Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DPT MSK Fall 22' - Spring 23' > LBP- exam 1 > Flashcards

LBP- exam 1 Flashcards

1
Q

What is the STarT Back Tool regarding LBP

A

determines risks of persistent disabling P! and matches treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which vertebral spine has the smallest amount of spine-related pathology?

A

thoracic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

______ is the leading cause of:
worldwide disability
activity limitation and work absence
half > 65 yrs. of age will have _____
______% will experience ______ in their lifetime

A

LBP; LBP; 80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Prevalence of LBP:
-women ______ men
-older_____ younger age
-lower___________
-higher__________

A

women > men
older > younger ages
lower educational status
higher physical work demands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Risk factors of LBP:

A

previous LBP
co-morbidities (diabetes, asthma,etc.)
poor mental health
smoking, obesity, and low activity levels
awkward postures, heavy lifting, and fatigue
genetics w/age related disc changes ONLY, otherwise questionable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Functional ROM: sit—–stand
Picking up objects from the floor:

A

35-42º flexion
60º flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

You must complete the normal range to be functional. T or F

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

LBP imagining with MRI
-1/3 of asymptomatic individuals had “abnormal” findings which are:

A

IDD
Age-related disc changes
N. compression
Facet hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1/2 of __________ individuals with LBP had abnormalities

A

symptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Imaging with CT and MRI - 2/3 of asymptomatic individuals had disc changes from __________ yrs. of age

A

30-60yrs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Who should get imagining with LBP?

A

> 50yrs. of age w/ hx of cancer
saddle parathesis
bowel and bladder dysfunction
specific neurological deficits (spinal n., brain, spinal cord)
progressive/disabling symptoms
NO improvement after 6wks. of conservative Rx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Imagining DOES improve outcomes and guidelines consistently recommend. T or F

A

False; DOES NOT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nearly all cases have an _________ source hence the term non-specific LBP

A

unidentified nociceptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

PT Rx:
__________ gap between evidence and_______
___________ of unsupported and _________ Rx

A

SUBSTANTIAL; practice
OVERUTILIZATION; ineffective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Most LBP preventions _________ evidence and _______ is largely effective in adults.

A

lack; exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

First line Rx for LPB
-against
-for (6)

A

against: bed rest, in-depth explanation of the cause

:spinal and structural strength
neuroscience explanation
overall favorable prognosis
active P! coping mechanisms that decrease fear
stay active w/early resumption for ADLs
emphasis on function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why is education important for LBP pts.

A

greater emotion = greater P! and persistence
improve emotion = less P! and persistence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Dry needling is the most beneficial PT Rx for pts. with LBP. T or False

A

false; very low to moderate evidence of benefit on P!

19
Q

What are some examples of modalities?
Are they effective?

A

heat, US, e-stim, LASER, etc
generally ineffective and NOT recommended, short-term results at best (window to begin other interventions)

20
Q

soft tissue mobilization is a long-term or short-term benefit of all LBP types?

A

short term

21
Q

What are some barriers to overcome to BEST practice?

A

increase consultation time and follow up
better incentives to return to work
PSA - the basics
reward quality and NOT volume with reimbursements

22
Q

PT Rx:
LBP Classifications into subgroups, which are:

A

mechanical traction
directional preference
mobilization/manipulation
stabilization

23
Q

The MOST beneficial traction for LBP is static tx. T or F

A

false; NO benefit

24
Q

When intermittent tx is most often beneficial

A

pts experiencing radiculopathy

25
Q

Intermittent Tx is more supported in ______ and when
_____ yrs of age
_____in last 24hrs. distal to knee
Oswestry questionnaire score > ______
_____ n. root compression, crossed SLR, and/or centralization

A

prone
18-60
paresthesias
30
(+)

26
Q

What is centralization?

A

abolition of distal and/or spinal P! in a distal to a proximal direction in response to repetitive motion(s) or sustained position(s)

27
Q

What is directional preference and where is it most commonly?

A

a position, motion, and/or factor that alleviates symptoms

MOST common extension, may centralize LE symptoms to LB

28
Q

What is most effective for subgroups?

A

Manipulation

29
Q

Manipulation effect larger than _________
Greater effective when combined with _______
Long-term effect ______ well established

A

mobilization
exercise
NOT

30
Q

Mobilization/Manipulation non-thrust mobilization helps:

A

decrease pressure P! threshold

31
Q

Can you begin the exercise with stabilization ?

A

Yes, safe and effective to do it early
-3x10 low resistance

32
Q

You MUST supervise pts. with LBP. T or F

A

False, only if pt. NOT progressing or presistent LBP exists

33
Q

Sub-acute and persistent LBP
First Line Rx: in order is
(2)

A
  1. motor activation/coordination
  2. Aquatic therapy, pilates, and yoga
34
Q

LBP pts. get mental health benefits w/ resistance and aerobic training? T or F

A

True

35
Q

__________prevents reoccurrences @ 3yrs after 4 wks of training

A

motor control - local mm activation

36
Q

Motor control - local mm activation is effective for nonspecific LBP and functions in _______ or w/ other _________

A

isolation; therapeutic exercises

37
Q

Diaphragmatic breathing is _________ with persistent LBP

A

impaired

38
Q

Cognitive Behavioral Therapy:
-first-line Rx with persistent LBP

A

helping pts understand and manage all biopsychological elements contributing to their symptoms

39
Q
  1. prognosis for LBP _________

1a. _______52%
_______58%
82% of pts ______________

A

rapid improvements within one month

P!
Disability
return to work

40
Q

Most pts. with LBP improve substantially in _________ wks.

A

6

41
Q

MD Rx:
_____________ ONLY recommended with an inadequate response to exercise and cognitive behavioral therapy

A

medications

42
Q

MD Rx:
_________ and _______ injections are NOT recommended for non-specific LBP

A

epidural; facet joint

43
Q

What are epidural injections recommended for?

A

radicular P!

DPT MSK Fall 22' - Spring 23' (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions