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MS II > Lumbar test 2 > Flashcards

Lumbar test 2 Flashcards

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1
Q

All of the following include self-help treatments except

a. leaning forward
b. OTC medication
c. exercise
d. positional change

A

exercise

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2
Q

All of the following include self-help treatments except

a. education
b. injection
c. traction
d. cycling

A

injection

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3
Q

List the self-help plus treatment options for spinal stenosis

A 
borrowing
treadmill
cycling
traction
exercise
manual therapy 
neural tissue mobilization
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4
Q

Only body-weight supported treadmill walking is best for spinal stenosis patients (true/false)

A

false

either with or without

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5
Q

What type of cycling is the best for stenosis patients?

a. extended backwards
b. upright or forward bent
c. nustep
d. do not have them cycle

A

upright or forward bent

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6
Q

Lumbar traction is indicated for stenosis patients if there is

A

presence of leg symptoms

signs of nerve root compression

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7
Q

If a patient with spinal stenosis is showing signs of nerve root compression with peripheralization with extension movements, which treatment should you administer?

a. cycling
b. treadmill
c. manual therapy
d. lumbar traction

A

lumbar traction

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8
Q

If a patient with spinal stenosis is showing signs of nerve root compression with peripheralization with a crossed straight leg raise, which treatment should you administer?

a. cycling
b. treadmill
c. manual therapy
d. lumbar traction

A

lumbar traction

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9
Q

What exercises can be done for spinal stenosis patients?

A 
flexion based
aerobic
stretches 
aquatic 
stabilization
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10
Q

Which type of exercise should be done with spinal stenosis patients?

a. extension
b. side bending
c. lateral shifting
d. flexion

A

flexion

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11
Q

Which grade of mobilization should be performed on patients with spinal stenosis?

a. grade I and II
b. grade II and III
c. grade I and IV
d. grade III and IV

A

grade II and III

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12
Q

What is the purpose of manual therapy for spinal stenosis patients?

a. increase movement
b. mobilize the nerves
c. increase space and BF
d. open the space

A

increase space and BF

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13
Q

What exercises promote neural tissue mobilization?

A

walking
treadmill
aquatic therapy
exercises

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14
Q

Injections with PT are not beneficial (true/false)

A

false

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15
Q

The purpose of injections with PT for stenosis pts are to

a. improve blood flow
b. increase space
c. prevent surgery
d. provide relief and reduce inflammation

A

provide relief and reduce inflammation

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16
Q

The surgery rate for spinal stenosis increased _% in the last decade

A

400%

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17
Q

Which leads to a poorer outcome with spinal stenosis surgery?

a. depression, hypertension, higher income, older
b. poor walking ability, scoliosis, depression, cardiovascular co-morbidity
c. better walking ability, lower income, co-morbidities, scoliosis
d. diabetes, hypertension, male. higher income

A

poor walking ability, scoliosis, depression, cardiovascular co-morbidity

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18
Q

Which leads to a better outcome with spinal stenosis surgery?

a. less comorbidities, low income, male gender, younger
b. poor walking abilities, diabetes, female, younger
c. scoliosis, better walking abilities, high income, male
d. male, better walking ability, younger, higher income, less co-morbidity, self-rated health

A

male, better walking ability, younger, higher income, less co-morbidity, self-rated health

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19
Q

We have very little confidence to conclude whether surgical treatment or a conservative approach is better for lumbar spinal stenosis (true/false)

A

true

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20
Q

No side effects were reported with conservative treatment for spinal stenosis (true/false)

A

true

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21
Q

The SIJ is what type of joint?

A

synovial articulation or diarthrosis

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22
Q

The sacroiliac joint serves to _

a. support the spine
b. as an intersection
c. attach to the LE
d. help with lumbar rotation

A

as an intersection

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23
Q

SI joints are the same in every person and in any type of gender (true/false)

A

false

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24
Q

What percentage of LBP patients have SIJ issues?

a. 4%
b. 10%
c. 9%
d. 22%

A

9%

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25
Which part of the SIN contains synovial and hyaline cartilage? a. lateral b. medial c. anterior d. posterior
anterior
26
Which area of the SIJ articulates with the PLL? a. anterior b. posterior c. medial d. lateral
posterior
27
Which nerve innervates the SIJ? a. femoral nerve b. obturator nerve c. posterior rami d. sciatic nerve
sciatic nerve
28
All of the following movements are facilitated in SIJ except a. shear b. compression c. external rotation d. distraction e. mutation
external rotation
29
How much movement is there in the SIJ? a. 5% b. 4% c. 9% d. 12%
4%
30
List the ligaments in the SIJ
dorsal sacral ligament interosseous ligament anterior sacroiliac ligament
31
Which system includes the lats, glute max, thoracodorsal fascia? a. lateral system b. anterior oblique system c. deep longitudinal system d. posterior oblique system
posterior oblique system
32
Which system includes the external/internal obliques, contralateral hip adductors, intervening abdominal fasica? a. lateral system b. anterior oblique system c. deep longitudinal system d. posterior oblique system
anterior oblique system
33
Which system includes the ES, deep layer thoracodorsal fascia, sacrotuberous ligament, and biceps femoris? a. lateral system b. anterior oblique system c. deep longitudinal system d. posterior oblique system
deep longitudinal system
34
Which system includes the gluteus medius and contralateral hip adductors? a. lateral system b. anterior oblique system c. deep longitudinal system d. posterior oblique system
lateral system
35
The lats, glute max, and thoracodorsal fascia are apart of the a. outer unit b. inner unit c. pelvic floor d. none of the above
outer unit
36
The external/internal obliques, contralateral hip adductors, intervening abdominal fasica are apart of the a. outer unit b. inner unit c. pelvic floor d. none of the above
outer unit
37
The ES, deep layer thoracodorsal fascia, sacrotuberous ligament, and biceps femoris are apart of the a. outer unit b. inner unit c. pelvic floor d. none of the above
outer unit
38
The gluteus medius and contralateral hip adductors are apart of the a. outer unit b. inner unit c. pelvic floor d. none of the above
outer unit
39
The levator ani consists of
pubococcygeus, puborectalis and iliococcygeus
40
The levator ani joins with the coccygeus muscles to complete the a. outer unit b. inner unit c. pelvic floor d. none of the above
pelvic floor
41
All of the following are functions of the pelvic floor except a. help the diaphragm with breathing b. increase intraabdominal pressure c. help pelvic organs d. lumbopelvic stability e. rectal support
help the diaphragm with breathing
42
List the pelvic floor functions
``` increase intrabdomindal pressure provide rectal support inhibit bladder activity support pelvic organs lumbopelvic stability ```
43
The multifidus, TA, diaphragm, pelvic floor are part of the a. outer unit b. inner unit c. pelvic floor d. none of the above
inner unit
44
The _ portion of the SIJ is innervated from posterior rami L2-S2 roots a. posterior b. anterior c. medial d. caudal
anterior
45
The anterior portion of the SIJ is innervated from posterior rami _ roots a. L1-S5 roots b. L2-S2 roots c. L3-S4 roots d. L1-S2 roots
L2-S2 roots
46
The innervation of the SIJ is consistent with any joint (true/false)
false
47
Movement of the pelvis is in the nature of _
deformations
48
guiding motions of the pelvis move around _ with the pelvic ring deforming in response to _ and _
axes BW GRF
49
This movement of the pelvis can also be called flexion
nutation
50
This movement of the pelvis can also be called extension
counter-nutation
51
Motion of the pelvis occurs in which plane? a. transverse b. sagittal c. frontal d. none of the above
sagittal
52
Explain the mechanics of the pelvis during climbing or walking
posterior pelvic tilt on one side and anterior pelvic tilt on the other side
53
What forces help stabilize the pelvis?
form closure | force closure
54
The pelvis creates a _ for stability
keystone
55
The pelvis has a _ effect
clutching
56
Pelvis dysfunction due to aging can be caused by all of the following except a. shortening of ligaments b. OA c. RA d. ankylosing spondylitis e. leg length discrepancy
leg length discrepancy
57
List all the contributing factors to a pelvis that moves too little
``` OA RA shortening of ligaments decreased function ankylosing spondylitis ```
58
A patient demonstrates with a vague, posterior local ache and limited motion of the pelvis, what dysfunction could be causing this? a. OA b. intraarticular c. ligaments d. ankylosing spondylitis
ligaments
59
A patient presents with deep, posterior pain and some groin pain, what dysfunction of the SIJ could be causing this? a. OA b. intraarticular c. ligaments d. ankylosing spondylitis
intraarticular
60
Which of the following will irritate a patient whos SIJ moves too little? a. unloading b. little movement c. rest d. loading
loading
61
Aggs of SIJ that moves too little
``` strain on joint and ligaments prolonged loading rotational tasks morning pain due to OA sitting, going up steps, standing ```
62
All of the following irritate an SIJ that moves too little except a. loading b. rotation c. little movement d. sitting
little movement
63
Eases of SIJ that moves too little
little bit of movement stop straining task unloading
64
an SIJ that moves too much can be due to
``` hormonal pregnancy leg length discrepancy lumbar surgery hip OA ligamentous laxity trauma scoliosis excessive lumbar lordosis lumbar spine degeneration ankylosing spondylitis ```
65
A SIJ that moves too much can be due to any of the following except a. pregnancy b. leg length c. OA d. trauma e. aging
aging
66
An SIJ that moves too much can be due to any of the following except a. lumbar surgery b. laxity c. stiffness d. shortening of ligaments e. sacroiliitis
shortening of ligaments
67
What is increased with hormones and pregnancy?
ptosin levels laxity of SIJ ligaments lumbar lordosis
68
Sacroiliitis causes _ _ from adjacent joints
increased stiffness
69
Which of the following can cause increased stiffness from adjacent joints? a. increased pstosin levels b. lumbar degeneration c. lumbar lordosis d. leg length
lumbar degeneration
70
All of the following cause increased stiffness from adjacent joints except? a. scoliosis b. lumbar lordosis c. degeneration d. OA e. ankylosing spondylitis
lumbar lordosis
71
Increased stiffness from adjacent joints can be due to
``` lumbar surgery hip OA scoliosis lumbar spine degeneration ankylosing spondylitis ```
72
Sacroiliitis can be caused by
``` hormones increased stiffness from adjacent joints bilateral THA/stiffness l-spine aging trauma sport ligament laxity leg length discrepancy ```
73
this is defined as the SIJ moving too much
sacroliitis
74
Aggs of sacroiliitis
``` loading movement - transitional later in the day after prolonged WB extension cough/sneeze ```
75
Which of the following would irritate a patient with sacroiliits? a. flexion b. loading c. side bending d. prone
loading
76
All of the following irritate patients with sacroiliits except? a. loading b. transitional movements c. extension d. flexion e. cough
flexion
77
Which of the following would irritate a patient with sacroiliitis? a. flexion b. prolonged WB c. supine d. rotation
prolonged WB
78
Eases of sacroiliitis
``` rest unloading stabilization flexion muscle-energy ```
79
What is the gold standard for sacroiliac joint pain? a. mobilization b. manual therapy c. exercise d. anesthetic block
anesthetic block
80
The sacroiliac joint is a synovial joint with abundant innervation and capability of being a source of low back pain and referred pain in the lower extremity (true/false)
true
81
What is the type of symptoms patients experience with SIJ dysfunction? a. deep, burning ache b. referring, tingling, numbness c. localized, sharp, stabbing or dull, throbbing ache d. localized deep and burning ache
localized, sharp, stabbing or dull, throbbing ache
82
Symptoms of SIJ dysfunction are (bilateral/unilateral)
unilateral
83
Referral patterns for the SIJ are most commonly in the a. lumbar b. below the knee c. groin d. buttock e. into LE
buttock
84
SIJ shows neurological symptoms (true/false)
false
85
Most research indicates none of the provocation tests alone have significant sensitivity or specificity (true/false)
true
86
Provocation tests can be used with good validity (true/false)
false
87
A patient demonstrates with a SIJ that moves too much, what is the best treatment? a. unilateral PA b. anterior innominate manipulation c. steroid injection d. stabilization
stabilization
88
A patient demonstrates with a SIJ that moves too much, what is the best treatment? a. central PA b. taping c. rotational manipulation d. rotation mobilization
taping
89
What treatments can be used for SIJ that moves too much?
mechanics treat above and below unstiff stabilization
90
What treatments can be used for SIJ that moves too little?
mobilization | manipulation
91
Which of the following is the best treatment for SIJ that moves too little? a. stabilization b. unilateral PA mobs c. orthotics d. mobilization to the hip
unilateral PA mobs
92
Which of the following is the best treatment for SIJ that moves too little? a. central PA mobs b. mobs to lumbar spine c. taping d. addressing leg length discrepency
central PA mobs
93
sciatic nerve symptoms are due to
piriformis syndrome
94
in piriformis syndrome pain is (local/distal)
local
95
A patient presents with trigger points, deep buttock pain, local pain, and altered neurodynamics. What could they be diagnosed with? a. SIJ dysfunction b. facet joint pain c. stenosis d. piriformis syndrome
piriformis syndrome
96
A positive test for seated slump or SLR could indicate
piriformis syndrome
97
Which of the following treatments is the best for piriformis syndrome? a. stabilization b. hip mobilization c. manipulation d. trigger point therapy
trigger point therapy
98
What are some treatment options for piriformis syndrome?
``` stretches soft tissue treatment trigger point therapy neurodynamics spinal mobilization or spinal manipulation ```
99
Symptoms of SIJ can follow a _ dermatome a. L5 myotome b. L4 dermatome c. S1 dermatome d. S2 dermatome
S2 dermatome
100
What type of mobilization treatment should be used for SIJ that moves too little?
unilateral PA central PA rotation
101
What type of manipulation should be used for SIJ that moves too little?
anterior innominate | rotational
102
Mechanical pressure on the sciatic nerve creates _ a. pain b. tingling c. numbness d. ache
numbness
103
What is indicated for lumbar traction in a stenosis patient?
presence of leg symptoms signs of nerve root compression and either peripheralization with extension or crossed SLR
104
Signs of nerve root compression and either _ with extension or _ SLR is indicated for _ treatment
peripheralization crossed stenosis
105
What makes a patient a good candidate for lumbar traction?
presence of leg symptoms signs of nerve root compression and either peripheralization with extension or crossed SLR
106
Stabilization is indicated for stenosis (true/false)
true | it opens the space
107
An injection is indicated for stenosis (true/false)
true
108
Which SIJ ligament helps with stability? a. dorsal sacral ligament b. interosseous ligament c. anterior sacroiliac ligament d. sacrotuberous ligament
sacrotuberous ligament
109
What type of pain is produced with a referral from SIJ?
diffuse
110
What absorbs the majority of LE rotation?
SIJ
111
A vague, posterior local ache is consistent with
ligaments causing SIJ moves too much
112
Deep, posterior pain and possible groin pain is consistent with
intraarticular causing SIJ moves too much
113
The synovial joint of the SIJ can be a source of LBP and referred pain in the LE (true/false)
true
114
Which ligament is weak and thin? a. dorsal sacral ligament b. interosseous ligament c. anterior sacroiliac ligament d. sacrotuberous ligament
anterior sacroiliac
115
Which SI ligament is strong, deep and posterior to the SI ligament? a. dorsal sacral ligament b. interosseous ligament c. anterior sacroiliac ligament d. sacrotuberous ligament
interosseous ligament
116
Which ligament connects the innominate to the sacrum? a. dorsal sacral ligament b. interosseous ligament c. anterior sacroiliac ligament d. sacrotuberous ligament
interosseous ligament
117
Which SI ligament resists anterior and inferior movement? a. dorsal sacral ligament b. interosseous ligament c. anterior sacroiliac ligament d. sacrotuberous ligament
interosseous ligament
118
Which SI ligament connects the PSIS to the sacrum? a. dorsal sacral ligament b. interosseous ligament c. anterior sacroiliac ligament d. sacrotuberous ligament
dorsal sacral ligament
119
Which SI ligament is tough, strong and feels like a bone? a. dorsal sacral ligament b. interosseous ligament c. anterior sacroiliac ligament d. sacrotuberous ligament
dorsal sacral ligament
120
Does smoking and diet affect spinal stenosis?
yes

MS II (17 decks)

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