Lumbopelvic

Question 1

line of gravity

Answer 1

• mastoid
• anterior to S2
• posterior to hip joint
• anterior to knee and ankle

Question 2

lumbar vertebrae facet joint orientation

Answer 2

sagittal plane to permit flexion/ extension

Question 3

lumbar vertebrae osteology

Answer 3

5

spinous process extend posteriorly

Question 4

sacral vertebrae osteology

Answer 4

5

spinous process extend posteriorly

Question 5

sacral transverse process and facet joint orientation

Answer 5

none

Question 6

Ferguson’s angle

Answer 6

angle between the horizontal plane and superior surface of the base of the sacrm

Question 7

What does an increase in ferguson angle result in?

Answer 7

increase in the anterior shear force (due to body weight)

Question 8

spondylosis

Answer 8

age-related degenerative changes that occur in the spine

Question 9

spondylolysis

Answer 9

defect of portion of vertebrae between superior and inferior articular process (pars interarticularis)

Question 10

spondylolisthesis

Answer 10

anterior slippage of one vertebral body on another

Question 11

protrusion

Answer 11

displaced NP within AF, may put pressure on SC

Question 12

prolapse

Answer 12

displaced NP on posterior edge of disc but within AF

Question 13

Extrusion

Answer 13

AF rupture,NP escapes to epidural space

Question 14

Sequestration

Answer 14

NP and fragments of AF become lodges within epidural space

Question 15

Flexion Arthrokinematics

Answer 15

superior and anterior sliding of the inferior facet on the superior facet

Question 16

Extension Arthrokinematics

Answer 16

inferior and posterior sliding of the inferior facet on the superior facet

Question 17

Lateral Flexion Arthrokinematics

Answer 17

ipsilateral: inferior slide

contralateral side: superior slide

Question 18

Rotation Arthrokinematics

Answer 18

ipsilateral: facet separation
Contralateral: facet approximation

Question 19

side bending and rotation of facet occurs in opposite directions when….

Answer 19

performed from neutral position

Question 20

side bending and rotation of facet occurs in the same direction when…

Answer 20

performed from flexed or extended position

Question 21

Lumbopelvic rhythm

Answer 21

coordination of movement between lumbar spine and hip to complete sagittal flexion and extension in standing w/ knees locked

Question 22

Lumbopelvic rhythm - flexion

Answer 22

lumbar flexion 40-70 degrees

anterior pelvic rotation

hip flexion - 70 degrees

Question 23

Lumbopelvic rhythm - extension

Answer 23

initially driven by hip extension, posterior pelvic rotation and lumbar spine extension

Question 24

What motions should be noted during lumbar sagital motion

Answer 24

out of phase movement
aberrant movement
reversal of lumbopelvic rhythm

Question 25

lumbar contribution is small and large in what populations?

Answer 25

small - patients with LBP, edelery & females large - greater external load and back muscle fatigue

Question 26

nutation | how does the pelvis move?

Answer 26

relative anterior tilt of the top of sacrum on illium - anterior sacral on iliac rotation - posterior ilium on sacral rotation

Question 27

counternutation

Answer 27

posterior tilt of the top of sacrum on illium - posterior sacral on iliac rotation - anterior ilium on sacral rotation

Question 28

sacroiliac joint

Answer 28

stable load transfer between axial skeleton and lower limbs

Question 29

How does SIJ contribute to stress relief within the pelvic ring?

Answer 29

- dissipates intrapelvic torsion during gate | - modified movement during delivery

Question 30

Form Closure

Answer 30

passive stabilization of SIJ by interlocking ridges & grooves on the joint surfaces and ligamentous stabilization

Question 31

Force Closure

Answer 31

active stabilization provided by isolated contraction of skeletal muscle groups

Question 32

treatment for pelvic girdle pain

Answer 32

1. thigh thrust 2. distraction test 3. compression test 4. sacral thrust 5. Ganslens test

Question 33

common impairments of pelvic floor

Answer 33

hypo or hypertonicity , volitional control and pain

Question 34

Latissimus dorsi

Answer 34

1. Ext, ADD & IR | 2. B: trunk extension & U : lateral flexion

Question 35

transversospinal

Answer 35

stabilization components - may function as organs of proprioception

Question 36

External Obliques

Answer 36

Flexion , posterior pelvic tilt B: lateral flexion & contralateral rotation U: ipsilateral rotation

Question 37

Internal Oblique

Answer 37

Flexion, posterior pelvic tilt, increase TLF tension B: lateral flexion U: ipsilateral rotation

Question 38

Transversus abdominis

Answer 38

compression of abdominal cavity and tension on TLF

Question 39

Rectus Abdominis

Answer 39

Trunk flexion, compression of abdominal cavity

Question 40

illiopsoas

Answer 40

hip flexion & initiates flexion of trunk with fixed thigh - decreases lumbar lordosis

Question 41

Quadratus lumorum

Answer 41

b: extension of l/s u: lateral flexion of lumbar spine and pelvic hiking

Question 42

Gower's sign

Answer 42

reversal of lumbopelvic rhythm during flexion and/or extension of the lumbar spine in standing

Question 43

Lifting technique

Answer 43

- keep external load close to the body - avoid extreme flexion/extension - utilize hip and knee - avoid twisting - minimize vertical and horizontal distance the load must be lifted - wide BOS

Question 44

Core control is an element of

Answer 44

- neuromuscular control during upright posture - component of optimal ventilation - conservative management for spine and LE conditions