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ThoracoLumbar Midterm
PCC Stachenotes, Pain, Static, Visualization, Instrumentation, Mopal
31
Other
Graduate
04/18/2012

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Cards

Term
Five Components of Subluxation
Definition
Myopathology
Neuropathology
Kineseopathology
Histopathology
Pathophysiology
Term
What % of population will have low back pain in their lifetime?
Definition
60-80% (70-90% is self limiting and corrects after 2 weeks)
Term
Whet resolves faster, facet problems or disc problems?
Definition
Facet
Term
Myotomes
Definition
Muscle origin
Pain is deep
No crossing joints
Pain worse with activity
Term
4 conditions based on myotomes
Definition
Trigger Points
• Myofascial Pain Syndrome
• Over-Use Syndrome
• Fibromyalgia
Term
What does recent research say about lactic acid
Definition
It is a player in metabolism, not a cause of muscle soreness
Term
Fibromyalgia
How to diagnose
Definition
Widespread body pain
Must be in 11/18 areas to count
Painful, not simply tender
4 kg pressure minimum to elicit pain
Term
Skleratome
Definition
Deep pain
• Diffuse, blotchy
• Follows vascular routes vs
neuronal pathways
• activity can increase the pain, rest
will lower pain
Term
A Alpha fiber
Definition
–Large
–Myelinated
–Fastest
–Carries: vibration,
proprioception
Term
A Delta fibers
Definition
medium-large size
–myelinated
–medium fast
–carries: temperature
Term
C Fibers
Definition
C Fibers
• -small
• -unmyelinated
• -slow
– carries: pain
• N.B. All three fibers discussed carry Light
touch and pressure sensations
Term
Possible research errors in Johnson's 1980's research
Definition
standing vs seated
numerical vs verbal
Term
3 forms of static palpation
Definition
passive light touch
active light touch
Deep touch
Term
Chronic sudoriferous changes
Definition
Dryness drag on spinous tips
Less elastic endfeel
Paraspinal muscles less resilient/less
rebound
Cool temperature
Term
P to A landmarks to know
Definition
EOP
VP
S2 tubercle
Term
Lateral landmarks to know
Definition
• External Auditory Meatus (E.A.M.)
• A/C joint (deltoid )
• Illiac Crest
• Lateral malleolus
Term
What to look for, Knees
Definition
• Patella rotation
• Patella alta vs Patella Baja
• Genu Varus (bowed legged)
• Genu Valgus (knocked-knee)
Term
What to look for, pelvis
Definition
• High vs low Iliac crest
• Gluteal folds
Term
Instrumentation-High setting
Definition
1.5 º total degrees divided
into 25 increments (R), 25 increments (L)
Fahrenheit
Term
Instrumentation-medium setting
Definition
2.5º total degrees divided
into 25 increments (R), 25 increments (L)
Fahrenheit
Term
Instrumentation-low setting
Definition
5 º total degrees divided into
25 increments (R), 25 increments (L)
Fahrenheit
Term
Where will the break be?
C1-T3?
Definition
Inferior tip of spinous, same level
Term
Where will the break be?
T4
Definition
Level of spinous
same level
Term
Where will the break be
T5-T9
Definition
T5-T9 break occurs at interspinous space above spinous of involved vertebrae
Term
Palmer package emphasises motion units that are
Definition
hypomobile
Term
Gonstead felt that extension comprised ___ % of a listing?
Definition
80%
Term
Gonstead felt that rotation made up ___ % of a listing?
Definition
10-15%
Term
Gonstead felt that lateral flexion comprised ___% of a listing
Definition
<5%
Term
Mopal: rotation discovers
Definition
decreased rotation on the side of spinous laterality.
Term
bFailure of T6 spinous to close down
on T7 with extension
bSpinous moves better to the right
than to the left with rotation
bRight lateral flexion is restricted
bPassive Left lateral flexion reveals a
smooth curve
Definition
PRS
Term
bFailure of L5 motion unit to glide forward
in an P-A fashion
bRestricted left rotation compared to the
right
bUpon side bending, the spinous process
moves better to the right than the left
bPassive R. lateral bend reveals a smooth
curve
Definition
PLI
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