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Flashcards in Lumbar III Deck (36):
1

What is discoenic pain

Pain that results from disc issues. Presents with pain with flexion or extension

2

What is facetogenic pain?

Pain resulting from facets.

3

What is the most common cause of LBP?

soft tissue strain

4

Mot lumbar injuries are due to what?

segmental dysfunction

5

What are the tissues in the back that generate pain? (6)

Muscles
Ligaments
Nerves
Fascia
facet joints
discs

6

the QL can cause what SD (supposedly)?

Upslip of an innominate

7

When does the iliolumbar ligament develop?

3rd decade of life

8

What is spondylitis?

Inflammatory condition of the spine (ankylosing spondylitis)

9

What is spondylosis?

Degenerative condition of the spin (osteoarthritis)

10

What is spondylolysis?

Fracture of the pars interarticularis

11

What is spondylolisthesis?

Forward slipping of the superior vertebra on the inferior

12

What are the 5 common congential dysfunctions of the spine?

Spondylolysis
Facet tropism
Lumbarization
Sacralization
Spinabifidia occulta

13

What is facet tropism?

Articular pillars on one side may be twisted

14

What is lumbarization?

congential defect in which S1 is separate from the sacrum

15

What is sacralization?

fusion of L5 with the sacrum

16

What is spinal bifida occulta?

Lack of fusion of the lamina of the lumbar spine, without nerve involvement

17

What are pain symptoms of the QL?

pain with turning over in bed

Unable to bear weight

cough or sneeze painful

18

Where is the pain referral patterns of the QL?

SI and buttock
Hip and greater trochanter
Abdomen
Groin

19

Pain with bending forward or backward is indicative of discogenic or facetogenic pain?

Discogenic

20

Pain with bending walking downhill is indicative of discogenic or facetogenic pain?

Facetogenic

21

Pain with sitting too long is indicative of discogenic or facetogenic pain?

discogenic

22

Pain with bending walking up stairs is indicative of discogenic or facetogenic pain?

discogenic

23

What are the three stages of the degenerative cascade model?

I = dysfunction development

II = develop laxity

III = stabilization/stenosis

24

What is the most common congenital dysfunction in the lumbar spine?

Facet tropism

25

What are the 5 red flags for back pain?

1. CA
2. +50 yo
3. >1 month of pain
4. Nighttime pain
5. Unresponsive to therapies

26

What are the two initial goals of the PE?

R/o red flags

Diagnose pathology or etiology

27

Where are the points of tenderness for LBP?

Half in back, half in front

28

Is S/CS a direct or indirect technique?

Indirect

29

Anterior tender points correlate with what SD? What is the treatment used?

Flexed SDs, therefore flexion the lumbar spine for treatment

30

Posterior tender points correlate with what SD? What is the treatment used?

Extended SDs, therefore extension the lumbar spine for treatment

31

What is the AL1 tender point?

Just medial to the ASIS

32

Where is the AL2 tender point?

Medial aspect of the AIIS

33

Where is the AL3 tender point?

Lateral aspect of the AIIS

34

Where is the AL4 tender point?

Inferior aspect of the AIIS

35

Where is the AL5 tender point?

On anterior, superior aspect of the pubic ramus just lateral to the symphsis

36

Where are the iliolumbar ligamant tender points?

Along the posterior iliac crests