Anatomy
The number of lumbar vertebrae
What is 5
Classification for pt experiencing LBP for 5 weeks
What is acute
Large amplitude, out of resistance
What is Grade 2 mobilization
Nerve tested in slump test
What is sciatic nerve
60 degrees standing, position inclinometer over sp T1, second over S2
What is thoracolumbar flexion
What is transverse abdominal
Onset of symptoms is often linked to a recent unguarded/awkward movement or position
Patient has recent fracture, cancer in region, and infection
What is absolute contraindication to manual therapy
Prone muscle length test for quad
What is Ely’s test
Measurement that needs to have pelvis stabilized to prevent posterior tilting
What is thoracolumbar extension using tape measure
Disc prolapse
What is displaced nucleus pulposus reaches the posterior edge of disc but remains essentially confined within outer layers
Failure of passive restraints, aberrant motions, and reports catching during movement
What is segmental hypermobility
Improves flexion of lumbar spine
Patient prone while PT places base of hand at apex of sacrum, applying downward pressure causing shear of sacrum on ilium
What is sacral thrust
Thoracolumbar rotation, stop motion when
What is pelvis starts to rotate
Turning right would open up which foramen of lumbar vertebrae
What is opening left foramen
Worsens with initial to mid range, pain with segment provocation, decreased coordination
To perfrom, do a distraction, pull to the barrier then introduce a HVLA force in the direction of the continued distraction
What is long axis distraction manipulation
Positive outcome of prone instability test
What is relief of pain with legs elevated and joint mobilization
Mark T1 and S2 (horizontal line with PSIS), record distance between T1 and S2
What is thoracolumbar flexion tape measure
The innervation of the latissimus dorsi
Thoracodorsal nerve
Symptoms are acute or subacute LBP or related LE pain, sensitivity to noxious stimuli, fear avoidance tendencies, anxiety, depression, and catastrophizing
What is cognitive affective tendencies
Coordination, interaction of the sensory and motor systems to anticipate or respond to proprioceptive and kinesthetic information to work in correct sequence to create coordinated movement
What is neuromuscular control
Start with distraction and thigh thrust tests, if negative perform compression, if negative perform sacral thrust
What is Laslett’s cluster tests
At the end of ROM, measure perpendicular distance of tip of individuals middle finger to floor
What is thoracolumbar finger tip to floor