Day 1

Question 1

What factors can affect lumbar spine prognosis?

Answer 1

• psychosocial factors (stress, anxiety, depression, social support)
• expectation
• pain intensity (high pain, worse prognosis)
• coping style
• workplace social support

Question 2

What are risk factors for cervical spine problems?

Answer 2

• female
• previous hx
• long durations of sedentary positions
• trunk twisting or bending

Question 3

Risk factors for thoracic spine problems?

Answer 3

• adolescent
• female
• other MSK pain
• posture
• social support
• backpack use

Question 4

Why do we need a diagnosis?

Answer 4

• predicts prognosis
• guides intervention
• facilitates communication

Question 5

Levels of Classification (Delitto)

Answer 5

1- Is patient appropriate for PT?
2- Stage of acuity?
3- Treatment based classification?

Question 6

Goal of ODI Stage I

Answer 6

pain management

Question 7

Goal of ODI Stage II

Answer 7

addressing impairments

Question 8

Goals of ODI Stage III

Answer 8

improve ability to perform demanding activities

address high levels of function

Question 9

What might indicate someone will respond well to manipulation and exercise?

Answer 9

no sx below the knee
recent sx
hypomobility
low fear avoidance
more hip IR

Question 10

What factors indicate someone might respond well to stabilization?

Answer 10

prone instability test
aberrant motions
hypermobility
younger age
greater SLR ROM

Question 11

Factors for centralization

Answer 11

centralization during movement exam

postural preference

Question 12

Factors for traction

Answer 12

neuro signs
leg sx
no centralization during movement testing

Question 13

Kaltenborn Grade I

Answer 13

• Neutralizes pressure in joint without actual surface separation
• Produce pain relief by reducing compressive forces

Question 14

Kaltenborn Grade II

Answer 14

• Separates articulating surfaces, taking up slack or eliminating play within joint capsule
• Used initially to determine joint sensitivity

Question 15

Kaltenborn Grade III

Answer 15

• Involves stretching of soft tissue surrounding joint

- Increase mobility in hypomobile joint

Question 16

Maitland Grade I

Answer 16

Small amplitude rhythmic oscillating movement at the beginning of range of movement

Question 17

Maitland Grade II

Answer 17

Large amplitude rhythmic oscillating movement within midrange of movement

Question 18

Maitland Grade III

Answer 18

Large amplitude rhythmic oscillating movement up to limitation in range of movement

Question 19

Maitland Grade IV

Answer 19

Small amplitude rhythmic oscillating movement at very end range of movement

Question 20

Maitland Grade V

Answer 20

Thrust

• Small amplitude quick thrust at end range
• Accompanied by popping sound

Question 21

Maitland grades I and II are used to…

Answer 21

manage pain and spasm

Question 22

Maitland grades II and IV are used to…

Answer 22

gain motion within the joint, stretch capsule and connective tissue

Question 23

Maitland grade V is used to…

Answer 23

gain motion, decrease pain and spasm

Question 24

Precautions to manipulation

Answer 24

children
pregnancy
disc herniation
flu
total joint replacement
patient anxiety, can't relax