CPRs/ Lists Flashcards
What are four key factors in those with spinal pain due to anklylosing spondylitis?
Morning stiffness > 30 minutes Improvement with exercise, not rest Waking due to back pain 2nd half the night Alternating buttock pain
Characteristics of those with CTS (5)
Shaking hands alleviates sxs
Wrist ratio index greater than 0.67
Symptom severity score >1.9
Reduced median nerve sensory field of digit 1
Age >45
What are five key components to a diagnosis of cervical myelopathy?
Gait deviation
+ Hoffman
+ Babinski
+ inverted supinator
Age > 45
What are four key components to diagnose cervical radiculopathy?
+ ULTT 1a
< 60 deg cervical rotation to affected side
+ Spurlings
+ distraction test
What are five key components for diagnosis of hip OA?
Pain with squatting
Pain with active hip flexion
Pain with active hip extension
PROM for IR <25
Scour test with adduction causes lateral hip pain
What are five key components for diagnosis of lumbar spinal stenosis?
Bilateral sxs
Leg pain > back pain
Pain with walking/standing
Pain relief with sitting
Age > 48 y.o.
What are the five components of the meniscal pathology score?
Joint line tenderness
Hx of catch/locking
Pain with hyperextension (bounce home -modified)
Pain with maximal passive flexion
Pain or audible click with McMurray’s
What three signs help identify those who may have full-thickness RTC tear?
Painful arc sign
Drop-arm sign (ER lag more specific)
Infraspinatus MMT
What is the cluster testing for both Laslett and van der Wurff to identify those affected with SIJ dysfunction?
ASIS distraction ASIS compression Thigh thrust Gaenselns test Sacral thrust (Laslett) // FABERs (van der Wurff)
What are three cardinal signs for those who likely have subacromial impingement?
Positive Hawkins-Kennedy
Painful arc
Infraspinatus MMT weakness
Puentedura cervical manipulation for those who will demonstrate favorable outcomes: (4)
Sxs less than 38 days
Positive expectation manip wil help
Side to side difference > 10 deg
Pain with PA test of middle cervical spine
CPR for shoulder pain that may benefit from tspine manipulation: (5)
Pain free shoulder flexion to 127 deg
IR of < 53 deg at 90 deg abd
Negative Neers test
Not taking medication for shoulder pain
Sxs < 90 days
Currier CPR for hip mobilizations for knee pain (5)
Anterior thigh pain
Hip/groin pain or paresthesia
Passive knee flexion <122 deg
Passive hip IR < 17 deg
Pain with hip distraction
Childs/Fritz CPR for low back pain to benefit from manipulation: (5) - which two did Fritz find most associated with good outcome?
Sxs <16 days
No sxs below knee
Hip IR >35 deg
Lumbar hypomobility
FABQ - W < 19
** Fritz found sxs <16 days, no sxs below knee **
Whitman’s CPR for manual therapy for lateral ankle sprains: (4)
Pain worse in PM/evening
Pain worse with standing
Navicular drop > 5 mm
Distal tibfib hypomobility
What five factors are present in those who would benefit from cervical traction?
Age > 55
ULTT 1a positive
+ abduction sign
Peripheralizaiton with lower cervical PA testing (c4-7)
+ neck distraction test
Four factors for those who would likely benefit from a lumbar/low back stabilization program:
Age < 40 y.o.
SLR > 91 deg
Aberrant movement/Gowers sign
+ PIT test
What are six factors for those who would benefit from a thoracic manipulation and have neck pain?
FABQ-P <12
Dec thoracic kyphosis T4-7
No sxs distal to shoulder
Sxs < 30 days
Looking up doesn’t inc pain
Cervical extension < 30 deg
What are six factors for those who would benefit from a cervical manipulation?
NDI < 11.5
Bilateral involvement
Movement helps with pain
Sedentary < 5 hrs / day
Looking up doesn’t inc pain
Diagnosis cervical spondylosis without radiculopathy
What are the six factors from Cook for patellofemoral joint pain?
Pain with compression of PFJ
Pain with posteromedial/posterolateral patella palpation
Pain with resisted quad testing
Pain with squatting
Pain with kneeling
Pain with prolong sitting
What are five factors regarding diagnosis of cauda equina syndrome:
Urine retention (high specificity)
Fecal incontinence
Sexual dysfunction
Saddle anesthesia
LE weakness/ataxia (L4-5/S1 -> quads, ant tib, EHL, peroneals, plantar flexors)
What are three factors for quick recovery from LBP according to Hancock?
Lower intensity sxs
Fewer episodes - less frequency of sxs
Shorter duration of sxs
What are factors/ red flags for cancer? (5)
Hx of cancer
Age > 50, < 17 y.o.
Night pain / pain at rest
Weight loss
No change with treatment in 30 days
What are signs & sxs for infection with low back pain?
Hx of IV drug use
Recent hx of UTI, cellulitis, pneumonia
Immunosuppression/corticosteroid use
Spinal rigidity
Deep ache/pain with WB
Fever >100.4, malaise
What are signs, sxs consistent with AAA?
Non-caucasian
Female
Age >70
Hx of PVD, CAD
Hx of smoking
Familial hx
Pain, sxs not related to movement
Henschke CPR for vertebral fracture (4)
Age >70
Female
Hx of corticosteroid use / immunosuppression
Trauma including MVA, fall etc
Hoffman’s instability criteria - any present and need radiograph (5)
No painful distracting injury
No focal neurological deficit
Alertness
No intoxcation
No midline tenderness
If a person presents with shoulder pain, what four tests should be done to clear the cervical spine & the elbow:
Spurlings
AROM with overpressure for cervical spine
UCL testing
3rd finger test
What are the 5Ds & 3Ns?
Dizziness
Diploplia
Dysphagia
Dysarthria
Drop attacks
Ataxia
Numbness
Nystagmus
Nausea
Cleland established 4 variables to predict short-term outcomes with those diagnosed with cervical radiculopathy and having success with PT:
Age < 54
Non-dominant arm affected
Looking down/flexion does not inc sxs
Multi-modal tx of DNF, manual therapy, traction >50% of treatments
