Dpt 2 - MSK 2 - LQS and lumbar spine ppt Exam Questions With Correct Answers

Dpt 2 - MSK 2 - LQS and lumbar spine ppt Exam Questions With Correct Answers What is the purpose of the LQS - answerscreen/quick test preseason athletics pre participation in research prior to beginning new exercise/rehab program when should PT screen regions outside area of complaint - answerif difficult to pinpoint if s/sx not reproduced clear other areas rule in/out referred sx what positive results could arise from the LQS - answersignificant malalignment limited ROM pain, weakness instability sx production/reproduction/*comparable sign* hx components of LQS - answerage occupation activities general health PMHx/injuries meds signs/sx T/F do vitals in LQS - answertrue EXAM STUDY MATERIALS July 29, 2024 12:59 PM BP, HR, RR observation in LQS - answermovement willingness/symmetry gait velocity, symmetry, deviations posture symmetry function - ADLs/AROM w overpressure neuro screen in LQS - answerMMT vs RI vs myotomes functional mm testing coordination MSR/DTR sensation examples of functional mm testing - answerheel/toe walking can demonstrate fatiguable weakness squat/lateral step down SLB in various planes/perturbations why is heel toe walking a great tool in LQS - answerL5/S1 are most commonly impacted levels of lumbar spine, so heel toe walking tells function of gastrocs/dorsiflexors what situation might warrant testing peripheral nn - answerif fx, casted/boot, compartment syndrome T/F this screening exam flow results in participating restriction: pt hx spinal screen + in depth spinal exam + - answertrue describe the flow of screening exam that results in full participation - answerpt hx spinal screen - peripheral joint screen - EXAM STUDY MATERIALS July 29, 2024 12:59 PM what dx is the single biggest cost to the medical system - answerLBP lumbar exam often revolves around differentiating what dx s/sx vs other conditions - answerdisc pathology *what percent of back pain cases reach a definitive dx* - answer15% SINs should be established by - answersubjective evaluation objective examination how long is the acute stage in the lumbar spine - answer< 6 weeks and up to 3 months how long is the sub acute stage in the lumbar spine - answer6-12 weeks and up to 3-6 months how long is the chronic stage in the lumbar spine - answer> 12 weeks or 6 months and beyond *lifetime prevalence of LBP is approximated at what percent* - answer84% patterns of back pain - answerback dominant pain/mechanical cause leg pain dominant/nonmechanical cause if this is the pain pattern: back/buttocks (>90% back pain) where pain is the worst, seldom myotomal and not dermatomal pain flexion aggravates, stiff in the morning extension relieves pain pain onset in hours to days and lasts days to months what is the probable cause - answerdisc involvement (minor herniation, spondylosis), sprain, strain if this is the pain pattern: back/buttocks where pain is the worst, seldom myotomal and not dermatomal pain extension/rotation aggravates flexion relieves EXAM STUDY MATERIALS July 29, 2024 12:59 PM onset is minutes to hours lasting days to weeks (sudden) what is the probable cause - answerfacet joint involvement, strain if this is the pain pattern: leg usually below the knee where pain is the worst, commonly myotomal esp. in chronic and pain in dermatomes flexion aggravates extension relieves onset is hours to days lasting weeks to months what is the probable cause - answernerve root irritation (most likely cause disc herniation) if this is the pain pattern: leg usually below the knee; may be bilateral w