MSK Spine Disorders

Question 1

anterior innominate

Answer 1

OE * Palpation: inf ASIS and sup PSIS, longer LE in supine, shortens in long sit

Question 2

anterior innominate agg factors

Answer 2

gait, stair descent

Question 3

anterior innominate ease factors

Answer 3

hip flexion, non WB

Question 4

anterior innominate hx

Answer 4

activity related: ie, kicking a ball

Question 5

central stenosis agg factors

Answer 5

extension, prolonged postures, standing and walking, lying down flat, walking downhil

Question 6

central stenosis history

Answer 6

gradual onset

Question 7

central stenosis pain

Answer 7

back and leg pain, bilateral, extrasegmental

Question 8

central stenosis profile

Answer 8

60-70

Question 9

DDD/DJD

Answer 9

OE * palpation: central PA > unilateral PA stiff/pain if acute

Question 10

DDD/DJD history

Answer 10

episodic due to repeated annular tearing

Question 11

DDD/DJD profile

Answer 11

55-60

Question 12

DDD>DJD pain

Answer 12

bilateral blow back symptoms (1 side possibly worse than the other). possible referral to buttock.

Question 13

disc (IDD, EDD) profile

Answer 13

20-40

Question 14

disc agg factors

Answer 14

acute - cough/sneeze. repeated bending, sitting, lifting, stooping chronic: sitting in lordosis, carrying in extension, pain with stooping

Question 15

disc w/ N root involvement: ProL history

Answer 15

typical fast onset

Question 16

disc w/ N root involvement: ProT history

Answer 16

recurrent episodes

Question 17

disc w/ nerve root

Answer 17

central and unilateral PA stiff and painful

Question 18

disc with N root involvement agg factors

Answer 18

flexion, sitting. standing, walking. sneezing

Question 19

disc with N root involvement: history

Answer 19

bending lifting, episodic

Question 20

disc with N root irritation: ExT pain

Answer 20

leg pain worse than back pain; polysegmental (radicular and non-radicular pain)

Question 21

disc with N root irritation: extrusion profile

Answer 21

30-45

Question 22

disc with N root irritation: PPL pain

Answer 22

little to no lumbar pain; dermatomal pattern

Question 23

disc with N root irritation: PPL, proT/proL profile

Answer 23

18-35

Question 24

disc with N root irritation: ProL pain

Answer 24

leg pain worse than back pain; dermatomal pattern

Question 25

disc with N root irritation: ProT pain

Answer 25

bilateral paravertebral with buttock/leg pain in partial or complete dermatomal line

Question 26

disc with nerve root involvement, lateral stenosis

Answer 26

which dx have positive SLR, Slump, PKB?

Question 27

disc with nerve root irritation (central proL/proT) profile

Answer 27

40-45

Question 28

DJD>DDD pain

Answer 28

facet can be local pain and refer to buttock, posterior thigh, groin

Question 29

downslip

Answer 29

OE * Palpation: inferior ASIS and PSIS

Question 30

downslip hx

Answer 30

trauma: being pulled by one extremity

Question 31

DRG (dorsal root ganglion) pain

Answer 31

paraesthesia and radicular lancinating pattern

Question 32

ease factor for DDD/DJD, IDD/EDD, and a disc with N root involvement

Answer 32

lying down, unloading

Question 33

EDD pain

Answer 33

bilateral paravertebral

Question 34

extension limited and painful, SB/Quadrant

Answer 34

OE * ROM for lateral stenosis

Question 35

extension limited and painful/SB

Answer 35

OE * ROM for central stenosis

Question 36

facet

Answer 36

OE * palpation unilateral PA stiff/painful

Question 37

facet agg factors

Answer 37

more pain in standing vs sitting. 3D motion extension (cartilage) vs. flexion (capsule)

Question 38

facet ease factor

Answer 38

variable

Question 39

facet pain

Answer 39

local unilateral pain. can refer to buttock, posterior thigh, groin

Question 40

facet profile

Answer 40

chronic >55-60

Question 41

Flexion, SB

Answer 41

OE * ROM for DDD/DJD

Question 42

IDD pain

Answer 42

local, unilateral pain. Spreads with progression; referral to buttock

Question 43

IDD/EDD

Answer 43

OE * palpation: central PA> unilateral PA stiff and painful

Question 44

IDD: negative, EDD: positive

Answer 44

What are the results of a neurodynamic test of IDD/EDD?

Question 45

inflare

Answer 45

OE * Palpation: medial ASIS and lateral PSIS

Question 46

inflare ease factors

Answer 46

IR, non WB

Question 47

inflare hx

Answer 47

activity related: hip in end range IR, ie: kicking a soccer ball while cutting

Question 48

inflare/outflare, upslip/downslip agg factors

Answer 48

gait

Question 49

instability

Answer 49

OE * palpation pain/spasm with central PA pressure. Excessive PPIVM and PAIVM findings

Question 50

instability agg factors

Answer 50

prolonged postures, forward bending, sudden unexpected movements, return to erect posture after FB, lifting, loading in extension. PM s/s: possibly clunking with position change. AM s/s: ache that worsens throughout the day

Question 51

instability history

Answer 51

gradual or episodic. hx of recurrent dysfunction that becomes worse with each episode. Minor provocations produce disabling pain

Question 52

instability pain

Answer 52

highly variable. catching, unilateral pain, deep dull ache. back feels weak or feels as if it will "give way" with certain movements. Sharp pain with sudden or unexpected trunk movements.

Question 53

instability profile

Answer 53

young, older if degenerative

Question 54

lateral shift to opposite side of s/s, ipsilateral side bending

Answer 54

OE * ROM for shoulder lesion (disc w/ N root)

Question 55

lateral shift to same side of s/s, contralateral side bending

Answer 55

OE * ROM for axillary lesion (disc w/ N root)

Question 56

lateral spinal stenosis pain

Answer 56

leg pain (patchy, dermatomal, multi-segmental)

Question 57

lateral stenosis and central stenosis ease factor

Answer 57

flexing spine (sitting or squatting, walking uphill)

Question 58

lateral stenosis history

Answer 58

gradual or sudden unguarded movement

Question 59

limit in sagittal plane movements

Answer 59

OE * ROM for ProL and Ext