PT 529 Lecture Notes - Lecture 3: Neutral Spine, Nerve Root, Spinal Cord Compression

• School: Quinnipiac University
• Department: Physical Therapy
• Course: PT 529
• Professor: Duane Scotti

Document Summary

5/21/2021: lumbar lordosis (increased/decreased, lumbar shelf palpation (spondylolisthesis): l1-l5, lateral shift, iliac crest palpation symmetry. Sij thigh thrust (aka posterior shear, poosh) Bony landmarks, muscles: pain, muscle guarding, trigger points. Indicated if slr with neck flexion is negative & disc involvement is suspected. Indicated if patient complains of burning anterior thigh pain and (+) cpa noted in upper lumbar region (l2/l3) 5-20 times assessing to see if symptoms centralize or improve (extension dp) Indicated if patient has pain in sitting; patient places both hands on armrests of chair, crosses the legs (knees extended) & pushes into armrests with arms. Pt. performs active hip ext. with knee extended; Positive test: pt. ant. pelvic tilt excessive lumbar ext. suggests lumbar ext. I ndicated if patient has increased lordosis & localized central pain at apex of curve; short hip flexors + pain at apex of curve suggests lumbar extension msi.