MS Lecture 1 (part 2)

kms013's version from 2016-01-31 02:08


Question Answer
Williams believed that the majority of people suffering from lower back p! and leg ache suffer from...degenerative skeletal disease secondary to intervertebral disc lesions AND 2. the forward tilt of the sacrum when man is in erect position results in excessive F placed on the lower lumbar IV discs , and eventually the degeneration of the IV discs
Williams felt that conservative treatment should be directed at....reducing the angle of sacral promontory forms w the horizontal plane (or reducing lumbosacral extension/lordosis)
The exercise program recommended by Williams is designed to increase the ability of which mm and why?Abdominals and hip flexors; to generate tesnion and to lengthen the erector spinae mm, lumbar ligs, and assoc. fascia
According to William Flexion exercises, people are in either of what two phases?Acute or chronic
Is Williams method still in use or out of date?OOD
Williams relied on ____ to assist in characterizing his pts. Why was this flawed?radiographs; spinal radiographs are in no way related to a pts sx
Is Williams exercises still used?Yes, they are still handed out to some physician offices without regard to the effect the ex. have on pts p! level or fxl ability
Robin McKenzie is from where?New Zealand
What did Robin McKenzie specialize in?Treatment of spinal disorders
Robin McKenzie developed a method for.....classifying and treating spinal p! pt based on s/s
Robin McKenzie believed there are ___ predisposing factors in the etiology to lower back p! that are most important. What are they?1. Sitting postures which result in the loss of normal amt of cervical/lumbar lordosis 2. A decr in cerv./lumb ext ROM 3. The excessive freq with which a person flexes cerv/lumbar spine
CP: The body will....assume the position in which we put it (Robin McKenzie)
There are _________ primary syndromes in which Robin McKenzie classified pts after an eval. What are they?3; Postural, Dysfunctional, Derangement
What is postural syndrome?This syndrome results from postural stresses; characterized by intermittent p! brought on by certain postural positions which, when changed, will decr the p!
What is dysfunctional syndrome?caused by mechanical deformation of soft tissues which have become shortened and will become shortened and will cause p! when the pt attempts to move into a ROM that is limited by the shortened tissues
what is derangement syndrome?caused by mechanical deformation of the tissue due to an alteration of position of the fluid nucleus within the disc; characterized by p! and loss of ROM (No evidence has be published that directly supports the concept that an abnormality in the discs is the cause of derangement syndrome)
Robin McKenzie implicated _____ as a major source of back p!. However, he also considered ____ other tissues to be a possible source of sxdiscs; other tissues
Robin McKenzie based treatment off of ____ which determines _____s/s; the category in which the pt fits
Robin McKenzie approach is in direct contrast with ______ approach in treating lower back p!Williams
CP ____ and _____ have both moved on from Williams approach.Evidence and Experience
Shirley Sahrmann was a PT whose eval and tx was based on _____.Movement System Impairment Syndromes
The analysis and tx of mvmt system impairments are found in principles based in ___, ___, ____, and _____kines, biomechanics, mm physiology, and physiologic adaptation-to-use hx
The Mvmt system impairment syndrome involves a full eval of the status of _____ to ID ______ that can be assoc. with complains of p!, and to _____MS system; mm couple imbalances; sources of those imbalances in the context of routine postural and mvmt strategies
the treatment goal of the movment system impairment syndrome is to ____ via the use of targeted _____.elimination of p!; therapeutic ex to restore mm couple balance and related functioning jt alignment
Cheat sheet for Cyriax:Systemic approach; soft tissue lesion: AROM vs PROM, Resisted Isometrics; importance of "pts p!," 10 sig pts of diagnostic mvmts, capsular vs non-capsular
Cheat sheet for Maitland:"Quality" of movment, comparable sign, reassessment is KEY to tx; accessory motions effect on full jt motion
Cheat sheet for Mennell:tx based on s/s
Cheat sheet for Kaltenborn:3 factors of examination; manual therapy emphasis; jt mobs with belt, traction w treatment
Cheat sheet for Williams:Flexion ex for everyone
Cheat sheet for McKenzie:Classification of tx based on s/s; 3 predisposing factors of LBP, 3 primary syndromes
Cheat sheet for Sahrmann:mvmt systems; mm imbalances and jt alignments
What does MDCHS teach?A very eclectic Impairment based fxl mvmt Evaluation Approach and Tx classification/plans based on pts s/s (presentation)

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