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A 40-year-old male patient has been diagnosed with Spondylolisthesis,
a condition where the body of the involved lumbar vertebra slips
anteriorly upon the body of the vertebra below. What is the most
important recommendation for him?
A. Avoid knee flexion and adduction
B. Avoid hyperextension at the spine
C. Avoid posterior pelvic tilt
D. Avoid tying shoes or picking things up from the floor
B. Avoid hyperextension at the spine
In spondylolisthesis, repetitive extension and torsion activities
exacerbate the pain of the patient. So, it will be advisable to avoid
hyperextension activities.Flexion exercise and stabilization activities are
helpful for the patient.
,A patient is being treated for neck and shoulder pain by a physical
therapist. The physical therapist notes that the patient has a forward
head, rounded shoulders posture that cannot be corrected with active
movement. Which of the following interventions is MOST likely to
correct the problem?
A. Initiate cervical flexor and extensor strengthening and progress as
tolerated
B. Perform thrust manipulation to the midthoracic spine and apply
modalities as needed
C. Initiate pectoralis minor stretching and scapular retractor
strengthening and progress as tolerated
D. Initiate cervical traction to reduce the stress on the cervical spine and
begin a program of active range of motion movements for the cervical
and thoracic spine
C. Initiate pectoralis minor stretching and scapular retractor
strengthening and progress as tolerated
Treatment of forward head posture includes strengthening of the
muscles that have become inhibited and stretching of the facilitated
muscles. Stretching of the pectoralis minor muscle will reduce the
protraction improving the rounded posture and strengthening of
retractors will help maintain the retracted shoulder posture.
,Marta is experiencing chronic pain and tenderness in her cervical spine
at the level of C5-C6 vertebrae. The physician diagnoses reduced space
between the vertebrae. What will be the MOST appropriate physical
therapy intervention?
A. Provide an ice pack to permanently relieve pain
B. Perform cervical mobilization by moving the C5 vertebrae anteriorly
C. Perform cervical mobilization by moving the C6 vertebrae anteriorly
D. Applying traction at the level of C7
B. Perform cervical mobilization by moving the C5 vertebrae anteriorly
Mobilizing upper vertebra i.e. C5 anteriorly increases the space
between C5-C6 causing flexion. Traction at C7 level will not be effective.
Ice pack will not increase the intervertebral foraminal space.
, The patient suffered an injury on the right side and is having difficulty in
pronation of the right arm. Which nerve is MOST likely injured?
A. Ulnar nerve
B. Median nerve
C. Radial nerve
D. Suprascapular nerve
B. Median nerve
The pronator muscles of forearm i.e. pronator quadratus, pronator teres
are supplied by median nerve. So, injury to median nerve will result in
weak pronation.