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Flashcards in Rehab for LBP Deck (18)
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1

Lancet recomended tx for acute LBP

-Advice pt to stay active
-Education
-Exercise therapy

2

lancet recoended 2nd line tx for acute LBP

superficial heat
smt
massage
acu
muscle relaxants

3

New zealand approach for LBP

-advise to stay active
-manip
-multidisiplanary care approach

4

New zealand approach still needs more reseach on these topics

modalities
trunk stabalization exercises

5

LBP tx goals for acute and chronic indv

acute- decrease pain, increase ROM, maintain flexability, return to ADLs

Chronic- maintain flex, increase strength, endurance, improve jt function

6

Mckenzie protocol is

evalauation of pain location + maneuvers that change the pain location from reffered to centralized using extension type exercises

7

indications for a McKenzie type protocol

-Sustained or repetative extension maneuvers reduce or relieve symptoms

-discogenic LBP with radiation into lower extremities

8

contraindications for a mckenzie type protocol

-no pos or movement decreases of centralizes described pain
-saddle anesthesia
-pt in extreme pain + rigidity

9

indication (conditions) for flexion bias exercises

Stenosis
DDD
Facet irritation/syndrome
sprain/strain
spondylosthesis

10

contraiondications for flexion type movements

ext relieves symptoms
flex movement increase pain and peripherlize them

11

Identification of indv with clinical spinal instability

1. Quality of movement- ROM, abrupt mvmts

2. lack of control of deep mm. - TA + multifidus

3. Low endurance of ant, post, lat trunk mm

12

what is used to predict success w stabalization (5)

3+ are most likely to benifit

-Age <40
- Abnormal mvmts present
-Average SLR >91
-Hypermobility
-Pos prone instability test

13

Tests w high inter rater reliability for lumbar instability

Beighton lig laxity scale
prone instability test
abrant motion w trunk ROM

14

Trunk endurance ratios
r side bridge;L side bridge
flex;ext
side;ext

r;l= >.05

flex;ext= >1.0

Side;ext= >.75

15

in a dysfunctional state TA changes its role to

fron support to trunk mvmt

16

how to activate and isolate the TA

drawing abdomin in prone pos (10 sec holds)

17

What can a tight iliopsoas lead to

tonicity may lead to lumbar lordosis

-release of iliopsoas enhances TA activation, altered lumbar lordosis and decreased LBP

18

what is lower crossed syndrom (whats tight and weak)

tight- thoracolumar extensors, hip flexors)

weak- abdominals, glute max