CPGs Flashcards
Adhesive capsulitis Clinical Course
B - staged progression of pain mobility deficits and after 12-18 months Mike to moderate mobility deficits may persist.
Adhesive Capsulitis diagnosis and classification
F - Gradual progressive onset of painless of active and passive ROM in elevation and rotation.
Adhesive capsulitis differential diagnosis
F - clinicians should explore DD if not making progress or resolving with interventions
Adhesive capsulitis Examination - outcomes measures
A- DASH ASES or SPADI
Adhesive capsulitis examination activity limitations and participation restrictions
F - use any easily reproducible aR or PR
Adhesive capsulitis Examination physical impairment measures
E - pain arom prom gh motion
Adhesive capsulitis Interventions
A - corticosteroid injections combined with MT and stretching provide 4-6 weeks relief
B - patient education on natural course activity modifications to encourage painfree stretching and rom. Stretching based off phase of progression
C - modalities( shockwave estim US combined with stretching/mobility), joint mobilization, translational manipulation.
Hip OA pathoanatomical features
B - mobility of hip joint. Strength. Especially hip ABD strength
Hip OA risk factors
A - age , hip developmental disorders, previous history
Hip OA diagnosis/classification
A - age> 50, painful IR, limited by 15 compared to opposite side flexion and IR, morning stiffness
CPR
1. Age > 50, painful hip IR > 15 degrees, morning stiffness 50
Hip OA differential diagnoses.
E - look for other sources if Sx not consistent with OA
Hip OA Examination
Outcomes = A - womac lefs Harris hip score
Activity limitation and participation= A - 6 min walk, self paced walk, stair measure , TUG
Hip OA intervention
B - patient education on activity modification and weight loss if applicable. Manual therapy ( short term). Strengthening and flexibility exercises.
C- functional gait and balance training. Including use of AD
Non-arthritic Hip Risk factors
F - presence of osseous abnormalities , local or global ligament out laxity, connective tissue disorders, nature of patients activity and participation.
Non-arthritic Hip diagnosis and classification
C
Anterior and lateral hip pain, generalized hip pain. Reproduced with FABER, FADIR. Consistent imaging findings. To classify and diagnose
Non-arthritic Hip differential diagnosis
F - consider other dx when Sx or hx do not align with hip disorder or fail to respond to treatment
Non-arthritic Hip outcomes measure
A
Hip outcome score( HOS)
Copenhagen hip and groin outcome(HAGOS)
International hip outcome tool (iHOT33)
Non-arthritic Hip physical impairments
B
Body function, pain mobility, muscle power, movement coordination
Non-arthritic Hip interventions
F Manual therapy Patient education/counseling Therapeutic exercises Neuromuscular reeducation
Adhesive capsulitis Risk Factors
C level. Diabetes thyroid disease 40-65 yo, female, and previous hx of froz shoulder.
Neck Pain Pathoanatomical features
E
The tissue causing pain is most often unknown. Assess for impaired function of muscle, connective, and nerve
Neck Pain Risk FActors
B
Age > 40, long Hx of neck pain, Cycling as reg activity, loss of strength in hands, poor quality of life, less vitality
Neck Pain Diagnosis/Classification
B
1. Motion Limitations
- Cervical active ROM, Cervical and Thoracic segmental mobility
, 2. Headaches,
- Cervical ROM, Segmental mobility, Cervical flexion test
3. Sprain strain
- Cranial cervical flexion test, DNF endurance
- Reffered or radiating pain
- (+) ULTTA, Spurlings, Distraction, ROM limitation 60
Neck Pain Differential Diagnosis
B
Consider other serious pathologies orr dx when Sx or hx do not align with disorder or fail to respond to treatment
Neck Pain Outcomes
A
NDI, PSFS
Neck Pain Activity limitation measures
F
Utilize easily reproducable activity limitations
Neck Pain Interventions
A - Cervical manipulation/mobilization c exercise. Coordination, strengthening, and endurance ex. Patient education and counseling(return to normal activities, provide reassurance)
B - TRaction c manual therapy and ex beneficial. Nerve mobilization
C - Thoracic manipulation/mobilization, stretching, centralization procedures
Achilles Tendinopathy Rick Factors
B
Ankle DF ROM, Abnormal subtalar motion, dec ankle PF strength, inc foot pronation, abnormal tendon structure.
Obesity, hypertension, hyperlipidemia, diabetes also contribute
Also look into training errors, environment, and faulty equipment