L1 Flashcards
What are 5 steps to EBM?
- Ask a clinical question
- Search for the best evidence
- Critically appraise the evidence
- Apply evidence for clinical practice
- Evaluate and reflect on EBM performance
What does PICO stand for?
P—patient
I—intervention
C—comparison
O—outcome
What will drive the “examination” aspect of a treatment?
The DDx
What drives the “treatment” aspect in a treatment plan?
Working Dx
What are 3 components to differentiate ALS?
- Orthopaedic
- Neurological
- Visceral
Explain the following:
Is working diagnosis the finalized conclusion of a diagnosis? Why?
No, the diagnosis will change as the patient presentation changes
Where/when does EBM begin?
It will begin at the working diagnosis, from here you begin to create a treatment protocol
What are 8 aspects of a TREATMENT plan?
- Frequency
- Duration
- Assessment
- Technique utilization
- Modalities
- Braces/support
- Outcome assessment
- Home instructions
With regards to the 8 characteristics of treatment, what is FREQUENCY?
Based on PT severity and PT need for care
With regards to the 8 characteristics of treatment, what is FREQUENCY AND DURATION of care?
This is case specific
With regards to the 8 characteristics of treatment, what are 4 FACTORS that affect the treatment frequency and duration?
- Non compliance
- Severity
- Age
- Length of disability
What are the 5 subtypes of length of disability?
- Acute
- Subacute
- Chronic
- Acute exacerbation
- Permanent
What is comorbility?
This is a condition that can slow patient recovery
What is the difference between evidence based and evidence informed?
Based:
Performing treatments that evidence supports
Informed:
Performing treatments from evidence and clinical expertise
What are Red Flags to Chiro Care?
- Night Sweats / Unexplained weight loss [CA]
- Trauma [Fx]
- Saddle Anesthesia / Cauda Equina
- Neuro Deficit
What are Relative Contraindications to Chiro Care?
Hyper-mobility
- Demineralized Bone
- Benign Bone Tumor
- Bleed Disorder & Anti-Coag Therapy
- Radiculo. w. Neuro Signs
What are ABSOLUTE Contraindications to Chiro Care?
- Acute arthropathies
- Instability
- unstable os odontoideum
- malignancy
- Bone Infection
What are the 6 Phases of Care?
- Relief care phase
- Therapeutic phase
- Rehab phase
- Supportive phase
- Palliative Care phase
- Maintenance/preventative
With regards to the 6 phases of care, explain Relief care phase
pain management
With regards to the 6 phases of care, explain therapeutic phase
More aggressive care
With regards to the 6 phases of care, explain rehabilitate care
Corrective exercises are initiated
With regards to the 6 phases of care, explain supportive phase
Reduced frequency of care
With regards to the 6 phases of care, explain palliative care phase
Symptomatic treatment
With regards to the 6 phases of care, explain maintaince and preventative phases needed
More research to validate this
What are the SMART goals for care?
- Specific (What outcome would u like)
- Measurable (How to know when you reach it)
- Attainable ( 1-10 how confident you will do it)
- Relevant (How meaningful is the goal from 1-10)
- Timed (When do you intend to reach end point)
Clinics EXPECT treatments to be goals ____
- SMART
Onset of Care is mostly ______
- Passive Care
What are the “two types” of Care
- Dollar centered
- Patient centered
How do you assess Patient condition / progress?
- Physical Exam / Re-Evaluation (Objective Findings +/-)
- Outcome Assessment Tools
Yellow flags questionnaires are used to assess what?
- Biopsychosocial condition
What is the gold standard Outcome assessment Tool for LBP?
- Oswestry low back pain index
Explain the Oswestry Pain Index Interpretation:
80-100 % -bed ridden
61-80 % - crippled
41-60 % - severe disability
21-40 %- moderate disability
What are the two types of Pain Intensity Scales
- VAS (Visual Analog Scale) [BETTER OPTION]
- Numerical Rating Scale
What is the Roland Morris LBP & Disability Questionnaire?
- Short Functional Disability Questionnaire
- Focuses on Activity INTOLERANCE related to LBP
What is the PROMIS Questionnaire?
- Person centered measures
- Eval. Physical , Mental , Social Health
- MC in PT w. Chronic Conditions
- MC used in VA’s
What is the Neck Pain Disability Questionnaire?
- Pain intensity
- Personal Care
- Lift
- Reading
