4

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10
Q

achilles tendon reflex

A

s1/2

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11
Q

plantar response whats positive

A

great toe extention and fanning of other toes

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12
Q

what lesion if positive plantar response

A

UMN

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13
Q

how many beats is normal clonus

A

2-3

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14
Q

straight leg raises tests

A

l5-s2

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15
Q

femoral nerve stretch tests

A

l234

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16
Q

sings of buttock

A
limited / painful SLR with no change on flexion
empty end feel hip f
limited trunk flex
non capsular ROM hip
painful weak ext
red, hot swollen
17
Q

kinetic test

A

balance on WB leg

18
Q

kinetic test what should happen

A

NWB side should move inferiorly

WB side should be stable

19
Q

abnormal kinetic test

A

WB side moves superiorly

20
Q

laslett cluster for SU pathology

A

distraction test
thigh thrusts test
compression test
sacral thrust

21
Q

when do you do slump test

A

patients low back pain with or without leg symptoms

22
Q

slump test positive findings

A

reproduces symptoms
abnormal resitance
decreasedROM
increase normal response on one side

23
Q

T/f changes that occur from facilitation can be local or from tissues

24
Q

sensory signs of facilitated semgent

A

hypersensitive to palpation
hyperalgesia

via palpation
light touch / pin prick

25
motor signs of facilitated segment
hypertonicity myotomal fatiguabiltiy hyperreflexia palpate mm length test myotomal DTR
26
test for facilitated segment
``` skin drag temperature scrach test matchstick skin rolling 2 finger test ```
27
whats skin drag test find
sweating
28
whats skin temperature and scratch test look at
vasoconstriction
29
whats match stick ruling and 2 finger test find
skin dystrophy / edema
30
treatment of facilitated segment
``` AROm PROM exercise EPA low grade mobe de facilaite it ```
31
possible causes of sign of buttock
osteomyelitis chronic septic SIJ arthritis #sacrum rheumatic fever w bursitis
32
slump test order
``` start lumbar flexion thoracic flexion cervical flexion ext unaffected DF ```
33
whats lumbar spine compression / traction
the double ACL anterior drawer