31 Questions
What is a key step when correcting a list?
Use your body to shift trunk and stab hip
What should be done during an examination of the lumbar spine?
Get a baseline, move, inquire, and never follow up
What is the purpose of assessing in all planes during lumbar spine evaluation?
To understand movement patterns and pain triggers
What action closes the foraminal space and compromises structures?
Quadrant extension
What should be assessed when performing seated or standing overpressure on the spine?
Stressing structures and tissues
What is the recommended position for performing the test for pelvic rotation mobility?
Prone
What type of movement is described by the analogy 'driving a bus'?
Rotational movement
Which test involves the PT applying pressure on the apex of the sacrum while gently pushing down?
Counternutation motion test
Why is the supine position preferred over prone for performing certain pelvic mobility tests?
It is easier to push than pull in this position
What is emphasized as crucial when assessing pelvic mobility?
Maintaining communication with the patient
How is the 'springy sensation' described when testing pelvic mobility?
A sensation that patients must get used to
What is the purpose of using IF and THEN algorithms in lumbar and pelvis examination?
To rule in and rule out different conditions based on patient presentation
Which of the following is NOT considered a red flag indicating serious spinal pathology?
History of recent fever or chills
Which questionnaire is specifically used to assess fear avoidance beliefs related to back pain?
Tampa Bay Scale of Kinesiophobia
What does the FABQ stand for in the lumbar and pelvis examination context?
Fear Avoidance Beliefs Questionnaire
In the context of examining the lumbar spine, what does observing the patient's posture aim to achieve?
To understand how posture may contribute to their symptoms and daily activities
What is the main purpose of the IF and THEN algorithms in lumbar and pelvis examination?
To guide decision-making by systematically addressing different clinical presentations
What muscle group should be assessed for length in a lumbar examination?
Hip flexors
How is flexion tested in Passive Intervertebral Movements (PIVMS) during a lumbar examination?
Take both knees up to chest
Which part of the spine is primarily involved in Central Posterior/Anterior mobilization during joint mobility testing in the lumbar region?
Lumbar spine
What is the purpose of performing Grades 1-2 joint mobilization in the lumbar region?
Address pain modulation
When conducting muscle length testing in a lumbar examination, where should palpation be done?
Top of iliac crest
In a lumbar examination, what is the main difference between Grades 1-2 and Grades 3-4 joint mobilization?
Amplitude of movement
Which grade of joint mobilization involves high velocity, low amplitude beyond the available range?
(HVLA) Grade 5
During a lumbar examination, which test should be saved for last or not performed at all due to the risk of nerve latency pain?
'Neurodynamic' tests
What is the purpose of formal observation in physical examination?
To have the patient perform specific tasks like sit to stand to evaluate their movements
When examining posture, why is it important to view the patient from multiple angles?
To check for the presence of symmetry and normal lordotic curve
How can a protective list differ from scoliosis in terms of symptoms?
A protective list can be altered by standing, but scoliosis remains consistent
What distinguishes structural scoliosis from functional scoliosis?
Structural scoliosis changes when lying down, while functional scoliosis does not
In the context of herniated disc location, why might a patient experience pain with left side bending?
Due to a herniation medial to the nerve root causing compression and pain down the left leg
How does formal observation differ from natural observation in the context of physical examinations?
Formal observation allows for adjustments by patients in how they perform tasks, while natural observation does not involve any patient participation
Test your knowledge on correcting musculoskeletal shifts. Questions cover techniques such as using your body to shift trunk, determining reactions to irritability, and assessing range of motion in all planes.
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