LBP clusters Flashcards
LBP with Mobility def.
During the Movemen and Provocation Exam, what is done before doing the Laslett Provocation Cluster to rule in/out SI issues?
Lumbar Screen:
- AROM => AROM with overpressure
- Combined motions (quadrant)
- Repeaded motions/sustained positions
- PAIM test
- Neurodynamic Testing
This lumbar screen has test that attempt to alleviate or provoke Sx from the thoracolumbar and lumbosacral segments from T10 to L5-S1. Once the lumbar spine is clear, greater confidence in the laslett cluster is achieved. When Sx do not centralize, moving from a small shift to moderate shift that the source of pain is in the sacroiliac joint
LBP with mob.
Whats the Clinical Prediction Rule to do a Lumbosacral Manipulation?
- Sx duration < 16 days
- No Sx distal to knee
- FABQw < 19
- Hip IR >35°
- Hypomobility with PA accessory testing
need 4/5
With LBP with Movement Coordination Impairments, what is the Diagnostic Test-Item Cluster?
- =/> 53° of lumbar AROM
–Measured with Dual Inclinometer - Lack of hypomobility with central PA accessory motion testing
What is the Clinical Prediction Rule for Lumbar Stabilization Exercise Program?
- (+) Prone Instability Test
- Aberrant motions present
- Age < 41 (Most Significant)
- SLR > 91°
What is the Clinical Prediction Rule of Failure for Lumbar Stabilization Exercise Program?
- (-) Prone Instability Test
- Hypomobility with PAIVM testing
- Aberrant motions absent
- FABQpa score </=9
What was the Diagnostic Cluster developed to determine which patients have Lumbar Spinal Stenosis?
Cooks Cluster (Lumbar Spinal Stenosis)
- Bilateral Sx
- Leg pain > Back pain
- Pain during standing and walking
- Pain relief upon sitting
- Age >48 years old
What is the Cluster for Lumbar Traction or Positional Distraction, in the Prone position?
- Radicular LE pain
- Signs of nerve compression (DTR, Myotomes, Dermatomes)
- Peripheralization of Sx with extension
- (+) Crossed SLR (45°)
