Back Pain Back Pain Treatment and Management 2

Question 1

What is the primary goal of lumbar stabilization exercises in back pain rehabilitation?

Accepted Answer

Training co-contraction of deep muscles to protect the spine during movement

Answer

Lumbar stabilization exercises train the deep core muscles (multifidus, transversus abdominis) to co-contract and provide dynamic stability to protect spinal segments.

Question 2

Which surgical procedure involves removing the lamina to decompress the spinal canal in stenosis?

Accepted Answer

Laminectomy

Answer

Laminectomy involves removing part or all of the lamina (back of the vertebral arch) to enlarge the spinal canal and relieve neural compression in stenosis.

Question 3

Which physical therapy approach uses high-velocity, low-amplitude thrusts to the spine?

Accepted Answer

Spinal manipulation

Answer

Spinal manipulation (as performed by chiropractors and physical therapists) uses HVLA thrusts to restore joint mobility and reduce pain.

Question 4

Transcutaneous Electrical Nerve Stimulation (TENS) for back pain works primarily through which mechanism?

Accepted Answer

Gate control theory — inhibiting pain signal transmission

Answer

TENS activates large-diameter sensory fibers that inhibit pain transmission via the gate control mechanism in the dorsal horn of the spinal cord.

Question 5

Which activity modification is most important to teach patients with lumbar disc herniation?

Accepted Answer

Avoid prolonged sitting and use proper lifting technique (spine neutral)

Answer

Patients with disc herniation should minimize prolonged sitting, avoid spinal flexion under load, and maintain a neutral spine when lifting to reduce intradiscal pressure.

Back Pain Practice Test

Back Pain Practice Test

Back Pain Back Pain Treatment and Management 2