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Musculoskeletal Rehab > Lumbopelvic > Flashcards

Flashcards in Lumbopelvic Deck (14)
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1

Common Pattern: Herniated Disc

Insidious
unilateral/symmetrical
worst with flexion, mornings'evenings
periods of no pain

2

Lumbar Radiculopathy

pain down the leg, waking up and feeling funny
constant/intermittent
difficulty with gait

3

Adherent Nerve root

hx of surgery
leg pain that never went away
sharp pain with flexion
better with walking

episodes of burning and aching

4

Stenosis

chronic LBP
cramping with walking
better with flexion
worst with standing tall

5

Spondylosis (Mechanical LBP)

varies depending of activity
episode time between decreases
localized

6

Spondylolysis

localized/unilateral
insidious
worst with extension
stationary=ok

7

Spondylolesthesis

catching sensation
difficulty transitioning from positions
pain standing up right
flexion better

8

Lumbar Manipulation CPR

recent onset <16 days
FABQ <19
lumbar hypomobility
radicular pain above the knee
Good Hip IR >35

9

Hicks CPR for Stability Approach

Younger than 40yo
SLR >91 great flexibility
aberant/catching with flexion/extension ROM
Positive Prone instability test

10

3 criteria for postive neuro test

reproduces the concordant sign
asymmetrical findings
sensitizing movement that changes patient symptoms

11

LBP non thrust parameters

Grades I-II 30s 1-2 sets
Grades III-IV 4mins of 3-5 sets

12

SI non thrusts parameters

P-A or rotation of inomonate anterior or posterior

13

Direction of preference for lumbar

tyypically extension with hipoffset, then within 72 hours begin supine flexion

dysfunctions typically respond to movements into painful direction 6wks

14

Direction of preference for SI

ant rotated inominate= needs knees to chest
post rotated inominate= needs half kneeling lunge