Spinal Flexion Exercises Classification
15 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What does centralization signify during movement testing?

  • Pain intensifies and spreads distally from the spine.
  • A new paresthesia appears while moving.
  • No change in pain is observed during movement.
  • Pain or paresthesia moves centrally towards the spine. (correct)
  • What does the term peripheralization refer to in movement testing?

  • Symptoms do not change with movement.
  • Pain moves centrally towards the spine.
  • Pain or paresthesia moves distally, away from the spine. (correct)
  • Paresthesia is abolished after the movement.
  • Which of the following represents the Is Status Quo (ISQ) condition?

  • Pain intensity decreases immediately after the movement.
  • Neither centralization nor peripheralization is produced. (correct)
  • There is a transient increase in pain observed.
  • The pain moves distally during the movement.
  • During which activity is a person likely classified under flexion?

    <p>Sitting. (A)</p> Signup and view all the answers

    Which movement testing method is NOT used to identify specific exercise classification?

    <p>Elastic band resistance. (B)</p> Signup and view all the answers

    Which of the following is a symptom of spinal stenosis?

    <p>Weakness and heaviness in the legs (A)</p> Signup and view all the answers

    What is the primary compensation seen in a flatback postural syndrome?

    <p>Posterior pelvic tilt (A)</p> Signup and view all the answers

    What type of claudication is associated with obstruction of blood flow to the nerve?

    <p>Neurogenic claudication (D)</p> Signup and view all the answers

    Which of the following interventions should be avoided in stenosis treatment?

    <p>Extension exercises (B)</p> Signup and view all the answers

    In which position during the bike test would symptoms typically increase for patients with neurogenic claudication?

    <p>In neutral position (D)</p> Signup and view all the answers

    What characteristic is associated with the hyperlordotic postural syndrome?

    <p>Anterior pelvic tilt (C)</p> Signup and view all the answers

    Which diagnostic tool is typically used to assess spinal stenosis?

    <p>X-ray (B)</p> Signup and view all the answers

    What symptoms likely improve with flexion in patients with flexion classification?

    <p>Pain enhancement with extension (A)</p> Signup and view all the answers

    What might patients with flatback syndrome exhibit as a secondary compensation?

    <p>Compression of the posterior vertebral elements (B)</p> Signup and view all the answers

    A significant characteristic of the treadmill test for patients with spinal stenosis is:

    <p>Pain tolerance during normal walking pace (A)</p> Signup and view all the answers

    Flashcards

    Centralization

    Pain or paresthesia moves closer to the spine during movement, reducing or eliminating symptoms.

    Peripheralization

    Pain or paresthesia moves further from the spine during movement, increasing or producing symptoms.

    Status Quo

    No change in pain or paresthesia during movement; neither centralization nor peripheralization occurs.

    Flexion Category

    Classification of spinal movement preference in a seated position.

    Signup and view all the flashcards

    Extension Classification

    Classification of spinal movement preference during standing and walking, representing a straightening of the spine.

    Signup and view all the flashcards

    Spinal Stenosis

    Narrowing of the central canal or intervertebral foramina in the spine.

    Signup and view all the flashcards

    Neurogenic Claudication

    Pain and weakness in the legs caused by pressure on nerves in the spine.

    Signup and view all the flashcards

    Flexion exercises

    Exercises that involve bending the spine forward.

    Signup and view all the flashcards

    Flatback Posture

    Decreased lumbar lordosis, with increased flexion.

    Signup and view all the flashcards

    Swayback Posture

    Increased lumbar lordosis, with posterior pelvic tilt, and hip extension.

    Signup and view all the flashcards

    Hyperlordotic Posture

    Excessive lumbar lordosis, with anterior pelvic tilt.

    Signup and view all the flashcards

    Bike Test

    Used to diagnose spinal stenosis, pain changes with spine position.

    Signup and view all the flashcards

    Neurological Claudication

    Symptoms worsen with flexion, relieved by extension.

    Signup and view all the flashcards

    Vascular Claudication

    Symptoms do not change with spine position.

    Signup and view all the flashcards

    Spinal Stabilization Exercises

    Exercises to strengthen the muscles that support the spine.

    Signup and view all the flashcards

    Study Notes

    Specific Exercise - Flexion Category

    • The presentation focuses on spinal flexion exercises and classifications.
    • Patient history is crucial for identifying directional preferences (sitting vs. standing/walking).
    • Spinal posture preferences classify exercises as flexion or extension.

    Specific Exercise Classification - Identifying Factors

    • Examination: Centralization during movement testing is key.
      • Single test movements (flexion, extension, pelvic translocation) are used.
      • Repeated/sustained movements are also considered, especially for chronic cases.

    Definitions - Centralization

    • Centralization: Pain or paresthesia moves towards the spine.
    • Paresthesia resolves during the movement.
    • Symptom reduction lasts at least 30 seconds after the movement ends.

    Definitions - Peripheralization

    • Peripheralization: Pain or paresthesia moves away from the spine.
    • New paresthesia may appear.
    • Symptoms increase in intensity.
    • Increased symptom intensity lasts at least 30 seconds after the movement ends.

    Definitions - Status Quo (ISQ)

    • No centralization or peripheralization occurs.
    • Transient pain increases/decreases, while no changes occur.

    Flexion Classification

    • Stenotic, degenerative spine and postural syndromes.
      • Flatback, swayback, and hyperlordotic postures are mentioned.
    • Special cases like spondylolithesis, adherent root syndromes, and post-surgical sequelae are considered.

    Spinal Stenosis

    • AKA: neurogenic claudication.
    • Narrowing of the central canal or intervertebral foramina.
      • Central stenosis and lateral stenosis are defined.
    • Male/female ratio is approximately 8:1.
    • Secondary stenosis occurs due to disc issues.
    • Older age (> 65 years) and disc wear and tear are contributing factors.
    • Neurogenic claudication results from neural compromise due to altered blood flow to the nerve.

    Subjective Symptoms

    • Symptoms are mostly bilateral (3:1 ratio).
    • Common symptoms include localized pain, numbness, pins and needles in legs/calves/buttocks.
    • Walking short distances can cause weakness, tiredness, and heaviness in the legs.
    • Physical activity endurance decreases.
    • Pain is aggravated by extension, prolonged standing/walking, downhill walking and lying flat.
    • Pain relief is obtained by leaning on objects, flexion, sitting, squatting, walking uphill, and bicycle riding.

    Objective Exam/Stenosis

    • Key aspects include flat lumbar posture and limited/painful extension.
    • Central and unilateral pain/stiffness are common indicators.
    • Peripheral pulses should be checked.
    • X-ray, CT scan, or MRI are diagnostic for evaluation

    Objective Exam - Bike Test

    • In a neutral position, symptoms are worse.
    • When in a flexed position, symptoms decrease; related to stenosis.
    • In a flexed position, no change or vascular claudication may occur.
    • Also, consider treadmill testing, where pain might occur with normal-level or downhill walking but the patient can handle inclines

    Intervention

    • Instructions emphasize ADL (activities of daily living) with a neutral spine.
    • Flexion exercises and mobility-enhancing exercises (e.g., William's flexion) are recommended.
    • Stretching of the hamstrings and hip flexors is beneficial..
    • Intermittent traction, spinal stabilization exercises, and joint mobilization (especially rotation) are further therapeutic options.
    • Joint mobilization increases space, lessens soft-tissue restriction, and facilitates segmental movement.

    Intervention - Other Considerations

    • Abdominal and gluteal muscle strengthening exercises are also crucial.
    • No extension exercises are needed to avoid exacerbating the problem.
    • NSID and epidural steroid injections are medicaments options.

    Intervention - Further Considerations

    • Laminectomy and fusion surgery are potential treatment options for severe stenosis.

    Postural Syndrome - Flatback

    • Increased lumbar flexion, associated posterior pelvic and hip extension.
    • Compensations include posterior pelvic tilt, hamstring tightness, hip flexor weakness, and stretched posterior longitudinal ligaments.

    Postural Syndrome - Swayback

    • Lumbar flexion, associated posterior pelvic tilt, hip extension, thoracic kyphosis, and forward pelvic displacement.
    • Compensations involve stretched anterior hip ligaments/muscles, and compression of the posterior vertebral elements.

    Postural Syndrome - Hyperlordotic

    • Increased or excessive lumbar lordosis.
    • Compensations include anterior pelvic tilt, stretched anterior longitudinal ligaments, lower abdominal muscle stretching, compression of posterior vertebral elements, and shortening of low back extensors/hip flexor muscles.

    Flexion Classification - AROM Pattern

    • Status quo or improvement with flexion.
    • Pain potentially peripheralizes with extension.
    • History often shows a preference for flexion.

    Flexion Classification - General Considerations

    • Typical symptoms improve with flexion and worsen with extension in the lumbar spine.
    • Patients often exhibit a postural and directional preference for specific exercises.
    • Patients are typically older than 50.
    • Imaging often reveals lumbar stenosis.

    Treatment Program

    • The treatment program focuses on flexion-oriented exercises, lumbar spine mobilization, de-weighted treadmill ambulation, and individual impairment-specific exercises.
    • Avoid extension of the lumbar spine.
    • Aquatic therapy is mentioned as an option.

    Unloading

    • Unloading techniques are a part of the treatment plan for conditions mentioned.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Specific Exercise Flexion PDF

    Description

    This quiz covers the classification of spinal flexion exercises and the essential factors in patient assessment. It highlights the importance of patient history, centralization, and peripheralization in identifying movement preferences. Test your knowledge on spinal health with this focused quiz.

    More Like This

    Flexión en la Columna Vertebral
    14 questions
    Anatomy of the Spinal Cord and Meninges
    23 questions

    Anatomy of the Spinal Cord and Meninges

    ManeuverableForgetMeNot2590 avatar
    ManeuverableForgetMeNot2590
    Spinal Nerves and Plexuses Flashcards
    30 questions
    Use Quizgecko on...
    Browser
    Browser