ANATOMY
-You know that psoas minor originates at which vertebrae?
T12-L1
Pt is a 56 year old male that reports insidious onset of LBP and severe midline low back, mid. abdominal and mid. scapular pain. They have a history of smoking, HTN and hyperlipidemia.
AAA
Lower extremity radicular symptoms that are present at rest or produced with initial to mid-range spinal mobility
radiating pain
L1-3 present as hypermobile, L4-5 present and as hypomobile. Based on this information pt is presenting with ?
MCI
Referred LE pain ACUTE there ex =
progression to acute LBP and movement coordination impairment intervention strategies
During palpation of the lumbar spine you visualize the structures beneath the skin. You know that at which levels that the conus medullaris transitions to cauda equina?
L1-2
Pt reports a sudden onset of LBP after a recent surgery for a herniated disc. They also report LEs pain.
cauda equina
Symptoms are often worsened with flexion activities and sitting.
referred LE pain
Lower extremity radicular symptoms that are present at rest or produced with initial to mid-range spinal mobility
radiating pain
cognitive functional therapy to address multiple components associated with LBP
Chronic generalized pain
- Which major back muscle has part of its origin on the spinous process of L1-L5?
LATS
Name the 5ds and 3ns
Drop attacks, Dysphagia, Dysarthria, Dizziness, Diplopia, Numbness, Nystagmus, Nausea
Local pressure and stiffness at level of affected joint
Ipsilateral referred LE pain
+ Quadrant test
- lumbar facet arthropathy
Upon palpating the spine, you notice internal dislocation of articular tissue that causes a disturbance in the normal resting position of the joint surfaces. What is the suspected pathology?
Derrangement Syndrome
A patient presenting with acute LBP with referred LE pain and pain with segmental provocation would benefit most from which type of intervention
What is trunk muscle strengthening and endurance?
A patient has weak but painless hip flexion. You find that psoas major is weak. You know which branches of nerves from the lumbar spine innervate the psoas major?
L1-L4
Pt is 3 weeks post op and they are complaining of an increase in pain around their incision site and LBP. Vitals were taken and they had:
Temp: 101
BP: 162/96
HR: 100
They also report a recent increase in fatigue and malaise.
Infection
Supine hip flexion with a SLR more than 90* is negative due to extra flexibility
MCI
Laslett’s Cluster - you start with the distraction and thigh trust tests, both are negative. What do you do next?
perform a compression test
specie trunk activation and movement control training to control stability to maintain lumbosacral structures
MCI there ex CHRONIC
-At what spinal level does the descending aorta transition into the common iliac arteries?
L5
Men over age 50 with a history of smoking.
- Pain that progressed from nagging to burning in nature, extending down the arm and into the ulnar nerve distribution.
pancoast tumor
The L upper abdomen L, mid scapular and shoulder or the upper/ lower thoracic spine
May refer to which organ origin?
Pancreas
When assessing lumbar spine hypermobility — PA to lumbar spine provokes pain. Patient lifts legs off the ground and applies PA pressure again. If pain is less by bringing legs of ground spine the test is?
+ test**
Generalized pain there ex
prognostic RISK factors to prioritize interventions to address biopsychosocial contributors to pain