HVLAT

Question 1

Clinical prediction rule indications for lumbar

Answer 1

-FABQ <18
-duration 15 or less
-no symps distal to knee
-lumbar hypomob
-either hip >35 degrees IR

Question 2

4 indications for spinal GPM-V technique

Answer 2

-mechanically blocked/locked facet
-rate of progress plateaued or slowed w/ manual
-end range stiffness with minimal pain
-oscillatory or sustained mobs creates soreness that doesn’t subside timely

Question 3

Absolute contraindications (12)

Answer 3

-cancer
-osteoporosis
-s/s cord involvement
-s/s cauda equina
-neural sign and/or symp >1 adjacent cervical or 2 adjacent lumbar n roots
-high irritability
-acute radicular pain
-unstable fx
-VBI symps
-blood clotting disorders
-hx oral corticosteroids
-pt doesn’t consent

Question 4

3 general categories for precautions

Answer 4

neurovascular, vascular, general health

Question 5

Examples of neuromuscular precautions

Answer 5

scoliosis, spina bifida, gout, Scheuermann’s disease (juvenile kyphosis), spondylolisthesis, ankylosing spondylitis

Question 6

Examples of vascular precautions

Answer 6

advanced vascular diseases (CAD or PVD), past hx of DVT

Question 7

One general health condition that is a precaution

Answer 7

advanced/brittle diabetes

Question 8

2 requirements before performing GV mob

Answer 8

informed consent, premanip hold 10-30 seconds