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MS II > Exam 2: Manual Therapy > Flashcards

Exam 2: Manual Therapy Flashcards

1
Q

Organic and concurrent medical problems are (red/yellow/blue/black) flags

A

red

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2
Q

Iatrogenic, beliefs/coping strategies, and willingness to change are (red/yellow/blue/black) flags

A

yellow

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3
Q

Family reinforcement, work status, insurance are (red/yellow/blue/black) flags

A

yellow and blue

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4
Q

Perception of work, working conditions, work characteristics, and social policy are (red/yellow/blue/black) flags

A

black flags

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5
Q

Red flags are often (affected/unaffected) by spinal movement and have associated movements like _____.

A

unaffected; heartburn

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6
Q

The risk for red flags increase for ages under ___ and over ____ as well as sudden weight gain/loss

A

20; 50

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7
Q

If there (is/is not) a pattern; be highly suspicious of red flags

A

is not

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8
Q

What are the 5 biggest predictors of cancer

A 
personal past history
family history
under 20 or over 50
sudden weight gain/loss
failure to improve within 1 month of treatment
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9
Q

If you suspect a patient might have cancer and they are over 50 years old, where might they feel pain at

A

axial skeleton

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10
Q

If you suspect a patient might have cancer and they are under 20 years old, where might they feel pain at

A

long bones of extremities

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11
Q

Describe the progression of symptoms related to cancer

A

Initially an ache that is diffuse and intermittent
Then turns to an intense ache, constant, and night pain
Then progresses to sharp, severe, and incapacitating pain.

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12
Q

When considering cancer, night pain should be a (red/yellow/blue/black) flag

A

red

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13
Q

Night pain challenges the (sensitivity/specificity) as a useful diagnostic indicator for serious spinal pathology because night pain typically only occurs at the (beginning/end) stages

A

specificity; end

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14
Q

_____ pain is synonymous with night pain

A

neuropathic

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15
Q

Describe how to keep safety a key factor in manual therapy

A

manipulation is best provided with gradual progression of strength and grades couples with continual assessment and reassessment

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16
Q

List general contraindications of using manual therapy

A
  1. bony issues like osteomyelitis or osteoporosis
  2. Neurological issues like compression syndrome or cervical myelopathy
  3. Vascular issues like aneurysms, bleedings disorders/hemophilia, and vertebrobasilar insufficiency
  4. Lack of diagnosis and patient consent
17
Q

Pregnancy, herniation, spondylolisthesis, and ligamentous laxity are (contraindications/precautions) of manual therapy

A

precautions

18
Q

What are some examples of yellow flags

A

depression, passive coping skills, using the internet for self dx, exercising too much, seeing the cup half empty

19
Q

What are the 6 yellow flags that strongly correlate to how someone recovers

A 
failed treatment
family concerns
fear and anxiety 
persistent pain
job issues
different explanations
20
Q

True or False:

There are no screening tools used to screen for yellow flags

A

false

21
Q

Yellow flags enter into the system during the ____ stage

A

processing

22
Q

emotions, behavior, family, work, compensation, and diagnosis/treatment are ____ flags

A

yellow

23
Q

What are some examples of yellow flag behavior

A

extended rest
poor compliance
smokers/alcohol
sleep disturbance

24
Q

What are the 6 screening tools used for yellow flags

A 
FABQ
Tampa scale of kinesiophobia
Orebro MS Paing screening questionnaire
Keele Start Back screening 
ALBPS
25
Q

The ____ ____ is the cornerstone in establishing an effective treatment plan

A

subjective evaluation

26
Q

During the examination we want to determine “SINS”, what does SINS stand for

A

severity
irritability
nature
stage

27
Q

Which part of SINS can be described as debilitating and high intensity

A

Severity

28
Q

Which part of SINS can be described as small movement causes a lot of pain and takes awhile to subside

A

irritability

29
Q

Which part of SINS can be described as deep, burning, type of pathology like a nerve root problem

A

Nature

30
Q

Which part of SINS can be described as prognosis/stage of the disorder

A

stage

31
Q

What two descriptor words are added to the SINS plus

A

stability and pain mechanism

32
Q

During an interview, NEVER _____. Always ask a question when needing to clarigy

A

assume

33
Q

What are five categories of the subjective examination

A
  1. Kind of disorder
  2. History
  3. Site of symptoms
  4. Behavior of symptoms
  5. Special questions
34
Q

The kind of disorder is the main problem from the (PT/patient’s) view

A

patient’s

35
Q

The “5D’s And 3N’s” are special questions for what condition

A

vertebrobasilar insufficiency

36
Q

The “5D’s And 3N’s” are used to rule out vertebrobasilar insufficiency, what are the five D’s

A 
dizziness
diplopia
dysphagia
drop attacks
dysarthria
37
Q

The “5D’s And 3N’s” are used to rule out vertebrobasilar insufficiency, what is the And for

A

ataxia

38
Q

The “5D’s And 3N’s” are used to rule out vertebrobasilar insufficiency, what are the 3N’s

A

nystagmus
numbness
nausea

MS II (14 decks)

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