CPGs L spine

Question 1

CPG rating: Pts use tx based classification ( TBC) to reduce pain and disability in patients with acute LBP

Answer 1

B

Question 2

CPG grade: PTs can use mechanical diagnosis + therapy ( MDT) to reduce pain and disability in patients with acute LBP

Answer 2

C

Question 3

CPG grade: PTs may use MDT, prognostic risk stratification, and pathoanatomic based classification to reduce pain and disability in patients with chronic LBP

Answer 3

B

Question 4

CPG grade: PTs can use TBC, cognitive functional therapy, or movement system impairment to reduce pain and disability in patients with chronic LBP

Answer 4

C

Question 5

2 strong recommendations for chronic LBP: exercise and manual therapy

Answer 5

1. Exercise training interventions: specific trunk muscle activation exercise, aerobic + aerobic + general exercise, trunk muscle strengthening and endurance,
   2. thrust and non thrust mobilization ( for pain and disability)

Question 6

2 moderate recommendations for chronic LBP: exercise and manual therapy

Answer 6

1. movement control or trunk mobility exercise
2. massage / STM WITH other tx
   ( short term pain relief)

Question 7

1 weak recommendation for chronic LBP

Answer 7

1. dry needling with other tx
   ( short term pain and disability reduction)

Question 8

1 weak recommendation for acute LBP

Answer 8

1. exercise training - trunk muscle activation

Question 9

1 moderate recommendation for acute LBP

Answer 9

1. massage / STM

Question 10

1 strong recommendation for acute LBP

Answer 10

1. thurst and non thrust mobilization

Question 11

CPG grade: Education for Acute LBP

Answer 11

B
using active education strategies > passive education strategies
active = 1 on 1 education on things that contribute pain and self mgt techniques
passive = pamplets ( “read this”)

Question 12

1 strong recommendation for Chronic LBP

Answer 12

pain neuroscience education WITH other interventions

Question 13

2 moderate recommendations for education in Chronic LBP

Answer 13

1. standard education - advice related to exercise and staying active
2. active tx ( yoga, stretching, strength training, pilates) over stand alone education interventions

Question 14

Education on LBP should focus on these 2 thing

Answer 14

1. resilience
2. positive outlook

Question 15

CPG grading: exercise in chronic LBP in older adults

Answer 15

A
should use general exercise training to decrease pain + disability in older adults

Question 16

CPG grading: exercise for postoperative LBP

Answer 16

C
can use general exercise training for patients with LBP post op.

Question 17

CPG grading: education for postop LBP

Answer 17

B
should use general education for patients post op

Question 18

CPG grade: exercise for chronic LBP with movement control impairment ( coordination impairment)

Answer 18

A
should use specific trunk activation and movement activation exercises

Question 19

strength of recommendation for LBP with leg pain: exercise for acute + chronic, manual therapy

Answer 19

moderate rec. ( may use)

Question 20

CPG grade: traction and LBP with leg pain

Answer 20

D
should NOT use mechnical traction for patients with chronic LBP with leg pain

Question 21

CPG grade: neural mobilizations and LBP with leg pain

Answer 21

B
may use neural mobs with other tx for short term improvement in pain + disability for patients with chronic LBP with leg pain