resisted movements\ lumbar
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Questions and Answers

Which movement is believed to occur in the spine in different positions?

  • Extension
  • Side Flexion (correct)
  • Flexion
  • Rotation

    • Which author believes that contralateral movements occur in the spine in different positions?

  • Kaltenborn
  • Grieve
  • MacConnaill
  • Farfan (correct)

    • In patients with herniated disc problems, which side do they sometimes list towards?

  • No specific side
  • Both sides equally
  • The opposite side of the sciatica
  • The side of the sciatica (correct)

    • When the herniation is lateral to the nerve root, why is the list towards the side opposite the sciatica?

    <p>To alleviate pain</p> Signup and view all the answers

    Which movement is NOT tested during resisted isometric muscle strength testing of the lumbar spine?

    <p>Rotation</p> Signup and view all the answers

    What should the lumbar spine be in during resisted isometric muscle strength testing?

    <p>Neutral position</p> Signup and view all the answers

    Which movements should be done last during resisted isometric muscle strength testing?

    <p>Side flexion and rotation</p> Signup and view all the answers

    Which muscles help to reduce the load on the lumbar spine and thoracic spine?

    <p>Abdominal muscles</p> Signup and view all the answers

    Which muscles are listed in Table 9.11 as acting on the lumbar vertebrae?

    <p>Abdominal muscles</p> Signup and view all the answers

    What should the examiner ensure during the tests?

    <p>Patient's ability to move their ASISs or PSISs</p> Signup and view all the answers

    What does the Dynamic Abdominal Endurance Test check?

    <p>Endurance of the abdominals</p> Signup and view all the answers

    What is the grading for the isometric abdominal test?

    <p>Normal, Good, Fair, Poor, Trace</p> Signup and view all the answers

    What muscles does the Dynamic Extensor Endurance Test test the strength of?

    <p>Iliocostalis lumborum and multifidus</p> Signup and view all the answers

    What position is the patient placed in for the Dynamic Extensor Endurance Test?

    <p>Prone</p> Signup and view all the answers

    Which position is the patient asked to assume during the back rotators/multifidus test?

    <p>Quadruped position</p> Signup and view all the answers

    During the back rotators/multifidus test, which movement is the patient asked to do while maintaining a neutral pelvis?

    <p>Contralateral straight arm and straight leg lift</p> Signup and view all the answers

    What is the grading for a normal isometric test of the back extensors?

    <p>Normal (5)</p> Signup and view all the answers

    What is the grading for a fair isometric test of the back extensors?

    <p>Fair (3)</p> Signup and view all the answers

    What percentage of the extensor time should the side bridge be able to be held for men?

    <p>65%</p> Signup and view all the answers

    What percentage of the extensor time should the side bridge be able to be held for women?

    <p>39%</p> Signup and view all the answers

    What is the grading for a good isometric test of the back extensors?

    <p>Good (4)</p> Signup and view all the answers

    What is the grading for a poor isometric test of the back extensors?

    <p>Poor (2)</p> Signup and view all the answers

    What is the position of the legs in a more difficult test for younger, more fit patients?

    <p>Straight</p> Signup and view all the answers

    Which muscle is tested in the Double Straight Leg Lowering Test?

    <p>Abdominals</p> Signup and view all the answers

    Which position is the patient in for the Internal/External Abdominal Obliques Test?

    <p>Supine position</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Dynamic Horizontal Side Support Test?

    <p>Able to reach 46° to 75° from table before pelvis tilts</p> Signup and view all the answers

    What is the starting position for the Double Straight Leg Lowering Test?

    <p>Supine position with flexed knees</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Internal/External Abdominal Obliques Test?

    <p>Flexes and rotates the lumbar spine fully with hands behind head (20- to 30-second hold)</p> Signup and view all the answers

    What is the grading for a 'Poor' result in the Double Straight Leg Lowering Test?

    <p>Able to reach 75° to 90° from table before pelvis tilts</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Dynamic Horizontal Side Support Test?

    <p>With hands clasped behind the head, extends the lumbar spine, lifting the head, chest, and ribs from the floor (20- to 30-second hold)</p> Signup and view all the answers

    Which author believes that ipsilateral movements occur in the spine in different positions?

    <p>Kaltenborn</p> Signup and view all the answers

    Which movement is NOT tested during resisted isometric muscle strength testing of the lumbar spine?

    <p>Flexion</p> Signup and view all the answers

    When the herniation is lateral to the nerve root, why is the list towards the side opposite the sciatica?

    <p>To alleviate nerve root irritation</p> Signup and view all the answers

    In patients with herniated disc problems, which side do they sometimes list towards?

    <p>The opposite side of the sciatica</p> Signup and view all the answers

    Which muscle is tested in the Double Straight Leg Lowering Test?

    <p>Abdominals</p> Signup and view all the answers

    Which position is the patient asked to assume during the back rotators/multifidus test?

    <p>Prone</p> Signup and view all the answers

    Which movement is believed to occur in the spine in different positions?

    <p>Rotation</p> Signup and view all the answers

    During the back rotators/multifidus test, which movement is the patient asked to do while maintaining a neutral pelvis?

    <p>Contralateral straight arm and straight leg lift and hold</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Dynamic Horizontal Side Support Test?

    <p>4</p> Signup and view all the answers

    What percentage of the extensor time should the side bridge be able to be held for women?

    <p>39%</p> Signup and view all the answers

    What is the grading for a normal isometric test of the back extensors?

    <p>4</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Dynamic Horizontal Side Support Test?

    <p>3</p> Signup and view all the answers

    Which muscles help to reduce the load on the lumbar spine and thoracic spine?

    <p>Quadratus lumborum and multifidus</p> Signup and view all the answers

    Which position is the patient asked to assume during the back rotators/multifidus test?

    <p>Quadruped position</p> Signup and view all the answers

    Which muscles are listed in Table 9.11 as acting on the lumbar vertebrae?

    <p>Multifidus and rotatores</p> Signup and view all the answers

    What is the position of the legs in a more difficult test for younger, more fit patients?

    <p>Straight</p> Signup and view all the answers

    Which muscles does the Double Straight Leg Lowering Test primarily test?

    <p>Quadratus lumborum</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Internal/External Abdominal Obliques Test?

    <p>Flexes and rotates the lumbar spine fully with hands across chest (15- to 20-second hold)</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Dynamic Horizontal Side Support Test?

    <p>Able to reach 0° to 15° from table before pelvis tilts</p> Signup and view all the answers

    What is the starting position for the Dynamic Extensor Endurance Test?

    <p>Prone position</p> Signup and view all the answers

    Which muscle does the Internal/External Abdominal Obliques Test primarily test?

    <p>External oblique</p> Signup and view all the answers

    What is the grading for a 'Poor' result in the Double Straight Leg Lowering Test?

    <p>Able to reach 75° to 90° from table before pelvis tilts</p> Signup and view all the answers

    What is the grading for a 'Fair' result in the Dynamic Abdominal Endurance Test?

    <p>With hands at the side, extends the lumbar spine, lifting the sternum off the floor (10- to 15-second hold)</p> Signup and view all the answers

    Which muscles are tested in the Dynamic Abdominal Endurance Test?

    <p>Abdominals and multifidus</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Dynamic Extensor Endurance Test?

    <p>Arms crossed over chest until scapulae clear table (15- to 20-second hold)</p> Signup and view all the answers

    What is the grading for a normal isometric test of the back extensors?

    <p>Hands behind neck until scapulae clear table (20- to 30-second hold)</p> Signup and view all the answers

    Which muscle is tested in the Double Straight Leg Lowering Test?

    <p>Abdominals</p> Signup and view all the answers

    What is the grading for a 'Poor' result in the Double Straight Leg Lowering Test?

    <p>Arms extended toward knees until tops of scapulae lift from table (1- to 10-second hold)</p> Signup and view all the answers

    What is the grading for a fair isometric test of the back extensors?

    <p>Arms straight until scapulae clear table (10- to 15-second hold)</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Internal/External Abdominal Obliques Test?

    <p>Arms crossed over chest until scapulae clear table (15- to 20-second hold)</p> Signup and view all the answers

    Which movement is believed to occur in the spine in different positions, according to Farfan?

    <p>Contralateral side flexion</p> Signup and view all the answers

    Which movement is believed to occur in the spine in different positions, according to Kaltenborn?

    <p>Ipsilateral side flexion</p> Signup and view all the answers

    Which movement is believed to occur in the spine in different positions, according to MacConnaill?

    <p>Contralateral side flexion</p> Signup and view all the answers

    Which movement is NOT tested during resisted isometric muscle strength testing of the lumbar spine?

    <p>Rotation</p> Signup and view all the answers

    When the herniation is lateral to the nerve root, why is the list towards the side opposite the sciatica?

    <p>To reduce pressure on the herniated disc</p> Signup and view all the answers

    What is the grading for a 'Fair' result in the Dynamic Abdominal Endurance Test?

    <p>11-20 seconds</p> Signup and view all the answers

    Which muscles help to reduce the load on the lumbar spine and thoracic spine?

    <p>Abdominal obliques</p> Signup and view all the answers

    Which muscles are tested in the Dynamic Abdominal Endurance Test?

    <p>Rectus abdominis and obliques</p> Signup and view all the answers

    What is the grading for a 'Fair' result in the Dynamic Extensor Endurance Test?

    <p>Arms straight until scapulae clear table (10- to 15-second hold)</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Isometric Abdominal Test?

    <p>Hands behind neck until scapulae clear table (20- to 30-second hold)</p> Signup and view all the answers

    During the Dynamic Extensor Endurance Test, what position is the patient in?

    <p>Prone</p> Signup and view all the answers

    Which muscles help to reduce the load on the lumbar spine and thoracic spine?

    <p>Rectus abdominis and obliques</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Internal/External Abdominal Obliques Test?

    <p>Arms straight until scapulae clear table (10- to 15-second hold)</p> Signup and view all the answers

    Which movement is NOT tested during resisted isometric muscle strength testing of the lumbar spine?

    <p>Side flexion</p> Signup and view all the answers

    Which muscles are primarily tested in the Dynamic Extensor Endurance Test?

    <p>Erector spinae and transversospinalis</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Dynamic Horizontal Side Support Test?

    <p>Able to hold position for 10-20 seconds</p> Signup and view all the answers

    What is the grading for a 'Poor' result in the Double Straight Leg Lowering Test?

    <p>Able to lower legs to 30 degrees</p> Signup and view all the answers

    What is the grading for a 'Fair' result in the Dynamic Abdominal Endurance Test?

    <p>Able to hold position for 5-10 seconds</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Internal/External Abdominal Obliques Test?

    <p>Able to hold position for 10-20 seconds</p> Signup and view all the answers

    What is the grading for a poor isometric test of the back extensors?

    <p>Unable to lift pelvis off examining table</p> Signup and view all the answers

    What is the grading for the isometric abdominal test?

    <p>Able to lift pelvis off examining table and hold spine straight (10-20 second hold)</p> Signup and view all the answers

    Which movements should be done last during resisted isometric muscle strength testing?

    <p>Extension and rotation</p> Signup and view all the answers

    Which author believes that ipsilateral movements occur in the spine in different positions?

    <p>McGill</p> Signup and view all the answers

    Which muscle is tested in the Dynamic Horizontal Side Support (Side Bridge) Test?

    <p>Quadratus lumborum</p> Signup and view all the answers

    What is the starting position for the Internal/External Abdominal Obliques Test?

    <p>Supine position with hands by the side</p> Signup and view all the answers

    What is the grading for a 'Normal' result in the Double Straight Leg Lowering Test?

    <p>Able to reach 0° to 15° from table before pelvis tilts</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Dynamic Extensor Endurance Test?

    <p>With hands at the side, extends the lumbar spine, lifting the head, chest, and ribs from the floor (15- to 20-second hold)</p> Signup and view all the answers

    What is the grading for a normal isometric test of the back extensors?

    <p>Flexes and rotates the lumbar spine fully with hands behind head (20- to 30-second hold)</p> Signup and view all the answers

    What is the grading for a 'Good' result in the Internal/External Abdominal Obliques Test?

    <p>Flexes and rotates the lumbar spine fully with hands across chest (15- to 20-second hold)</p> Signup and view all the answers

    What is the grading for a 'Poor' result in the Double Straight Leg Lowering Test?

    <p>Able to reach 75° to 90° from table before pelvis tilts</p> Signup and view all the answers

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