Intro Flashcards
1
Q
Why isn’t the patho-anatomical model sufficient for spine? (3)
A
- lack of specific assessment techniques (ie one segment at a time)
- poor correlation between signs (including imaging) and symptoms
- little consideration of psychosocial factors
2
Q
Reasons to get X-ray (4)
A
- trauma
- suspect fx
- worsening hard neuro signs
- dislocation not relocating
3
Q
Classification systems
A
- allows division into sub-sets of like pts
- based on algorithms of S/S
- low back first, now neck developing
4
Q
3 things the patho-anatomical model DOES work well for
A
- large disc herniations with radiculopathy
- stenosis (pseudoclaudication)
- specific spinal cause (cancer, fx, infection)
5
Q
Nominalist approach
A
- classification and tx occurs without knowing causative agent or etiology
- diagnostic label from clusters of S/S
6
Q
Problems with classification approach (3)
A
- subjectivity of classification process
- mutually exclusive/exhaustive categories
- generality or specificity of diagnostic label
7
Q
Exam flow
A
History (red/yellow flags), systems review, exam, eval, tx based on classification
8
Q
Headache questions (5)
A
- dx of migraines?
- visual disturbances (photosensitivity)
- one-sided?
- aura (usu knows its coming)
- flash like disturbances?
9
Q
Current categories for non-specific neck pain
A
- neck pain with mobility deficit (ex unilateral neck pain)
- neck pain with headache
- neck pain with movement (ex whiplash)
- neck pain w radiating pain
10
Q
Clinical Prediction Rules
A
- algorithmic decision tools designed to aid clinicians in determining a diagnosis, prognosis, or response to intervention
- set of clinical findings from history, phys exam, and dx tests
- meaningful predictor of condition or outcome
- eg Ottawa foot rules, Cspine rulse
11
Q
Diagnostic CPR for Cspine
A
cervical radiculopathy
12
Q
Prognostic CPR for Cspine
A
Whiplash, Cervical radiculopathy
13
Q
Interventional CPRs
A
Cervical manip, Thoracic manip for neck pain, TrP for headache, traction for mechanical neck pain
