Lumbar III

Question 1

What is discoenic pain

Answer 1

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

Question 2

What is facetogenic pain?

Answer 2

Pain resulting from facets.

Question 3

What is the most common cause of LBP?

Answer 3

soft tissue strain

Question 4

Mot lumbar injuries are due to what?

Answer 4

segmental dysfunction

Question 5

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

Answer 5

Muscles
Ligaments
Nerves
Fascia
facet joints
discs

Question 6

the QL can cause what SD (supposedly)?

Answer 6

Upslip of an innominate

Question 7

When does the iliolumbar ligament develop?

Answer 7

3rd decade of life

Question 8

What is spondylitis?

Answer 8

Inflammatory condition of the spine (ankylosing spondylitis)

Question 9

What is spondylosis?

Answer 9

Degenerative condition of the spin (osteoarthritis)

Question 10

What is spondylolysis?

Answer 10

Fracture of the pars interarticularis

Question 11

What is spondylolisthesis?

Answer 11

Forward slipping of the superior vertebra on the inferior

Question 12

What are the 5 common congential dysfunctions of the spine?

Answer 12

Spondylolysis
Facet tropism
Lumbarization
Sacralization
Spinabifidia occulta

Question 13

What is facet tropism?

Answer 13

Articular pillars on one side may be twisted

Question 14

What is lumbarization?

Answer 14

congential defect in which S1 is separate from the sacrum

Question 15

What is sacralization?

Answer 15

fusion of L5 with the sacrum

Question 16

What is spinal bifida occulta?

Answer 16

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

Question 17

What are pain symptoms of the QL?

Answer 17

pain with turning over in bed

Unable to bear weight

cough or sneeze painful

Question 18

Where is the pain referral patterns of the QL?

Answer 18

SI and buttock
Hip and greater trochanter
Abdomen
Groin

Question 19

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

Answer 19

Discogenic

Question 20

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

Answer 20

Facetogenic

Question 21

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

Answer 21

discogenic

Question 22

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

Answer 22

discogenic

Question 23

What are the three stages of the degenerative cascade model?

Answer 23

I = dysfunction development

II = develop laxity

III = stabilization/stenosis

Question 24

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

Answer 24

Facet tropism

Question 25

What are the 5 red flags for back pain?

Answer 25

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

Question 26

What are the two initial goals of the PE?

Answer 26

R/o red flags

Diagnose pathology or etiology

Question 27

Where are the points of tenderness for LBP?

Answer 27

Half in back, half in front

Question 28

Is S/CS a direct or indirect technique?

Answer 28

Indirect

Question 29

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

Answer 29

Flexed SDs, therefore flexion the lumbar spine for treatment

Question 30

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

Answer 30

Extended SDs, therefore extension the lumbar spine for treatment

Question 31

What is the AL1 tender point?

Answer 31

Just medial to the ASIS

Question 32

Where is the AL2 tender point?

Answer 32

Medial aspect of the AIIS

Question 33

Where is the AL3 tender point?

Answer 33

Lateral aspect of the AIIS

Question 34

Where is the AL4 tender point?

Answer 34

Inferior aspect of the AIIS

Question 35

Where is the AL5 tender point?

Answer 35

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

Question 36

Where are the iliolumbar ligamant tender points?

Answer 36

Along the posterior iliac crests