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Exam III > Fritz LBP Classifications > Flashcards

Fritz LBP Classifications Flashcards

1
Q

no symptoms distal to knee

A

manipulation

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2
Q

recent onset of symptoms (

A

manipulation

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3
Q

low FABQW score (

A

manipulation

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4
Q

hypomobility of the L spine

A

manipulation

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5
Q

hip IR ROM (>35 deg for at least 1 hip)

A

manipulation

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6
Q

younger age (

A

stabilization

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7
Q

greater general flexibility (postpartum, average SLR ROM >91 deg)

A

stabilization

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8
Q

“instability catch” or aberrant movements during L spine flexion/extension ROM

A

stabilization

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9
Q

positive findings for prone instability test

A

stabilization

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10
Q

for pts who are postpartum:

  • positive posterior pelvic pain provocation (P4), and ASLR, and modified Trendelenburg tests
  • pain provocation with palpation of the long dorsal sacroiliac ligament or pubic symphysis
A

stabilization

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11
Q

symptoms distal to buttock

A

specific exercise: extension

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12
Q

symptoms centralize with L spine extension

A

specific exercise: extension

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13
Q

symptoms peripheralize with L spine flexion

A

specific exercise: extension

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14
Q

direction preference for extension

A

specific exercise: extension

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15
Q

older age (>50 yo)

A

specific exercise: flexion

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16
Q

directional preference for flexion

A

specific exercise: flexion

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17
Q

imaging evidence of lumbar spinal stenosis

A

specific exercise: flexion

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18
Q

visible frontal plane deviation of the shoulders relative to the pelvis

A

specific exercise: lateral shift

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19
Q

directional preference for lateral translation movements of the pelvis

A

specific exercise: lateral shift

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20
Q

signs and symptoms of nerve root compression

A

traction

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21
Q

no movements centralize symptoms

A

traction

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22
Q

Interventions for Manipulation Classification

A
  1. manipulation of lumbopelvic region

2. AROM exercises

23
Q

Interventions for Stabilization Classification

A
  1. Promoting isolated contraction and cocontraction of the deep stabilizing muscles (multifidi, TA)
  2. strengthening of large spinal stabilizing muscles (erector spinae, oblique abdominals)
24
Q

Interventions for Specific Exericse: Extension Classification

A
  1. end-range extension exercises
  2. mobilization to promote extension
  3. avoidance of flexion activities
25
Q

Interventions for Specific Exercise: Flexion Classification

A
  1. mobilization or manipulation of the spine and/or lower extremities
  2. exercise to address impairments of strength or flexibility
  3. body weight supported treadmill ambulation
26
Q

Interventions for Specific Exercise: Lateral Shift Classification

A
  1. exercises to correct lateral shift

2. mechanical or autotraction

27
Q

Interventions for Traction Classification

A
  1. mechanical or autotraction
28
Q

Important Exam Tests for Stabilization Classification

A
  1. prone instability test
  2. posterior pelvic pain provocation (P4) test
  3. active straight leg raise test
  4. provocation of the long dorsal sacroiliac ligament
  5. provocation of the pubic symphysis with palpation
  6. modified Trendelenberg test
29
Q

asymmetric lateral flexion ROM (ex: capsular pattern of restriction)

A

manipulation

30
Q

unilateral LBP without symptoms into LE

A

manipulation

31
Q

asymmetrical bony landmarks of the pelvis

A

manipulation

32
Q

positive SI dysfunction tests (ex: supine long sit test, prone knee bend test, standing flexion test)

A

manipulation

33
Q

frequent episodes of LBP with minimal perturbation

A

stabilization

34
Q

hypermobility of lumbar spine

A

stabilization

35
Q

previous history of lateral shift deformity with alternating sides

A

stabilization

36
Q

frequent prior use of manipulation with dramatic but short-term results

A

stabilization

37
Q

trauma, pregnancy, or use of oral contraceptives

A

stabilization

38
Q

relief with immobilization (ex: bracing)

A

stabilization

39
Q

symptoms centralize with lumbar extension

A

specific exercise: extension

40
Q

symptoms peripheralize with lumbar flexion

A

specific exercise: extension

41
Q

symptoms centralize with lumbar flexion

A

specific exercise: flexion

42
Q

symptoms peripheralize with lumbar extension

A

specific exercise: flexion

43
Q

diagnosis of spinal lumbar stenosis

A

specific exercise: flexion

44
Q

visible frontal plane deviation of the shoulders relative to the pelvis

A

specific exercise: lateral shift

45
Q

asymmetric side bending AROM

A

specific exercise: lateral shift

46
Q

painful and restricted extension AROM

A

specific exercise: lateral shift

47
Q

manipulation or mobilization techniques targeted to SI or lumbar region

A

manipulation

48
Q

trunk strengthening and stabilization exercises

A

stabilization

49
Q

advice to stop end range positions and movements

A

stabilization

50
Q

bracing for more severe cases

A

stabilization

51
Q

end range flexion exercises

A

specific exercise: flexion

52
Q

mechanical traction performed in flexion

A

specific exercise: flexion

53
Q

avoidance of extension exercises

A

specific exercise: flexion

54
Q

exercises to correct lateral shift

A

specific exercise: lateral shift

Exam III (2 decks)

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