Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
psoas major gets nerve supple from
|
l1-l3
|
|
|
rectus abdominis gets nerve supple from
|
t6-t12
|
|
|
ext ab oblique
|
t7-t12
|
|
|
in ab oblique
|
t7-t12, L1
|
|
|
transversus abdominis
|
t7-t12, L1
|
|
|
latissimus dorsi nerve supply
|
c6-c8
|
|
|
erector spinae
|
L1-L3
|
|
|
transversospinalis nerve supply
|
L1-L5
|
|
|
interspinalis
|
L1-L5
|
|
|
quadratus lumborum
|
t12, L1-L4
|
|
|
join dysfunction s/s
|
asymptomatic, lower backx mild to acute disabling, rigid lumbar spine, functional scoliosis, lower extremity radicular pain (rare)
|
|
|
joint dysfunction tests
|
segmental instability test-bakcwards leg lifts
one leg standing lumbar extension test -stand on one leg and recline back letting other foot move forward |
|
|
lumbar fractures s/s
|
lower back pain, lower extremity neuro compromise
|
|
|
tests for lumbar fractures
|
spinal percussion test
|
|
|
lumbar nerve root and sciatic nerve irritation/compression tests
s/s |
lower bck pain, lower extremity radicular px, loss of oextremity reflexes, loss of lower extremity muscle strength, loss of lower extremity sensation
|
|
|
TESTS for lumbar nerve root and sciiatic nerve irritation/compression tests
|
straight leg raising test-70-90*=lumbar joint pain at 35-70*=sciatic nerve root irritation at 0-35*=extradural sciatic involvement, spastic piriformis muscle or muscles
lasegue's test-raise flexed leg slump test- buckling sign femoral nerve traction test- bragards test-lower leg 5* from pain then dorsi flex foot sicard's test-same as bragards, but jsut dorsi flex the big toe Fajerstajn's test- bechterew's test-raise both leg's whie seated one at a time, then at teh same time if no pain. minor's sign-patient will stand on the healthy side |
|
|
mechanical low back px, may be acut recurrent or chronic, common in the teenage yrs through th 40s..s/s, relieved by, examination
|
px mar radiate to the back of teh thighs, not below the knees
pain is relieved by rest tenderness and muscle spasm on palpation, px and limition on active movements, lifting or twisting, dec lumbar lordosis, normal motor and sensory examination |
|
|
radiating low back px s/s
|
shooting px down one or both legs, below the knee in a dermatomal patter, there may be numbness and tingling and possible local weakness
|
|
|
examination of low back px
|
px is aggravated by movement and coughign, sneezing or straining (dejerine is pos), tenderness of the sciatic nerve, loss of senssation in a dermatomal pattern, local muscle weakness and strophy, dec or absent deep tendon reflexes
|
|
|
back and leg px from lumbar stenosis s/s
|
pseudocllaudication: px in the back of the lgs that worsens with walking and improves with flexing the spine (sitting or bending fwd)
|
|
|
examination of back and leg px from lumbary stenosis
|
flexed posture, motor weakness, diminished or absent reflexes in the lower extremities
|
|
|
chronic persistent low back stiffness caused by two conditions
|
1-ankylosing spondylitis-chronic inflammatory polyarthritis, commmon in younger males, ankylosing fo the SI joints moving up the spine and to the costovertbral joints
examination: loss of the lumbar lordosis, muscle spasm, progressive loss of motion 2-diffuse idiopathic skeletal hyperostosis (DISH)-common in middle age and older males, examination reveals a loss of flexion and immobility of the spine |
|
|
aching nocturnal back px, unrelieved by rest, consider:
|
metastatic malignancy in the spine: from cancer of the prostate, breast, lung, throid, kidney and/or from multiple myeloma
local bone tenderness may be present |
|
|
back pain referred from the ab or pelvis
|
described as a deep, aching pain, causes: peptic ulcer, pancreatitis, pancreatic cancer, prostatitis, endometriosis, dissecting aortiic aneurysm or retroperitoneal tumor.
spinal movements are not painful and ROM is not affected look for signs of the primary disorder |
