Author: Anonymous

A 27-year-old patient comes into the clinic with a chief complaint of LBP. She states that she has been having pain more frequently since starting school as she is a PT student and has been studying a lot more. She states that her pain is localized to the low back. Her pain is worse with sitting for prolonged periods of time at the desk studying (>60′) or driving (>1.5 hours). She notes that her pain will go away when she is out of this position. She denies any other pain with any other motions throughout the subjective examination and objective examination. Based on MDT syndromes, what does she most likely present with?

A treating physical therapist is attempting to stretch the quadratus lumborum for a patient with unilateral low back pain. Which of the following anatomical landmarks is the origin of this muscle?

A physical therapist is educating a patient on core strengthening, specifically focusing on the muscles of the anterior abdominal wall. Which of the following correctly lists the muscle layers from superficial to deep?

A physical therapist (PT) is examining a patient during an initial evaluation, with a diagnosis of an S1 radiculopathy. During gait observation, where would the PT most likely suspect major deviations given this diagnosis?

Case Study: Chris, a 55-year-old male, presents for his first physical therapy visit for lower back pain. He reports a 15-year history of recurring low back symptoms following a traumatic car accident in 2001. Chris expresses doubt that therapy will help, but his physician recommended it before another pain injection or potential surgery. He avoids exercise, noting that nearly all movements increase his pain to 6/10 on the VAS. His pain is typically diffuse across the lumbar region and occasionally radiates into the buttocks when straining or lifting objects over 10 pounds. Significant guarding is observed with bending and extension movements due to pain, and the PT identifies myospasm in the paraspinal and rectus abdominis muscles during objective assessment. The PT performs the following special tests, with all of the tests being negative. What is the most appropriate interpretation of these examination items? (Three photographs showing different components of a clinical examination testing procedure performed by a clinician on a patient. Patient is in supine for two of the pictures and in sidelying position for another picture. The clinician is placing his hands on different areas of the patients sacroiliac anatomy.)

Which patient/symptoms could benefit from a lumbopelvic grade V manipulation if they do not have any contraindications?  

The pelvic floor muscles and diaphragm work together. Which statement below would be accurate in describing their relationship?

Which of the following outcome measures would not assist a physical therapist in using patient history and function to determine overall functional outcomes and prognosis?  

Which of the following statements is true regarding spinal lumbar manipulation?

A 26 year old female patient is referred to physical therapy for evaluation and treatment of low back pain. During the history taking portion of her evaluation, she informs the physical therapist that she also experiences pelvic and perineal pain. She states she has never been able to have a vaginal pelvic exam, use tampons, or participate in sexual intercourse due to muscle tension and inability to have something enter her vaginal canal. This most describes which persistent pelvic pain disorder?