Lumbar Spine

Question 1

What plane is associated with flexion and extension?
Sidebending?
Rotation?

Answer 1

F/E - Sagittal
S - Coronal
R - Transverse

Question 2

What type of mechanics does lumbar spine use?

Answer 2

Type 1 in neutral

Type 2 in F/E

Question 3

When lumbar spine moves into flexion, which way does sacrum move?

Answer 3

Extension

Question 4

What position should you put patient in for evaluation of lumbar spine?

Answer 4

Seated or prone

Question 5

If a patient has weakness when trying to extend quadriceps, diminished knee jerk reflex, what nerve root?

Answer 5

L4

Question 6

How can you test nerve root S1

Answer 6

Achilles tendon reflex

Walk on toes

Question 7

What level of spine does spinal cord terminate? What level of spine are iliac crests at?

Answer 7

Terminates - L1-L2

Crests - L4

Question 8

What are the normal degrees for gross motion testing of lumbar spine?

Answer 8

Forward - 105
Backward - 60
Sidebending - 40
Rotation - 90

Question 9

Hip drop test

L hip drops less than 10 degrees, what does this indicate?

Answer 9

Positive hip drop test on L hip

Restriction to sidebending on the R

Question 10

During straight leg raise pain during first 20 degrees?

Pain 30-35 degrees?

Answer 10

20 degrees - protrusion

30+ sciatic nerve irritation

Question 11

What location is the important site for lumbar punctures?

Answer 11

L4-L5

Question 12

Ferguson’s angle?

Answer 12

This has nothing to do with black men between ages of 25-35

More about the angle between L5 and S1

Question 13

Name:
Hard end feel on L at L1-3
Hard end feel on R at L4, better in extension

Answer 13

L1-L3 N RlSr

L4 E RrSr