Lumbar Spine SD Flashcards
(34 cards)
what % of Low Back Pain is due to mechanical dysfunction?
90
what is lumbar spine frequent site of?
strain, pain, disability
what are some mechanical dysfunctions of lumbar?
artritis, spondylosis/spondylisthesis, degenerative disc disease, somatic dysfunction
what are the two categories of non-mechanical LBP etiology?
viscerogenic: renal colic, endometriosis
vasculogenic: abdominal aortic aneurysm
what kind of infections can cause LBP?
osteomyelitis, diskitis
what sort of movement do you get the most of in lumbar?
flexion and extension
what is sacralization?
L5 becomes part of sacrum, fusion
what is lumbarization?
S1 doesn’t fuse to sacrum
if the scotty dog has a collar?
spondylolysis
what is a common cause of spondylolysis?
weight adding to hyperextension
where does filum terminale begin?
L1 or L2
what causes herniated disc to go posterolateral?
posterior longitudinal ligament
how does a sponylolistethesis occur?
with spondylolysis bilaterally
What is the general overview for lumbosacral mechanics?
move in opposite directions
what maintains type 1 mechanics?
long restrictors
what maintains type 2 mechanics?
short restrictors (multifidus, etc)
what occurs first in type 2 rotation or side bending?
rotations
what exams should be done while a pt is seated or standing?
TART, HIP Drop, ROM, Gross motion and single segment motion
what exams are done with pt prone or seated?
rotation neutral and with flexion/extension
patellar reflex n?
L4
dorsiflexion n?
L5
plantar flexion n?
S1
what reflex does S1 do?
ankle jerk
what age groups more susceptible to LBP?
> 50 or <20
