Mr. Smith presents to your clinic with complaints of low back pain for 3 months. During his subjective history, he shares that he is 65 years old, history of prostate cancer, with weakness to the knee extension/flexion, and urinary incontinence. He maybe recalls injuring his back lifting a box off the floor a few months ago. What should your differential diagnoses include?
Muscle Strain, Cancer
Cancer
Muscle Strain, Cancer, Cauda Equina Syndrome
Muscle Strain.
What is the definition of spondylolysis?
defect in pars interarticularis
anterior slippage of the vertebral segment in relation to the vertebral segment immediately above it
anterior slippage of the vertebral segment in relation to the vertebral segment immediately below it
degenerative changes within the spine
Mr. Brown presents to the outpatient clinic with complaints of low back pain. During the examination, you determine the diagnosis to be spondylosis. Click the options below that could be the cause.
Bulging Disc
Loss of IVD height
Lifting a 50# box a week ago
Slipping on the ice while working
Based on this image, what x-ray image are you looking at? How can you tell?
Lateral -- We are able to look at the vertebral body heights
AP -- The spinous processes are visible
Oblique -- Scotty Dog is visible
PA -- I do not see the spinous processes indicating this view.
What myotome level correlates with hip extension?
L1-L4
L2-S1
L5-S1
L5-S2
What muscle and level is this reflex testing?
Adductor Magus, L3/4
Adductor Magus, L2/3
Adductor Brevis, L3/4
Abductor, L2/3
If your patient had a (-) SLR test, with the following information, what would you know regarding the statistical information of this test. Sn = 0.91 Sp = 0.26 - LR = 0.35 + LR = 1.2
The SN is high, so I would say this patient has sciatic pain!
The SN is high, so I would say this patient does not have sciatic pain!
The SP is low, so I would say this patient has sciatic pain!
The SP is low, so I would say this patient does not have sciatic pain!
a patient presents with a non-neutral lumbar spine dysfunction. Patient is restricted in extension, R rotation, and _____ SB.
R SB
L SB
What is Fryette's 2nd Law of Biomechanics?
if the lumbar spine is non-neutral, LF and Rotation occur in the same direction
in a neutral lumbar spine, LF and Rotation occur in opposite directions
Motion introduced in one plane reduces motion available in other planes.
in a neutral lumbar spine, LF and Rotation occur in the same direction
if the lumbar spine is non-neutral, LF and Rotation occur in the opposite direction
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