Lumbar Spine Tx Flashcards
Spinal mechanics found at lumbar?
type 1 (TONGO) and type 2 mechanics
For type 1 dysfunction, where should you monitor? For type 2?
at the apex of the curve; at the segment
How would you perform ME for a type 1 N dysfunction?
NUDR: Neutral dysfunction, PTP Up, Pt force down, Lateral recumbent also mermaid
You are performing ME and ask your pt to get in the modified sims position. What type of lumbar dysfunction do they have?
type 2 Extension dysfunction
How do you position the pt differently for type 1 and type 2 HVLA?
for type 1 you pull their bottom hand up toward their head; type 2 toward their feet
Is the PTP down or up for a type 2 flexion dysfunction?
FDDR down
What type of technique is ME? HVLA?
direct, active (these practice questions say different things but I believe it’s direct not indirect); direct passive
What does the pt do with his arms when you are performing supine lumbar HVLA?
behind neck… (only for OB roll right?)
How long must back pain persist in order to be considered chronic?
3 months
What is the rule of 3s for thoracic vertebrae? — sweet organization tutor!
1-3 same level as body, 4-6 halfway between, 7-9 next level below, 10 below, 11 between, 12 same level
Which back condition often has pain that radiates to the buttocks and is relieved by lying down?
degenerative disc disease
Where is the most common location for lumbar disc herniation?
?the don’t answer this question
What disease should you be thinking if your pt presents with saddle anesthesia, urinary and bowel incontinence, and bilateral numbness?
cauda equina syndrome (EMERGENCY!)
Where is the most common location for spondylolisthesis?
adults: between L4 and L5, children: between L5 and S1
