Approaches For Back Pain

Question 1

DeLitto LBP CPG recommends what?

Answer 1

Progressive endurance and fitness
Manual therapy
Trunk coordination, strengthening and endurance ex
Centralized& directional preference ex

Pt ed & counseling (B)

Question 2

McKenzie method assumes what?

Answer 2

Spinal extension can centralize pain

Move away from extremities and into LB or neck

Centralizing pain allows source of pain to be treated

Focus on self awareness and self tx
No passive modality

Question 3

What are the goals of McKenzie?

Answer 3

Independent mngmt of pain
Reduce pain
Return to ADL
Minimize risk of recurring pain

Question 4

What are predisposing factors of LBP?

Answer 4

Sitting posture
Loss of extension range
Frequency of flexion

Question 5

McKenzie Dx

Answer 5

Note structure (spine curve, leg length, shldr and pelvic positions)

Observe quality of mvmt

Repeat mvmt 5-10x depending on pt and go to end range

Question 6

Postural syndrome

Answer 6

Pt feels no pain with active mvmt
Pain can appear in LB, UB, neck or all three thru prolonged sitting or standing

Pt seems asymptomatic

With mvmts- no pain

Question 7

Dysfunction Syndrome

Answer 7

Loss of mob in 1+ mvmts of spine

Pain localized in spine and felt at end range

Repeated mvmts don’t worsen pain

Curves distorted, posture is poor

Adaptive shortening of muscles jts lig

Question 8

Derangement syndrome

Answer 8

Poor posture
Seem fixed in deformity
Loss of motion in 1+ directions
Constant pain locally near spine or RADIATING pain to limbs
Repeated motions change pain 

Change in disc responsible for this

Question 9

What muscles are considered to be the powerhouse of the core?

Answer 9

RA, TrA, obliques, multifidi, glutes, QL support the trunk

Question 10

6 basic principles of Pilates

Answer 10

Control
Breath
Flow- key in people learning to control their own movements
Precision- temporal and spatial awareness
Centering
Concentration

Question 11

Yoga links

Answer 11

Mvmt with breath

Join mind and body

Question 12

Most common form of yoga

Answer 12

Hatha- physical discipline

Question 13

What are the three components of Hatha yoga practice?

Answer 13

Asana-posture, prepares mind and body for meditation, addresses restrictions of body

Pranayama- breathing practice, links mind and body

Dhyana-meditation, rest the mind, reduce BP

Question 14

Yoga and LBP literature suggests for chronic LBP

Answer 14

Improved pain, anxiety and depression more than exercise