The Spine

  1. Multifidi are stabilizers for
  2. Purpose of pelvic floor
    • support of the pelvic organs and contents
    • Withstand increase in intra-abdom pressure
    • Maintain continence through support of sphincters
    • Work synergistically with lumbar corest
  3. Lumbar corset
    Transverse abdomin, diaphragm, multifidi, pelvic floor
  4. T/F want max contraction of pelvic floor
  5. Postural Derangement
    • Some symptoms
    • Easy to fix
    • Leads to mechanical dysfunction and eventually HNP
  6. Mechanical Dysfunction
    Muscle imbalances prevent normal motions
  7. Sway back
    • Forward pelvis and head
    • Knees are locked
    • LB is mostly flat
  8. MLBP
    Mechanical LBP
  9. Ankylosis
  10. Spondyloisthesis
    A vertebral moves forward
  11. Patient Education
    • Positional relief (acute)
    • Sleeping postures (acute)
    • Work postures (late tx)
    • Activity levels
    • Pain relieveing measures: flare up strategies
  12. Contras
    • Bowel or bladder problems with onset of LBP
    • Pins and needles in saddle area or in both hands in feet cord signs of cord compression (UMN signs)
    • Disc herniations- Avoid flexed postures
    • Motor Weakness is progressive shows something more serious is occuring
  13. Disk Herniation
    Extension biased pt
  14. EMG
    • Test function of the nerve leaving spine
    • Tiny electrodes into muscles
  15. Bone Scan
    • Radioactive chemical injected into bloodstream
    • Chemicals attach to bone undergoing changes
    • Changes appear as dark areas on film
  16. X-ray
    • Bone and joint spaces
    • No soft tissue use
  17. Discogram
    • Dye injected into disc
    • Helps determine if pain is coming from disk
    • Fluid leaking out on gram=bad
  18. MRI
    • Real good for soft tissue
    • Most common to look at spine
  19. CAT
    • Cross sectional views
    • Used when conditions affecting bones are suspected
  20. Myelogram
    Dye into spinal sac and shows on xray or CAT scan
Card Set
The Spine
The pp of "The Spine" and class notes