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Flashcards in L-Spine MET Deck (9)
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How is Type I movement of the L-spine observed?

- Pt prone: L-spine in neutral
- Look for prominence of 2 or more adjacent transverse processes


On which side will the prominence be felt with a NSR lesion in the L-spine? Why?

- It will be felt on the left
- Type I movement --> side bending and rotation in opposite directions
- Prominence felt on side to which vertebrae are rotated


Describe the treatment of neutral lesion in the lumbar spin.

- Pt sidelying on the table on the side contralateral to the prominence/ concave side
- Therapist facing patient
- Pt's hip flexed 75 degrees
- Raise Pt's feet and ankles causing truncal side bending to the restrictive barrier until movement is felt
- Have patient hold their legs in the air or resist towards or away from the table; have the patient relax; repeat 3-5 times from new barriers


In what position is an extended lesion found in the L-spine?

- Seated flexion


On which side will the patient's ERSR lesion be found?

The right side; Type II side bending/ rotation occur in the same direction


Describe treatment of an extended lesion of the L-spine.

- Pt sidelying on side contralateral to prominence with arm positioned behind the patient
- Flex both the patient's hips and knees towards the movement barrier/ until movement is palpated at the targeted segment
- Patient's upper arm reaches towards the floor, rotating the trunk until movement is palpated
- Pt's feet are dropped off the edge of the table towards the floor creating side bend
- Resist the movement of the feet upwards or downwards; hold 6 - 10 seconds; relax and repeat from a new barrier 3 -5 times


In what position is a flexed lesion found in the L-spine?

- Prone extension


On which side of the patient will a FRSL lesion be found?

Left side because rotation and sidebend occur in the same direction


Describe treatment of a flexed lesion in the L-spine.

- Pt sidelying on the side with the prominence
- Extend lower leg to movement barrier
- Rotate trunk and shoulder girdle posteriorly to the movement barrier
- Flex top hip to 45 degrees, and the knee 90 degrees, and rest the knee on the table
- Lift the foot towards the ceiling to sidebend the trunk into the movement barrier
- Have Pt attempt to lower the foot to the table for 6 - 10 seconds; relax, move to new barrier; repeat 3 - 5 times