BACK DISORDER

Question 1

What is the most common cause of low back pain?

Answer 1

soft tissue strain

common problem - poor posture in daily activities

Question 2

proper body mechanics and be able to determine these from case examples

Answer 2

A void quick, and Jerky movements
Change position or split up task into enough steps to avoid excessive strain
D o not twist or rotate torso when lifting of carrying objects
Face the object and the direction of movement
Keep back in its normal, vertical alignment with natural curves, avoid asymmetrical postures
Keep objects and work surface close to the body
Lift using the leg muscles, not the back muscle
Stand with broad base of support
Use abdominal muscle not the back muscle
When lifting an object from the inside of a container pr the trunk o a car, place one foot on the edge of the container or on the car bumper to get the necessary leverage to lift the object
When standing for long periods of time, elevate one foot on a small stool or step

Question 3

What are the abnormal curvatures of the back that create back disorders?

Answer 3

• Lordosis - forward curve of Lumbar spine
• Scoliosis - lateral “S” curve of spine
• Kyphosis - abnormal curve of Thoracic spine

Question 4

What is TLSO and when its use?

Answer 4

Thoracic Lumbar Sacral Orthotic - A TLSO (thoracic-lumbar-sacral orthosis) is a brace that provides support for your spine and keeps it from moving12. It may be used for conditions like scoliosis, herniated discs, compression fractures, trauma, surgery, or seating posture3. You should follow your doctor’s instructions on when and how to use your TLSO.

Question 5

How to Donn a TLSO?

Answer 5

1) While laying down, patient rolls on side
2) With: the concave side of the brace toward the patients back, the point of the brace towards the patient’s head, the curve of the brace over the patients hop , the lower side of the brace is lid/pushed under the patient until the brace is centered on the patients back (the middle of the brace should be in line with the patients spine)
3) Patient rolls onto other side to allow assistant to further center the brace.
4) Patient rolls onto back
5) Front part of brace is placed on patients stomach with the point facing down and flat part up
6) front part of brace goes over back portion
7) Line up curves of back and front portion
8) Pull straps from bottom over top and thread through buckles on other side
9) Pull tight and fasten

Question 6

• Know/determine ADL methods using proper body mechanics

Answer 6

*****IDK

Question 7

What is the most effective method of OT TX for back disorders?

Answer 7

Proper posture and proper body mechanics??

Pain management, back education, precautions management with ADL and IADL, and functional mobility

Question 8

What are the focus of OT intervention for back disorders?

Answer 8

• Pain Management Techniques,
• ROM exercises, endurance activities
• address MS through isometrics, PRE
• Body Mechanics Education
• education in precautions management in daily task
• relaxation training/stress management
• coping skill activities
• Vocational and ADL task modification
• Sensation comp tech (if involved)
• EC/WS techniques
• donn-doff TLSO and TLSO care

Question 9

OT Focus for lower back d/o

Answer 9

ADL, precautions mgmt. pain mgmt, Funx mob, BALANCE - sit and stand

Question 10

OT focus for upper back d/o

Answer 10

ADL, precautions mgmt. pain mgmt, Funx mob, UE motor control - ROM, MS, Coord

Question 11

Back Protection

Question 12

Precautions

Question 13

appropriate equipment