Term
|
Definition
IVD
nn roots, DRG
facet jts
vertebral endplates
vascular |
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Term
| Disc lamellae oriented at ___º |
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Definition
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Term
| ____ of the fibers of the lamellae resist rotation (compared to flex/ext) |
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Definition
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Term
| Disc Herniation classification: no mvmt of nuclear material |
|
Definition
| disc protrusion (degeneration) |
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|
Term
| Disc Herniation classification: nuclear material penetrates annulus |
|
Definition
|
|
Term
| Disc Herniation classification: annulus broken |
|
Definition
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Term
| Disc Herniation classification: nuclear material escapes disc |
|
Definition
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|
Term
| Disc sequestration >> ____ irritation |
|
Definition
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Term
| Internal disc disruption: c OR s bulging? |
|
Definition
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|
Term
| Internal disc disruption: levels 1 & 2 |
|
Definition
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|
Term
| _____% of LBP pts have internal disc disruption |
|
Definition
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|
Term
| Disc disruption: FIRST step |
|
Definition
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Term
| Weakest part of spinal column when exposed to vertical loading |
|
Definition
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|
Term
| portion of annulus that is nociceptive |
|
Definition
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|
Term
stress = sudden (lifting & twisting)
Mechanical or Chemical pain? |
|
Definition
|
|
Term
sustained stress (creep); 2º to poor posture
Mechanical or Chemical pain? |
|
Definition
|
|
Term
pain at end-range
Mechanical or Chemical pain? |
|
Definition
|
|
Term
pain changes c position
Mechanical or Chemical pain? |
|
Definition
|
|
Term
position improves pain, but does not abolish
Mechanical or Chemical pain? |
|
Definition
|
|
Term
lying/resting >> incr symptoms
Mechanical or Chemical pain? |
|
Definition
| chemical (sustained bedtime position) |
|
|
Term
stress is constant
Mechanical or Chemical pain? |
|
Definition
| chemical (c/o pain when they first wake up) |
|
|
Term
|
Definition
MOVEMENT:
pt ed (body mechanics)
restore motion to hypomobile segments |
|
|
Term
|
Definition
| decr stress/inflammation (ice) |
|
|
Term
| Dural sleeve is subject to MECHANICAL or CHEMICAL irritation? |
|
Definition
| BOTH mechanical & chemical irritation |
|
|
Term
| Dural sleeve causes LOCAL or REFERRED pain? |
|
Definition
|
|
Term
| Pain referral pattern of dural sleeve |
|
Definition
| pain worse proximally than distally |
|
|
Term
| Pain referral pattern of nn root |
|
Definition
| pain worse peripherally; often severe |
|
|
Term
| Greatest pain generator in lumbar spine: |
|
Definition
| DRG (affect how pain is perceived) |
|
|
Term
| postlat HNP >> lateral shift TOWARD or AWAY from pain |
|
Definition
|
|
Term
| medial HNP >> lateral shift TOWARD or AWAY from pain |
|
Definition
|
|
Term
| crossover sign is 2º to... |
|
Definition
medial HNP
(SLR pulls nn roots taut over HNP) |
|
|
Term
| Facet jt: first step leading to injury |
|
Definition
decr in disc height
(>> more WB through jts) |
|
|
Term
| Facet jt: second step of injury |
|
Definition
capsular swelling,
osteophytes |
|
|
Term
| Facet jt: third step of injury |
|
Definition
nn root irritation,
canal stenosis |
|
|
Term
| nuclear material extruded into vertebral body = |
|
Definition
|
|
Term
| Schmorl's nodes most common in which region? |
|
Definition
| thoracolumbar (not common below L2) |
|
|
Term
| Vascular supply for lumbar spine |
|
Definition
|
|
Term
| Hypothesis for rationale behind aerobic exercise for LBP |
|
Definition
link between athersclerosis and LBP;
ex >> collateral circulation pathways |
|
|
Term
| "Hoop tension" provided by... |
|
Definition
transversus abdominis
multifidus |
|
|
Term
| ______ provides trunk stability as an attachment for many mm of spine; distributes load through trunk |
|
Definition
| TLF (thoracolumbar fascia) |
|
|
Term
| largest & most medial of all back mm = |
|
Definition
|
|
Term
|
Definition
dorsal sacrum
ES aponeurosis
medial PSIS
post SI ligts
mammillary processes
facet capsules |
|
|
Term
|
Definition
| run medially, superiorly, slightly anteriorly |
|
|
Term
|
Definition
| spinous pr of vertebra above |
|
|
Term
| Multifidus show to atrophy rapidly in pts c.... |
|
Definition
| acute LBP (atrophy remains even after pain subsides) |
|
|
Term
| Transversus Abdominis: origin |
|
Definition
lat 1/3 inguinal ligt
inner lip of iliac crest
TLF |
|
|
Term
| Transversus Abdominis: insertion |
|
Definition
abdominal aponeurosis
linea alba |
|
|
Term
| Quadratus lumborum: attachments |
|
Definition
transverse processes,
12th rib
iliac crest |
|
|
Term
|
Definition
lat 1/2 inguinal ligt
iliac crest
lateral raphe |
|
|
Term
| Internal oblique: insertion |
|
Definition
(moves superiorly & medially)
cartilaginous border of ribs 9-12
abdominal aponeurosis
linea alba |
|
|
Term
|
Definition
Ribs 5-12
(runs inferiorly & medially) |
|
|
Term
| External oblique: insertion |
|
Definition
iliac crest
abdominal aponeurosis, linea alba
(forms) inguinal ligt |
|
|
Term
| REctus abdominis: attachments |
|
Definition
| symphysis pubis to 5-7th costal cartilages |
|
|
Term
| Implications for lifting rehab (pt ed; 8) |
|
Definition
decr moment arm
decr shear forces
test load before lifting
ø jerk load
ø rot while lifting
golfer's lift = efficient
ø lifting p prolonged flex/sitting
ø early morning loading |
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