30 Questions
What does lumbar spinal stenosis (LSS) involve?
Compression of neural and vascular elements in the lumbar spine
What is the estimated prevalence of LSS in the general population?
9%
What percentage of older people with signs of spinal stenosis remain asymptomatic?
More than 80%
Which condition represents 28% of hospitalizations in Australia?
Spinal stenosis
What is the most frequent indication for spinal surgery in patients older than age 65 years?
Spinal stenosis
How do the clinical characteristics of spinal stenosis and lumbar radiculopathy differ?
Stenosis involves narrowing of the spinal canal while radiculopathy does not
Which condition is characterized by an acute, severe onset of axial back pain and radicular pain?
Radiculopathy
What type of bladder dysfunction is associated with cauda equina syndrome?
Flaccid bladder
Which condition is characterized by faecal incontinence at the later stage of the disease?
Cauda equina syndrome
Which condition presents with saddle anaesthesia?
Cauda equina syndrome
What is the best surgical outcome associated with before surgery for clients with spinal conditions?
Clients with the least neurological deficit before surgery
Which investigation is considered the most reliable and immediate to confirm the cause of Cauda Equina Syndrome?
MRI and CT Myelography
What type of muscle weakness is associated with Cauda Equina Syndrome?
Asymmetrical, hyporeflexia-based weakness
What is a common symptom seen in lumbar spinal stenosis?
Whole leg pain that worsens with sitting
Which age group is typically associated with lumbar spinal stenosis?
50-60 years
What symptom is commonly relieved by sitting, forward bending, and supine lying in lumbar spinal stenosis?
Back pain
What condition can be mistaken for lumbar spinal stenosis but can be ruled out by history of tobacco use and pedal pulses examination?
Peripheral arterial disease (PAD)
What is a common reason for acquired or degenerative lumbar spinal stenosis?
Intervertebral disc lesion
Which type of lumbar spinal stenosis involves compression of the nerve root at the intervertebral foramen?
Foraminal stenosis
What is a typical presentation of intermittent neurogenic claudication in lumbar spinal stenosis?
Back pain, leg pain, and weakness during walking
'Pseudo claudication' is another name for which symptom related to lumbar spinal stenosis?
'Intermittent neurogenic claudication'
What is the primary role of a physiotherapist in identifying Conus medullaris syndrome and Cauda equina syndrome?
To refer clients for timely surgical management
Which condition results from damage to neural structures of the spinal cord segment T12 to S5 nerve root?
Conus medullaris syndrome
Which management option is considered optional for pain management in clients with lumbar spinal stenosis?
Imagine guided epidural injection therapy
What is a common clinical presentation that can be a precursor to Cauda equina syndrome and Conus medullaris syndrome?
Unilateral or bilateral radicular pain
Which surgical management option involves decompressing the spinal canal and foraminal stenosis?
Spinal decompression
What is a potential outcome if Conus medullaris syndrome or Cauda equina syndrome is not timely managed?
Life-changing outcomes like ongoing bladder dysfunction
Which disorder involves damage to neural structures of L3 to S5 nerve root?
Cauda equina syndrome
What type of therapy is considered as part of conservative management for lumbar spinal stenosis in clients with mild to moderate symptoms?
Pain neuroscience education and cognitive functional therapy
What is the primary purpose of post-operative physiotherapy in clients who have undergone spinal decompression and fusion procedures?
To assist in rehabilitation after surgery
Test your knowledge on Lumbar Spine Stenosis (LSS), a spinal condition characterized by narrowing of the spinal canal and neural foramina. Learn about the prevalence, symptoms, and causes of LSS.
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