Deck 44: Low Back Pain

Question 1

Low back pain may be a result of which of the following?

A) Poor conditioning
B) Improper use of the back
C) Obesity
D) Smoking
E) All of the above

Answer 1

E

Question 2

Pilar's story was used as the case study in the low back pain chapter.She is a homemaker with a husband and four children.Her occupational performance has been impaired as a result of low back pain during home management activities.During the occupational therapy evaluation,it was noted that Pilar was bending at the waist repeatedly during homemaking activities (e.g.,reaching and pulling opening the vegetable drawer of the refrigerator,removing clothes from dryer,cleaning the bathtub).The occupational therapist ________________.

A) Reassures Pilar that bending at the waist is the normal movement for most people performing these activities and that she just needs to pace her activity level throughout the day
B) Teaches Pilar that bending at the waist increases pressure at the back of the disk and increases stretch at the anterior portion of the vertebral body and disk, thus straining the lower back
C) Instructs Pilar to squat, keeping a straight back while positioned close to the vegetable drawer of the refrigerator while she opens it and removes vegetables
D) Orders a wheelchair for Pilar to use during homemaking activities to rest her back

Answer 2

C

Question 3

Which of the following best defines spinal stenosis?

A) The narrowing of the intervertebral foramen that decreases the space where the spinal nerve exits or enters the spine
B) A type of muscular weakness
C) A condition that never causes low back pain
D) A condition that is caused by the sciatic nerve

Answer 3

A

Question 4

In working with Pilar,the occupational therapist will teach her the concepts of body mechanics,which include ___________________.

A) Avoiding twisting movements, holding objects close to the body, lifting with the legs
B) Teaching her tasks and positions that move her body out of balance to challenge and strengthen the low back muscles
C) Forceful dynamic stretching of the upper and lower back
D) Balancing on one leg while reaching overhead
E) All of the above