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Lumbar Scan
Quiz notes for lumbar scan
46
Health Care
Graduate
11/12/2012

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Cards

Term
Reasons to perform lumbar scan (5)
Definition
- Involvement of lumbosacral spine structures/nerves that can refer pain
- Insidious onset of back, hip, leg, knee, foot pain
- Any hint of neurological s/sx
- Mm atrophy
- Symptom relief from putting leg/spine in unusual position
Term
Lumbar scan: Things to do in standing (3)
Definition
Observation,
AROM,
Myotomal test S1-S2
Term
Lumbar scan: Components of standing observation (4)
Definition
posture,
pelvis symmetry,
skeletal alignment,
gait
Term
AROM - standing (3)
Definition
flex,
sidebend R/L,
ext

OVERPRESSURE on all (ext the least)
Term
Observation of gait (4)
Definition
step length,
cadence,
symmetry,
WB
Term
Lumbar scan: Things to do in sitting (4)
Definition
AROM rotation,
Reflexes,
SLR/slump tests,
(quads/hip flex resisted tests)
Term
Patellar tendon reflex - roots
Definition
L3-4
Term
Gastroc tendon reflex - roots
Definition
S1-2
Term
3 components of SLR (and "order")
Definition
knee ext >>
ankle DF >>
neck flex
Term
Components of slump test (and "order")
Definition
slump >>
knee ext >>
ankle DF
Term
Determinant of positive SLR/slump test
Definition
reproduction of symptoms
Term
Lumbar scan: Things to do in supine (7)
Definition
Myotomal exam (L2-S1),
SLR,
Dermatomal tests,
Compression overload test,
SI stress tests (3),
UMNL tests (3),
LE ROM scan
Term
Lumbar scan: Things to do in prone (4)
Definition
Myotomal exam (S1-2),
Femoral nerve test,
Torsion test,
PA springing test
Term
Myotomal exam: hip flexor - roots
Definition
L2
Term
Myotomal exam: quads - roots
Definition
L3
Term
Myotomal exam: Tibialis ant - roots
Definition
L4
Term
Myotomal exam: EHL - roots
Definition
L5
Term
Myotomal exam: fibulars - roots
Definition
L5-S1
Term
Supine SLR: roots tested
Definition
L4-S1/2
Term
Arc of motion producing maximal motion in IVF with SLR
Definition
30-65*
Term
Cause of problems if SLR causes pain >65*
Definition
soft tissue/articular
Term
SLR: active or passive?
Definition
Passive
Term
Confirmatory test in supine SLR
Definition
neck flex
Term
Cause for positive sitting SLR but negative supine SLR
Definition
soft mobile disc lesion
Term
Why perform bilat SLR?
Definition
Test for central disc herniation (may shift laterally during single SLR)
Term
Motions to increase sensitivity of SLR (not related to neck/ankle)
Definition
hip add,
hip IR
Term
Modalities to test in dermatomal exam
Definition
light touch,
sharp/dull
Term
Purpose of compression overload test
Definition
test ability of vertebral body to withstand incr compressive forces,
test IV disc
Term
Possible pathologies exacerbated by compression overload test (3)
Definition
endplate fx,
vertebral body tumor,
acute posterolateral/central HNP
Term
Compression overload test = good indicator of ____ in treatment of disc pts
Definition
when to resume flexion-based exercises
Term
SI stress tests (3)
Definition
ant ligt stress (supine),
post ligt stress (sidelying),
rotation (supine)
Term
+ SI stress test =
Definition
pain
Term
Ankle clonus: normal
Definition
2-3 beats
Term
Ankle clonus: positive sign
Definition
4-5 beats
Term
Babinski: positive
Definition
MT1 ext,
abd of MT2-5
Term
Hoffman's: positive
Definition
flex of digits 1 & 2
(upon flicking digit 3)
Term
Myotomal exam: hamstrings - root
Definition
S1
Term
Myotomal exam: hip ext (glutes) - root
Definition
S2
Term
Femoral nerve test = aka...
Definition
prone knee bend
Term
Femoral nerve test: tests roots...
Definition
L1-L4
Term
Overlap of nerve roots tested by prone knee bend and SLR
Definition
L4
Term
Femoral nerve test: positive
Definition
reproduction of back pain,
ant thigh pain
Term
Torsion test: tests...
Definition
ability of neural arch (pars interarticularis) to withstand rotational forces,
ligt/disc under rotational load
Term
Pain with torsion test bilat =
Definition
neural arch stress fx
Term
Pain with torsion test unilat =
Definition
ligt/disc problem
Term
PA springing test: tests...
Definition
ability of vertebral segment to withstand quick anterior force
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