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Flashcards

Low back, SIJ and hip

Mia Li Integrated Patient Management English 67 cards

Cards in this deck (67)

  1. 1Which papers is the most helpful in exam findings for patients with LBP? Helpful hint: Black Panther has low back pain and leg pain.Prather et al. (2017)
  2. 2What year was Prather et al's article on LBP? Which journal?2017, JOSPT
  3. 3What is Prather et al (2017)'s study examining?Hip-spine syndrome.
    1) report exam findings of the hip in patients with LBP
    2) compare pain and function in patients with positive hip exam with those without.
  4. 4Prather et al (2017) T/F: 20% subjects with LBP also had reduced hip flexion and internal rotation.F.
    80% had decreased hip flexion, 75% had decreased hip IR.
  5. 5Prather et al (2017) T/F: 80% patient with 1 or 2 or 3 positive provocative tests.T.
    25% with one, 32% with two, and 23% with three positive tests.
  6. 6Prather et al (2017) Which sub-category of LBP patients had the worst LBP-related and hip-related function?Patients with reduced hip flexion.
  7. 7Prather et al (2017) Which outcome measures were used to compare LBP function and Hip function?LBP: Oswestry Disability Index
    Roland-morris questionnaire
    Hip: Harris Hip Score
  8. 8Recall and rank the most common self-reported distribution of pain.99% L5 and superior.
    79% below the gluteal fold
    66% distal to L5 and proximal to the gluteal
    50% lateral hip.
    35% groin
  9. 9Prather et al (2017) T/F: All three outcome measures had significant differences between [patients with positive hip provocative test] and [no positive tests]True.
  10. 10Which three categories of hip pain were identified in the Tibor and Sekiya (2008) article?Intra-articular, extra-articular, and hip mimickers
  11. 11Prather et al (2017) T/F: Patient with reduced hip ROM in different planes of motion and positive provocative hip tests reported worse LBP and worse hip and spine function at presentation compared to patients with LBP and no physical examination findings in the hip.True.
  12. 12Your patient comes in with complaint of hip pain. Which article will you refer to, in order to find out what the possible diagnosis they have?Tibor and Sekiya (2008).
  13. 13Which journal was Tibor and Sekiya published?Journal of arthroscopic and related surgery
  14. 14Name the 6 intra-articular diagnosis according to Tibor and Sekiya (2008).1) Labral tear
    2) Loose bodies
    3) FAI (femoroacetabular impingement)
    4) Capsular laxity
    5) ligamentum teres rupture
    6) Chondral damage
  15. 15Name the 8 extra-articular diagnosis according to Tibor and Sekiya (2008).1) stress fracture
    2) Greater trochanteric bursitis
    3) IT band
    4) adductor strain
    5) gluteues medius or minimus
    6) Piriformis syndrome
    7) Iliopsoas tendonitis
    8) SIJ pathology
  16. 16What does this sound like? [According to Tibor and Sekiya (2008)] 1. athlete with repetitive pivoting and hip flexion. 2. mixed sharp and dull gorin pain 3. catching and painful clicking 4. positive FAILabral tear
  17. 17What does this sound like? [According to Tibor and Sekiya (2008)] 1. previous trauma/ hip pathology 2. catching, locking, clicing, giving wayLoose body
  18. 18What does this sound like? [According to Tibor and Sekiya (2008)] 1. sharp anterior pain with deep squat, IR, abduction 2. Positive FABERFemorealacetabular impingement
  19. 19What does this sound like? [According to Tibor and Sekiya (2008)] 1. traumatic sublux 2. anterior hip pain with prone passive extension and ER.Capsular laxity
  20. 20What does this sound like? [According to Tibor and Sekiya (2008)] 1. dancer, runner 2. not bothersome, or groin painInternal snapping hip
  21. 21What does this sound like? [According to Tibor and Sekiya (2008)] 1. pain over greater trochanter 2. positive ober testIT band/ greater trochanter bursitis/ external snapping hip
  22. 22What does this sound like? [According to Tibor and Sekiya (2008)] 1. dull lateral hip pain 2. focal tenderness at gluteal insertion 3. weak hip abductionGlute med/ glute min injuries
  23. 23What does this sound like? [According to Tibor and Sekiya (2008)] 1. exercise-induced pain in the hip, groin, thigh 2. pain over greater trochanter 3. difficult lying on the side 4. female, ammenhorrea, low aerobic fitness, steroid useStress fracture
  24. 24What does this sound like? [According to Tibor and Sekiya (2008)] 1. Athletes requiring repetitive kicking, cutting, quick starts 2. aching groin, medial thigh painAdductor strain
  25. 25What does this sound like? [According to Tibor and Sekiya (2008)] 1. pain at SIJ 2. leg pain radiating from the hip down to the foot 3. walking relieves pain 4. pain with resisted abduction/adduction o a flexed and internally rotated thigh 5. NEGATIVE SLRPiriformis syndrome
  26. 26What does this sound like? [According to Tibor and Sekiya (2008)] 1. 3 our of 4 positive from Laslett's clusterSIJ dysfunction
  27. 27What does this sound like? [According to Tibor and Sekiya (2008)] 1. athlete with repetitive twisting, turning of the proximal thigh or lower abdomen 2. insidious onset of pain with activity, resolving with rest 3. aggravated by sudden movements or increased intra-abdominal pressureAthletic pubalgia
    or
    sports hernia
    or
    Gilmore's groin
  28. 28What does this sound like? [According to Tibor and Sekiya (2008)] 1. athlete with repetitive twisting 2. sharp or aching anterior pelvic pain over the symphysis 3.Osteitis pubis
  29. 29Which article explores the clinical exam and management of athletes with groin pain?Thorborg, 2018.
  30. 30Which journal is Thorborg (2018) from?JOSPT
  31. 31According to Thorborg (2018), other than red flags and lumbar/SI joint pathologies, what are the top 5 possible body regions invovled in groin pain in athletes?1. Adductor related
    2. Pubic related
    3. Inguinal related
    4. Iliopsoas related
    5. Hip related
  32. 32According to Thorborg (2018), what are the redflags?1. cancer (prostate, ovarian, breast)
    2. avascular necrosis, femoral neck/shaft fracture
  33. 33According to Thorborg (2018), what tests are the best to test for stress fracture?1. patella-pubic percussion test
    2. fulcrum test
  34. 34According to Thorborg (2018), which tests are good with ruling out discogenic/radicular symptoms?1. lack of peripheralization/ centralization
    2. negative straight leg raise
    3. slump test
  35. 35According to Thorborg (2018), which test is the best to rule out facet joint pathologies?negative extension-rotation test.
  36. 36According to Thorborg (2018), which test is the best to rule out SIJ pathology?Negative thigh thrust (88% Sensitivity)
  37. 37T/F: According to Thorborg (2018), adductor tests have higher than 90% accuracy.T.
  38. 38T/F: According to Thorborg (2018), positive joint-stress tests can confirm intra-articular pathologies.F. (only indicates further investigation)
  39. 39T/F: According to Thorborg (2018), nonsurgical and surgical interventions have similar return-to-play times.T
  40. 40Which study compared manual PT v.s. flexion exercise between lumbar stenosis patients?Whitman 2006.
  41. 41What did the two groups receive in Whitman 2006's lumbar stenosis study?1: manual PT + body-weight supported TM + exercise
    2. lumbar flexion exercise + TM walking + ultrasound
  42. 42From Whitman 2006's study, which group demonstrated better recovery?Manual + TM walking + exercise
  43. 43Which study looked at the interrater reliability of clinical examination measures for identification of lumbar segmental instability?Hicks (2003)
  44. 44According to Hicks (2003), which test is NOT RELIABLE for testing lumbar instability?Segmental instability.
  45. 45According to Hicks (2003), which tests are better to test for lumbar instability?1. prone instability test
    2. generalized LLS
    3. aberrant motion with trunk ROM
  46. 46According to Hicks (2003), wthich test has better reliability, prone instability or posterior shear?Prone instability.
  47. 47According to Hicks (2003), which scale should you use to rank lumbar instability?Beighton LIgamentous Laxity Scale
  48. 48According to Hicks (2003), what is more reliable during passive IV motion testing?Provocation of pain
  49. 49Which article explores the surgical and nonsurgical management of spinal stenosis?Atlas 2006
  50. 50According to Atlas (2006), which medication is recommended for geriatric patients due to its fewer GI side effects?COX-2
  51. 51According to Atlas (2006), which muscle should be targeted during exercise prescription?spinal extensors
  52. 52According to Atlas (2006), which exercises are recommended for patients with lumbar stenosis?1. aerobic conditioning
    2. specific muscle activation (vague literature)
    3 .postural education
    4. spinal extension posture/ compressive loading
    5. traction and water-based
  53. 53T/F: According to Atlas (2006), there is moderate-level evidence on acupuncture and spinal manipulation for lumbar stenosis.F. No evidence.
  54. 54According to Atlas (2006), what are the evidence on epidural steroid injection on lumbar stenosis?conflicting, generally negative results.
  55. 55According to Atlas (2006), what is the standard surgical treatment for central lumbar stenosis?laminectomy.
  56. 56What is considered when lumbar laminectomy will result in instability?fusion
  57. 57According to Atlas (2006), how long should you see a patient non-surgically before recommending surgery?8 - 12 weeks
  58. 58Which article classifies spondylosis and spondylolisthesis in child and adolescents?Herman 2005.
  59. 59According to Atlas (2006), which lumbar instability does not respond well to non-surgical treatment?high-grade spondylolisthesis
  60. 60According to Atlas (2006), the following spondy is: failure of normal development of posterior elements of lumbar spine with intact pars interarticularisType I
  61. 61According to Atlas (2006), the following spondy is: developmental spondy, with pars defectType II
  62. 62According to Atlas (2006), what should be the plan of care for children with Type I spondy?x-ray every 4-6 months
  63. 63According to Atlas (2006), the following spondy is: TraumaticType III
  64. 64According to Atlas (2006), what are the differences between the 2 sub-types of Type III spondies?1. Type IIIA: acute fracture of pars, lamina or pedicle from high-energy trauma
    2. Type IIIB: chronic traumatic due to repetitive loading in sports
  65. 65Atlas (2006): What are the treatment options for Type IIIA spondylosis/ spondylolisthesis?1. spinal orthosis
    2. surgical stabilization with decompression and reduction if severe
  66. 66Atlas (2006): What are the treatment options for Type IIIB spondylosis/ spondylolisthesis?1. activity restriction with PT (core strengthening and hamstring stretch)
    2. TLS orthoses 12 - 18 hours per day
    ** If stress fracture: complete activity restriciton and full-time TLSO for 6-8 weeks
  67. 67According to Atlas (2006), what are causes of Type IV Spondy?pathologic (neoplasm, osteogenesis imperfecta, osteoporosis

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Integrated Patient Management Flashcards on Low back, SIJ and hip, created by Mia Li on 10/04/2019.
Created by
Mia Li
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physical therapylow back painhip painsij
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