Lumbopelvic Conditions

Question 1

True or False: A muscle strain will resolve without intervention.

Answer 1

True

Question 2

What condition’s diagnostic test results in a plain radiograph with a “Scotty dog” sign on an oblique view of the spine?

Answer 2

Spondylolysis

Question 3

Spondylolysis etiology is thought to be defective ______________.

Answer 3

Pars interarticularis

Question 4

What condition is an actually anterior slippage of the vertebral body following bilateral fracture?

Answer 4

Spondylolisthesis

Question 5

What is the grading scale for spondylolysis and Spondylolisthesis?

Answer 5

1 (25%) to 4 (100%)

Question 6

What condition has congenital narrowing of spinal canal and/or intervertebral foramen, couple with hypertrophy of spinal lamina and/or ligamentum flavum or facets from aging or pathology?

Answer 6

Stenosis

Question 7

What are the signs and symptoms for stenosis?

Answer 7

1. Bilateral pain and paresthesia in lower quarter (buttock & LE)
2. Decreased symptoms with flexion
3. Pain increased with walking
4. Pain relieved by prolonged rest

Question 8

True of false: Spinal stenosis results in neurovascular compromise.

Answer 8

True

Question 9

True or False: Internal disc disruption is most common in the thoracic?

Answer 9

False, lumbar

Question 10

The internal structure of annulus is disrupted but external structure is normal is _____________.

Answer 10

Internal disc disruption

Question 11

Common signs and symptoms for internal disc disruption are:

Answer 11

• Constant deep achy pain which increases with movement

- no neurological signs but may have referred pain

Question 12

______________ is most commonly observed disc disorder of the lumbar and signs and symptoms include ________, _________, _______, ________.

Answer 12

• Posterolateral bulge/herniation

- loss of strength, radicular pain, paresthesia, and difficulty with performing ADL’s.

Question 13

What are the characteristics of a Posterolateral bulge/herniation?

Answer 13

1. Posterior disc is narrow in height than anterior disc
2. Posterior longgitudinal ligament is not as strong and only located centrally in lumbar
3. Posterior lamellar of annulus are thinner

Question 14

What condition is overstretching and/or tearing of the annular rings, vertebral end plate and/or ligamentous structures from high compression or repetitive micro trauma?

Answer 14

Posterolateral bulge/herniation

Question 15

A normal part of the aging process from weight bearing nature of joints is ______________.

Answer 15

Degenerative joint disease

Question 16

Degenerative joint disease signs and symptoms include:

Answer 16

1. Reduce mobility
2. Pain
3. Nerve root impingement resulting in loss of strength and paresthesia

Question 17

Hyperextension activities such as cheerleading, dance, and gymnastics can lead to ______________.

Answer 17

Spondylolysis

Question 18

True or False: Disc bulges and herniations will heal on their own?

Answer 18

True

Question 19

Etiologies for a muscle strain include:

Answer 19

Injury, overuse, and/or altered biomechanics