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DPT 751 - Musculoskeletal III > Lumbar Examination > Flashcards

Lumbar Examination Flashcards

(74 cards)

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1
Q

What technique helps verify the patient’s statements?

A

Restate what the patient says to you.

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2
Q

What question gathers additional relevant information?

A

Are there other details you think I should know?

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3
Q

What question explores the patient’s beliefs about their condition?

A

What do you think your back needs?

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4
Q

What question investigates the patient’s pain perception?

A

What do you think is happening inside your body when you are in pain?

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5
Q

What question assesses the impact of life factors on back pain?

A

How is your job, social life, family life, stress affecting your low back pain?

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6
Q

What interviewing technique uses the patient’s own motivation?

A

Motivational Interviewing

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7
Q

What should you resist during patient interviews?

A

Resist urge to interrupt patient.

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8
Q

What should be the focus during motivational interviewing?

A

Be empathetic and focus on the patient, not your knowledge.

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9
Q

What is a red flag for malignancy related to age?

A

Age > 50

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10
Q

What is a red flag for malignancy related to medical history?

A

Prior history of cancer

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11
Q

What is a red flag for malignancy related to weight?

A

Unexplained weight loss

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12
Q

What is a red flag for malignancy related to pain?

A

Night pain not relieved by positional changes

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13
Q

What is a key symptom for detecting cauda equina?

A

Urinary retention

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14
Q

What is the first step in measuring lumbar ROM?

A

Palpate and mark S1 and T12

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15
Q

How do you measure true lumbar flexion?

A

Difference between readings at S1 and T12

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16
Q

What should you teach patients with a history of low back pain?

A

Better hip mobility

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17
Q

What correlates with hamstring tightness in low back pain patients?

A

Motion during forward bending

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18
Q

What is a key feature to observe in spinal rotation?

A

Symmetry between sides

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19
Q

How do you measure sidebending ROM?

A

Measure from the fingertips to the floor

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20
Q

What indicates a possible discogenic origin of pain?

A

Pain during sagittal repeated motions

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21
Q

What does pain during rotation suggest?

A

Facet joint pathology

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22
Q

What does SFMA stand for?

A

Selective Functional Movement Assessment

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23
Q

What is the significance of overpressure during ROM scan?

A

Improves ability to implicate specific structures

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24
Q

What should you look for in flexion/extension strength evaluation?

A

Core endurance and strength

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25
What is the take-home message for teaching hip mobility?
Hamstring tightness is often caused by low back pain
26
What indicates the need for better hip mobility training?
Low lumbar-to-hip flexion ratio during bending
27
What should be noted during functional overhead squat analysis?
Look for hinging segments/skin creases
28
What is the purpose of the arms down deep squat?
Functional movement assessment; helps with patients with limited thoracic extension
29
What is tested at L1 in MRS evaluation?
Hip flexion
30
What reflex is associated with L3/L4?
Patellar reflex
31
What is a key indicator in functional myopathy evaluation?
Ability to walk on toes (S1) and heels (L5)
32
What is tested at L5 in MRS evaluation?
Foot/toes dorsiflexion
33
What does the Babinski test indicate?
Upper motor neuron lesion if positive bilaterally
34
What is tested at S1 in MRS evaluation?
Plantar flexion of foot/toes
35
What is the clinical significance of the Achilles reflex?
S1/S2 nerve function
36
What is tested at L4 in MRS evaluation?
Ankle dorsiflexion
37
What does a positive clonus test suggest?
Upper motor neuron lesion
38
What is tested at S2 in MRS evaluation?
Plantar flexion
39
What does the extension rotation test assess?
Lumbar facet joint dysfunction/Facet syndrome
40
What does the quadrant test assess?
Lumbar foraminal stenosis
41
What condition does the bike test help evaluate?
Neurogenic claudication/Stenosis
42
What does the slump test assess?
* **Lumbar Radiculopathy** (Leg pain with LBP) would be the dx associated with this test. * Deficits in neural mobility and irritability
43
What does a positive straight leg raise test suggest?
Herniated nucleus pulposus (HNP)
44
What does the active straight leg raise test assess?
* Instability * SIJD * Pelvic floor dysfunction
45
What indicates a positive hip abduction test?
Substitution patterns indicating gluteus medius weakness
46
What will the patient report feeling with a (**+**) femoral nerve bias test?
Burning or painful sensation down the anterior thigh
47
What does the prone instability test assess?
Lumbar segmental stability
48
What does the one-legged stork standing test assess?
* Lumbar spondylolisthesis * Facet syndrome
49
What does a [positive spinal torsion](https://www.youtube.com/watch?v=e4PUgLmo5_U) test suggest?
Lumbar instability/hypermobility
50
What is indicated by painful arc during flexion?
Aberrant motion indicating movement faults
51
What does [Gower’s sign](https://www.youtube.com/watch?v=TOQ9TFwMIc4) indicate?
Aberrant motion indicating movement faults
52
What is assessed by the [standing stork](https://www.youtube.com/watch?v=9AeHMONQpeA) test?
* Lumbar spondylolisthesis * Facet syndrome
53
What does a positive [slump test](https://www.youtube.com/watch?v=HFGfP84uwEo) suggest?
Lumbar radiculopathy
54
What does a positive active SLR test with pelvic compression suggest?
Core stability deficits
55
What is indicated by an inability to perform the active SLR test?
Hypermobility or instability
56
What condition is suggested by difficulty in the hip abduction test?
* LBP * SI joint pain
57
What is evaluated by the femoral nerve bias test?
Anterior hip/pelvic/leg pain
58
What does a positive prone instability test suggest?
Lumbar instability including spondylolisthesis
59
What is the significance of toe walking in functional myopathy evaluation?
Detects subtle alterations in nerve function S1 ISSUE
60
What does a positive Babinski test on one side suggest?
Lower motor neuron lesion
61
What is a gross evaluation of lower extremity nerve function?
Ability to walk on toes and heels
62
What is indicated by a positive clonus test?
Upper motor neuron lesion
63
What does the Babinski test assess?
Upper and lower motor neuron lesions
64
What is the purpose of static palpation?
Detect stiffness in the lumbar spine
65
What does motion palpation evaluate?
Mobility of lumbar segments
66
What is a common issue with palpation?
Inconsistent detection of stiffness across practitioners
67
What can be as effective as palpation for judging stiffness?
Visual assessment of movement
68
What is assessed during lumbar spine lateral flexion analysis?
Ipsilateral and contralateral rotation mobility
69
What does a positive extension rotation test indicate?
Facet joint dysfunction
70
What does a positive quadrant test indicate?
Lumbar foraminal stenosis
71
What condition does the bike test evaluate when in flexion they feel better?
Neurogenic claudication
72
What does a positive slump test indicate?
Lumbar radiculopathy
73
What is indicated by a positive active SLR test?
Hypermobility or instability
74
What degree does the straight leg raise test need to be less than to indicate Herniated Nucleus Pulposis (HNP)?
< 40 Degree

DPT 751 - Musculoskeletal III (15 decks)

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