LBP Exam Flashcards
(19 cards)
Which of the following statements BEST explains how repetitive motions more often help centralize symptoms related to a typical and acute posterolateral internal disc derangement?
Hydrostatic pressure increases to decrease osmotic pressure away from the spinal nerve.
Which of the following conditions is primarily and BEST influenced by McKenzie exercises using repetitive motions with directional preferences?
Acute IDD
Physical therapy includes various intervention possibilities and delivery methods. Which of the following should a physical therapist be aware of for best practice?
Reward quality of care over quantity with physical therapy payments
Which of the following interventions for low back pain are both considered first-line treatments?
Education and exercise
A patient reports onset low back pain while forward bending to pick up an item. They awake the next morning with paresthesia’s distal to their right knee, which are improved gradually with walking but then worsened while while sitting at work. Which of the following stress test would be MOST likely to be positive in the low back scan?
Lumbar Compression
A patient demonstrates signs and symptoms of lumbar hypermobility/instability. Which of the following areas should be assessed for potential contributing joint hypomobility?
Lower Thoracic Spine and Hip Joint
Which of the following areas of the spine is MOST likely to create cord compression if a similar centrally located disc herniation occurs in each region?
Thoracic
Considering persistent internal disc derangement and age-related disc changes, which of the following must occur for the nucleus to migrate or herniate?
Annulus Degeneration
Which of the following conditions is MOST likely indicated with a positive bilateral torsion test at one segment?
An Acute Spondylosis Condition
During the Gillet or March Test, which of the following motions should the clinician be assessing?
Posterior Rotation of The Innominate
During the low back scan, a fulcrum around L1 is noted during right side bending range of the motion and as well with a consistent block during combined motions into the right side bending and flexion quadrant. Which of the following is MOST likely contributing to the fulcrum?
A Limited Left Superior Glide of L1
During the low back scan, the patient reports a stretching sensation in the posterior thigh with the straight leg raise at 45 degrees of hip flexion. More stretching is felt when dorsiflexion is added, and no change occurs with neck flexion. Which of the following is MOST likely indicated?
Shortened hamstrings
A 70-year-old with a gradual onset of intermittent and unilateral lower extremity paresthesia’s that are worsened with standing and walking and relieved with sitting is MOST likely demonstrating what condition?
Lateral Stenosis
A patient received imaging for their low back pain. Which of the following realizations helps the clinician achieve optimal management for the patient?
Imaging should be compared with clinical findings
A patient presents with diminished sensation to light touch over the medial leg, diminished reflex of the Patellar tendon, and myotomal fatigue of ankle dorsiflexion. Which of the following spinal nerves is MOST likely lost conduction?
L4
When lifting an item off the floor, which of the following creates more stabilization of passive restraints?
Posterior Tilt
A patient demonstrates a forward head and slumped posture while sitting. Which of the following indicates how the posture may influence the low back?
Anti-gravity muscle inhibition
An individual experienced an onset of low back pain. Which of the following is important to understand regarding prognosis?
At least 1/3 report some pain out of a year after onset.
Which of the following signs and symptoms indicate a functional stability transitioned to mechanical instability?
More trivial or easier activities create irritations