examination \ lumbar
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Questions and Answers

Which joint is assessed for asymmetry during the examination?

  • Ankle joint
  • Knee joint
  • Sacroiliac joint
  • Subtalar joint (correct)

    • Which muscles help to reduce the load on the lumbar spine?

  • Abdominal muscles (correct)
  • Gluteus medius and quadratus lumborum
  • Thoracic muscles
  • Trunk muscles

    • What is the end feel of the lumbar spine during the assessment of joint play movements?

  • Tissue stretch (correct)
  • Bone-on-bone
  • Fluid movement
  • Muscle contraction

    • What is the purpose of the Dynamic Abdominal Endurance Test?

    <p>To assess muscle endurance in the abdominals</p> Signup and view all the answers

    What is the grading for the isometric abdominal test?

    <p>Normal (5), Good (4), Fair (3)</p> Signup and view all the answers

    What position should the patient be in for the Dynamic Abdominal Endurance Test?

    <p>Supine with the hips at 45°</p> Signup and view all the answers

    Which movement should the examiner perform after the patient has completed the basic movements?

    <p>Repetitive motion</p> Signup and view all the answers

    What is the maximum range of motion (ROM) in the lumbar spine for flexion (forward bending)?

    <p>40° to 60°</p> Signup and view all the answers

    What may indicate hypomobility in the lumbar spine?

    <p>All of the above</p> Signup and view all the answers

    What is the Kirkaldy-Willis description of degenerative changes in the disc?

    <p>Dysfunctional, unstable, and stable</p> Signup and view all the answers

    What is an instability jog?

    <p>A sudden movement shift or 'rippling' of the muscles during active movement</p> Signup and view all the answers

    What should the examiner watch for when the patient bends one or both knees on forward flexion?

    <p>All of the above</p> Signup and view all the answers

    Which movement did McKenzie advocate repeating 10 times to see whether the symptoms increased or decreased?

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

    When should combined movements of the spine be included in the examination?

    <p>When the patient has shown that a combined movement is what causes the symptoms</p> Signup and view all the answers

    Which symptom would indicate facet involvement?

    <p>Hip and buttock pain</p> Signup and view all the answers

    When should the quick test of the lower peripheral joints be performed?

    <p>When the patient is standing</p> Signup and view all the answers

    What does a positive Trendelenburg sign indicate?

    <p>Weak gluteus medius muscle</p> Signup and view all the answers

    When does flexion in the spine take place from above downward?

    <p>When the patient is standing</p> Signup and view all the answers

    Which of the following is true about assessing the lumbar spine?

    <p>Neurological symptoms may indicate lumbar spine problems.</p> Signup and view all the answers

    What should the examiner do when assessing a joint in the presence of symptoms originating in the lumbar spine?

    <p>Perform a screening or scanning examination of the joint.</p> Signup and view all the answers

    What type of movements should the examiner observe during the active movement assessment of the lumbar spine?

    <p>Movements of the entire lumbar spine and hip joint.</p> Signup and view all the answers

    Which of the following is true about the most painful movements during the active movement assessment of the lumbar spine?

    <p>At least one or more of the movements will be painful if the problem is mechanical.</p> Signup and view all the answers

    What is the range of forward flexion during the active movement assessment of the lumbar spine?

    <p>40°–60°</p> Signup and view all the answers

    What should the examiner look for during the active movement assessment of the lumbar spine?

    <p>Limitation of movement and its possible causes.</p> Signup and view all the answers

    During straight leg raising, the movement occurs from below upward instead of from above downward.

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

    During active movements, the examiner should watch for a painful arc.

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

    The pain seen in a lumbar painful arc tends to be neurologically based.

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

    During the happy round maneuver, the patient attempts to arch or hunch the back.

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

    Extension (backward bending) is normally limited to 20° to 35° in the lumbar spine.

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

    Side (lateral) flexion or side bending is approximately 15° to 20° in the lumbar spine.

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

    During straight leg raising, the movement occurs from below upward instead of from above downward.

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

    During the happy round maneuver, the patient attempts to arch or hunch the back.

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

    Extension (backward bending) is normally limited to 20° to 35° in the lumbar spine.

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

    Side (lateral) flexion or side bending is approximately 15° to 20° in the lumbar spine.

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

    Rotation in the lumbar spine is normally 3° to 18° to the left or right.

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

    During the Modified Extension Test (MExT), if the patient is over 50 years old, symptoms are produced to the same side as the side flexion and symptoms radiate below the gluteal fold, the test is positive for lumbar spinal stenosis.

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

    During the assessment of joint play movements, the examiner checks the end feel of the individual vertebrae in the lumbar spine. What is the end feel for flexion in the lumbar spine?

    <p>Tissue stretch</p> Signup and view all the answers

    Which muscles help to reduce the load on the lumbar spine by approximately 30%?

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

    What is the grading for the isometric abdominal test if the patient can hold the end position with arms straight until scapulae clear table for 10-15 seconds?

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

    Which movement should the examiner perform after the patient has completed the basic movements during the examination of the lumbar spine?

    <p>Double straight leg lowering</p> Signup and view all the answers

    Which joint should the examiner assess for asymmetry during the examination of the lumbar spine?

    <p>Sacroiliac joint</p> Signup and view all the answers

    What is the purpose of the Dynamic Abdominal Endurance Test?

    <p>To assess the endurance of the abdominal muscles</p> Signup and view all the answers

    During the active movement assessment of the lumbar spine, which movement is normally the summation of the movements of the entire lumbar spine, along with hip movement?

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

    What should the examiner look for when the patient is performing the active movements of the lumbar spine?

    <p>All of the above</p> Signup and view all the answers

    Which movement of the lumbar spine should be performed last during the active movement assessment?

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

    What is the range of motion (ROM) for side (lateral) flexion in the lumbar spine?

    <p>15°–20°</p> Signup and view all the answers

    When should a screening or scanning examination accompany the assessment of a peripheral joint?

    <p>When there is referral of symptoms from the lumbar spine</p> Signup and view all the answers

    What should the examiner do after asking the patient to demonstrate the movements that produce or have produced pain?

    <p>Allow time for symptoms to disappear before completing the examination</p> Signup and view all the answers

    Which movement did McKenzie advocate repeating 10 times to see whether the symptoms increased or decreased?

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

    Which symptom would indicate facet involvement?

    <p>Hip and buttock pain</p> Signup and view all the answers

    What is the purpose of the quick test of the lower peripheral joints?

    <p>To assess hip mobility</p> Signup and view all the answers

    What is the purpose of the modified Trendelenburg test?

    <p>To assess gluteus medius muscle strength</p> Signup and view all the answers

    When should the examiner perform the flexion movements with the patient in the supine position?

    <p>During the active movement assessment</p> Signup and view all the answers

    What is the purpose of assessing functional limb length during the observation stage?

    <p>To detect asymmetry in the ASISs and PSISs</p> Signup and view all the answers

    Which of the following is true about the range of motion (ROM) in the lumbar spine for flexion (forward bending)?

    <p>The ROM in the lumbar spine for flexion varies greatly among individuals.</p> Signup and view all the answers

    What is the purpose of applying passive overpressure during the active movement assessment of the lumbar spine?

    <p>To determine if symptoms increase.</p> Signup and view all the answers

    What is the significance of a sustained position increasing the symptoms in the lumbar spine?

    <p>It suggests hypomobility in the lumbar spine.</p> Signup and view all the answers

    What is the effect of disc degeneration on intersegmental motion in the lumbar spine?

    <p>Intersegmental motion increases as disc degeneration increases.</p> Signup and view all the answers

    What does an instability jog during active movement of the lumbar spine indicate?

    <p>An unstable segment.</p> Signup and view all the answers

    What should the examiner watch for when the patient bends one or both knees on forward flexion?

    <p>All of the above.</p> Signup and view all the answers

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