Diagnostic Models In LBP Flashcards
What is a patho-anatomic diagnosis?
Anatomy problem (L4-5 herniated disc)
What is a prognostic/treatment based diagnosis?
Interventions to help the problem (manipulation)
What is a pattern recognition diagnostic process?
Something you have seen before and know what to expect
What is a hypothetico-deductive diagnostic process?
Develop a hypothesis and then rule things in or out using tests
What makes PTs good at diagnostic techniques?
If they have good logical reasoning
Pre test and post test probability
Pre test- establish a baseline
Post test- see what altered that baseline
Medical model of disease
Pain is a reflex to a physical stimulus
From pain to cause, from cause to cure
(It’s always a tissue or musculoskeletal related problem)
What is the layout of the medical model of disease?
Signs/symptoms analyzed
Pathology is determined
Treatment corrects pathology
Signs/symptoms disappear
Biopsychosocial model layout
Pain
Attitudes and beliefs
Psychosocial distress
Illness behavior
Social environment
What shapes the biopsychosocial model?
Personality
Life events
Coping strategies
Pain history
What percentage of patients can anatomical LBP not be identified in?
80-85%
Why is imaging not helpful in managing LBP?
Often the imaging and pain does not line up (people could have bad imaging and no pain)
