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Spine - Exam 1 > Intro to Spine (2) > Flashcards

Intro to Spine (2) Flashcards

1
Q

evaluation algorithm

A

CHARTS

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2
Q

CHARTS

A

chief complaint

history

asymmetries of bony landmarks

range or motion/mobility

tissue tension

special tests

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3
Q

what does the chief complaint and history include

A

intake forms

what’s my plan

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4
Q

what do intake forms screen for–> CH

A

serious pathology

risk of chronicity

nociplasticity

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5
Q

examples of intake forms

A

NPRQ

body chart

ODI/NDI

FABQ

pain diagram

VAS

PCS

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6
Q

what does C/H do

A

categorize/classify

helps us develop a plan

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7
Q

red flags –> 5 Ds

A

dizziness

dysarthria (talking)

dysphagia (swallowing)

diplopia (double vision)

drop attacks

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8
Q

red flags –> 3 Ns

A

nausea

nystagmus (eyes flicking)

numbness (of face)

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9
Q

red flag –> A

A

ataxia

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10
Q

orange flags

A

assess risk of poor outcomes in tx

“red flags” for the mental health and psychological aspect of pt presentation

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11
Q

examples of orange flags

A

alcohol addiction

PTSD

clinical depression

major personality dysfxn

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12
Q

what do orange flags require

A

specialist referral

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13
Q

SINSS

A

severity

irritability

nature

stage

stability

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14
Q

what is SINSS referring to

A

the presentation of the symptoms

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15
Q

severity –> SINSS

A

intensity of pain

impact on the pt’s life

presence or absence of night pain

pain meds needed

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16
Q

how do we rate severity

A

min

mod

max

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17
Q

min –> severity

A

0-3/10

no ADL limitations

no guarding

minimal meds

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18
Q

mod –> severity

A

4-7

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19
Q

max –> severity

A

8-10

max impacted ADLs

pain responses

20
Q

irritability –> SINSS

A

magnitude of easing to aggerating factors

including amount and type, time it takes to ease

21
Q

how do we rate irritability

A

min

mod

max

22
Q

min –> irritability

A

2:1

agg to ease

ease quickly

23
Q

max–> irritability

A

1-2

little tolerance to activity

slow recovery

sleep interrupted and meds needed

24
Q

nature –> SINSS

A

type of pain

what system it may be associated w/

magnitude of other life factors

25
Q

type of pain –> nature

A

nociceptive

nociplastic

neuropathic

26
Q

stage –> SINSS

A

acute

subacute

chronic

acute or subacute on chronic

27
Q

acute –> stage

A

< 3 weeks

28
Q

subacute –> stage

A

3-6 weeks

29
Q

chronic –> stage

A

> 6 wks

30
Q

stability –> SINSS

A

progression of the sxs

improving, worsening, not changing, waxing and waning

31
Q

what is a possible tool for pain pattern recognition

A

pain radar plot

32
Q

building a “case”

A

after chief complaint and history are taken

red/orange/yellow flags

additional findings

absence of specific dx

33
Q

after chief complaint and history are taken –> building a “case”

A

intake forms are filled out

able to rule out red & orange flags

take proper notice of yellow flags

34
Q

red/orange/yellow flags –> building a “case”

A

red/orange –> refer out to MD

yellow flags –> CBT/F, remain active, etc

35
Q

additional findings –> building a “case”

A

radicular syndrome (or specific dx) are considered

36
Q

in the absence of specific dx –> building a “case”

A

therapist can assume nonspecific pain

classify

37
Q

hierarchy of athletic development

A

evaluation

inflammation/pain management

mobility

motor control/work capacity

strength

power

elastic strength

speed

38
Q

evaluation –> hierarchy of athletic development

A

classification of…
-position & mobility deficit
-motor control & power deficit

39
Q

inflammation/pain management –> hierarchy of athletic development

A

rest

activity modification

modalities as needed

meds as indicated

40
Q

mobility –> hierarchy of athletic development

A

attain repeated motion

joint mob/manip

soft tissue mob

active ROM exercises

pin and stretch

trigger point release

massage

41
Q

motor control/work capacity –> hierarchy of athletic development

A

muscle activation exercises

motor control training

strength development

42
Q

strength must attain –> hierarchy of athletic development

A

muscle activation exercises

motor control training

strength development

43
Q

strength includes –> hierarchy of athletic development

A

ability to exert force

most basic physical quality

relationship w/ power and speed

44
Q

strength is the –> hierarchy of athletic development

A

foundation of athletic performance

45
Q

power and elastic strength –> hierarchy of athletic development

A

assimilation of movement

strength, power, elastic strength

fxnal movement patterns

46
Q

tx key concepts

A

control pain first

mobility trumps stability

always work you way up the “pyramid” regardless of the category

47
Q

what if the pt presents w/ stability/motor control deficit

A

clear mobility above and below

Spine - Exam 1 (7 decks)

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