MM II midterm Flashcards
(27 cards)
what are the FABQW and FABQPA thresholds for an increased likelihood to not return to work
FABQW > 34, FABQPA >14
what score would someone who is likely to return to work be under on the FABQW?
29
high rate tens requires what frequency and pulse duration?
high frequency, short duration
low rate tens requires what amplitude and pulse duration?
higher and longer
what fibers are you activating during low rate tens?
A-delta fibers
if severe pain resolves fully with traction what should you do?
be worried. need to check reflexes, sensation, and myotomes ASAP
traction in flexion with will create space where?
facets and intervertebral foramen
traction in extension will create space where?
anterior disk spaces
what is static traction good for?
inflammation aggravated by motion or disk protrusions
what is intermittent traction good for?
useful for joint dysfunction
what % of BW should traction be applied at?
40-60%
what is performed during a microdiscectomy?
a portion of the intervertebral disk is removed
what is performed during a microdiscectomy with laminectomy?
a portion of the intervertebral disk is removed with a posterior decompression
what is the difference between a lumbar fusion and an artificial disc replacement?
the fusion stabilizes while the ADR mobilizes
what position will a patient with facet joint syndrome prefer?
flexion, greatest amount of opening on facet joint
will facet joint present with radiculopathy symptoms?
no
what are some positive tests that you will see with a disk herniation patient?
+ radiculopathy (SLR,CSLR, Slump,Elys), ext. loss test, centralization, vulnerability in neutral zone
what are some positive tests for someone with facet syndrome?
quadrant test, extension with overpressure painful
how do you treat a patient with facet syndrome?
manual therapy!!
what is spondylolysis?
defect in the pars interarticularis of the lower lumbar vertebrae
what is a Spondyloslisthesis?
the anterior translation of a superior lumbar vertebrae on an inferior one
does bracing influence the outcomes of treatment for spondylolysis and grade I spondyloslisthesis?
no
what do you expect during the examination of a patient with spondylolysis and spondyloslisthesis?
pain in ext., hinge at deformity, palpable step off, possibly diminished DTR’s
what is the difference between neural sliding and neural tensioning?
sliding = lots of movement, little strain tensioning = little movement, lots of strain
