Upgrade to remove ads
MSK 2: Lumbar MDT
Terms in this set (17)
Pain felt in a distal limb which originates from the spine is immediately or eventually abolished in response to the deliberate application of loading strategies.
Pain can progressively retreat in a proximal direction
There may be a simultaneous increase in proximal pain
Pain originating from the spine spreads distally or further down the limb.
In response to repeated movements or a sustained posture, if pain and produced and remains in the limb, spreads distally or increases distally, that loading strategy should be avoided.
What treatment can be provided for postural syndrome?
-use of lumbar roll/night roll
-slouch and over correction exercise
What is the diagnostic criteria for postural syndrome?
onset= insidious, associated with faulty posture
pain= intermittent & local
no loss of movement
pain gone when load removed
no effect of repeated movement testing on symp
What is the treatment used for flexion dysfunction?
-flexion in lying
-flexion in sitting
- flexion in sitting self OP
- flexion in standing
What is the treatment used for extension dysfunction?
-Extension in lying/standing
-Extension self OP
-Extension manual OP
What is the diagnostic cirteria for dysfunction syndrome?
onset= 6-8wks, hx back pain and/or surgery
intermittent, at end-range, local
decreased ROM sym/asym
no lasting effect with repeated movements
What is the progression for a anterior derangement?
1. Correct lordotic deformity with flexion in lying
2. Flexion in lying
3. Flexion in sitting
4. Flexion in sitting with patient OP
5. Flexion in Standing
What is the progression for a lateral derangement?
1. Repeated Side gliding to close down facets on painful
2. Flexion rotation toward painful side
3. Flexion rotation away from painful side
What is the criteria for relevant lateral shift?
1. Upper body is visibly shifted to one side
2. Onset of shift occurred with back pain
3. Unable to correct shift voluntarily
4. Correction affects intensity of symptoms
5. Correction causes centralization/periph
hard and fast= periph
gentle and gradual= centralization
What is the progression for a posterior derangement with lateral component?
1. Extension in lying
2. Extension in lying with patient-generated over pressure
3. Extension in lying with manual over pressure
-Side glide OP
4. Extension mobilization
(can also do with hips)
*all with hips away from painful side
What is the progression for a posterior derangement with kyphotic deformity?
1. Prone over pillows to accommodate deformity
-Start with some
-Move to next stage
when pain tapers off
2. Slowly remove pillows 1 by 1 until prone in neutral
3. Raise table to move into extension slowly
4. Restore lumbar extension in lying
5. Patient moves off table without losing lordosis
What is the progression for a posterior derangement?
1.start extension in standing ( if cant tolerate proceed )
2. Prone lying
3.Extension in lying
4.Extension with patient OP
-Exhale (deflate belly)
5.Extension with manual OP
-Rock with them as they press up and down
*stand and re-assess ROM after each set
*do 6 or more times a day
How do you correct a lateral shift?
side gliding against wall
A lateral shift is named by_______
the direction of shoulders
What are the differences in symptoms of a central symmetrical vs unilateral asymmetrical derangement?
-loss of ext or flex
-lordotic or kyphotic
-low back pain
-loss of movement in multiple directions
-loss of side gliding
-low back and limb pain
What are the factors that indicate a derangement?
multi-directional movement loss
onset= gradual or sudden
responds to repeated movements
pain= local or referred
pain=constant or intermittent
THIS SET IS OFTEN IN FOLDERS WITH...
MSK 2: Lumbar Pathologies
MSK 2: Lumbar TBC
MSK 2: Psychosocially Informed Eval to Intervention
MSK 2: Lumbar Intervention
YOU MIGHT ALSO LIKE...
Chapter 24: The Spine
Chapter 25 - The Spine
LC Quiz 9
OTHER SETS BY THIS CREATOR
Wound Care: Exam and Eval