Day 1 Flashcards
What factors can affect lumbar spine prognosis?
- psychosocial factors (stress, anxiety, depression, social support)
- expectation
- pain intensity (high pain, worse prognosis)
- coping style
- workplace social support
What are risk factors for cervical spine problems?
- female
- previous hx
- long durations of sedentary positions
- trunk twisting or bending
Risk factors for thoracic spine problems?
- adolescent
- female
- other MSK pain
- posture
- social support
- backpack use
Why do we need a diagnosis?
- predicts prognosis
- guides intervention
- facilitates communication
Levels of Classification (Delitto)
1- Is patient appropriate for PT?
2- Stage of acuity?
3- Treatment based classification?
Goal of ODI Stage I
pain management
Goal of ODI Stage II
addressing impairments
Goals of ODI Stage III
improve ability to perform demanding activities
address high levels of function
What might indicate someone will respond well to manipulation and exercise?
no sx below the knee recent sx hypomobility low fear avoidance more hip IR
What factors indicate someone might respond well to stabilization?
prone instability test aberrant motions hypermobility younger age greater SLR ROM
Factors for centralization
centralization during movement exam
postural preference
Factors for traction
neuro signs
leg sx
no centralization during movement testing
Kaltenborn Grade I
- Neutralizes pressure in joint without actual surface separation
- Produce pain relief by reducing compressive forces
Kaltenborn Grade II
- Separates articulating surfaces, taking up slack or eliminating play within joint capsule
- Used initially to determine joint sensitivity
Kaltenborn Grade III
- Involves stretching of soft tissue surrounding joint
- Increase mobility in hypomobile joint
Maitland Grade I
Small amplitude rhythmic oscillating movement at the beginning of range of movement
Maitland Grade II
Large amplitude rhythmic oscillating movement within midrange of movement
Maitland Grade III
Large amplitude rhythmic oscillating movement up to limitation in range of movement
Maitland Grade IV
Small amplitude rhythmic oscillating movement at very end range of movement
Maitland Grade V
Thrust
- Small amplitude quick thrust at end range
- Accompanied by popping sound
Maitland grades I and II are used to…
manage pain and spasm
Maitland grades II and IV are used to…
gain motion within the joint, stretch capsule and connective tissue
Maitland grade V is used to…
gain motion, decrease pain and spasm
Precautions to manipulation
children pregnancy disc herniation flu total joint replacement patient anxiety, can't relax
