biomed Flashcards
how many waddell signs must be present for concern?
3/5
what are the 5 waddell signs?
superficial or nonanatomic tenderness
pain on axial loading or simulated rotation
nonreproducability when patient is distracted
regional weakness or sensory change
overreaction
what is the waddell sign of superficial or nonanatomic tenderness?
pain with light or superficial palpation
light touch anywhere provokes patient reaction
what is meant by the waddell sign pain on axial loading or simulated rotation?
eliciting pain when pressing down on the top of the patient’s head or rotating the shoulders and pelvis together should not be painful
what is nonreproducibility or pain when patient is distracted as defined by waddell signs?
patient’s pain disappears when they’re thinking about something else
what is meant for the waddell sign of regional weakness or sensory change?
cogwheeling: fall, catch, fall, catch=CNS issue
real weakness is a smooth loss of strength
what is meant by the waddell sign of overreaction?
exaggerated painful response to a stimulus that is not reproduced when some stimulus is given later or response to a stimulus that should not cause back pain
what does a radiculopathy indicate?
nerve root problem
motor loss
reflex change
sensory change
what are the 3 categories the sTarT Back uses for back pain?
high risk: psychological obstacles to recovery, need enhanced package of care
medium risk: physical obstacles to recovery, need face to face “conservative treatment” (PT!!)
low risk: low risk of chronicity, advice, reassurance, medication
what is another name for the mckenzie scheme?
“mechanical diagnosis and treatment”
what are the key predisposing factors for lbp in the mckenzie framework?
poor sitting posture
frequency of flexion in adl
what is postural syndrome according to the mckenzie framework?
Refers to pain which occurs due to a mechanical deformation of normal soft tissue from prolonged end range loading of periarticular structures.
The pain arises during static positioning of the spine: for example sustained slouched sitting.
The pain disappears when the patient is moved out of the static position.
what is dysfunction syndrome according to the mckenzie framework?
Refers to pain which is a result of mechanical deformation of structurally impaired tissues like scar tissue or adhered or adaptively shortened tissue.
The pain arises at the end range of a restricted movement.
what is derangement syndrome according to the mckenzie framework?
Is the most prevalent treatment classification.
Refers to pain which is caused by a disturbance in the normal resting position of the affected joint surfaces.
as an obstacle to recovery, what are yellow flags? ex?
about the person
ex: fear, depression
as an obstacle to recovery, what are blue flags? ex?
about the workplace
ex: “my boss is a jerk, i hate my job”
as an obstacle to recovery, what are black flags? ex?
about the context, social
ex: more attention given at home if sick
according to fritz, what is the cut-off score for the FABQ-W?
34
according to the neuromatrix, where are the three areas of input from?
cognitive
sensory signaling
emotion-related brain areas
according to the neuromatrix, what are the cognitive-related brain areas?
memories of past experiences
attention
meaning
anxiety
according to the neuromatrix, what are the sensory-signaling systems?
cutaneous
visceral
musculoskeletal inputs
according to the neuromatrix, what are the emotion-related brain areas?
limbic system and associated homeostatic/stress mechanisms
according to the neuromatrix, what are the three outputs to brain areas?
pain perception
action programs
stress-regulation programs
according to the neuromatrix, what is pain perception?
sensory
affective
cognitive dimensions
