Clinical Reasoning/EBP/Scientific Method

Question 1

What is deductive reasoning?

Answer 1

“top down” logic
-creates a linear relationship between pt’s restrictions/impairments etc and their pathology of body structures, personal factors, environment, etc

Question 2

What is narrative reasoning?

Answer 2

using specific observations to draw conclusions
-achieved throughout open ended questions and active listening to gather info about the pt’s personal and environmental factors

Question 3

What is Bayesian reasoning?

Answer 3

basically involves application of probability as data is gathered to identify if something is more or less likely or the probability that something is true or not true

Question 4

What is the cluster of findings for nociplastic pain(central sensitization)

Answer 4

characterized by pain that is disproportionate, non-mechanical, unpredictable, and diffuse

-in the absence of red flag findings

Question 5

Sensitivity and Specificity of nociplastic pain cluster?

Answer 5

sensitivity 91.8%

specificity 97.7%

Question 6

What is the cluster of findings for peripheral neuropathic pain(radicular or referred)

Answer 6

-symptoms that are referred in a dermatomal (radicular) or cutaneous (referred) distribution
-history of nerve injury, pathology, or mechanical compromise of the nerve w/ symptom provocation via mechanical testing

Question 7

Sensitivity and speficifity of peripheral neuropathic pain cluster?

Answer 7

sensitivity 86.3%

specificity 96%

Question 8

What is the cluster of findings for nociceptive pain?

Answer 8

-symptoms localized to an area of injury or dysfunction
-provocation and/or alleviation are clearly identifiable and proportionate
-match known mechanical and anatomical distributions
-symptoms usually intermittent and start w/ onset movement or mechanical provocation
-quality of symptoms may be a constant dull ache or a throb at rest