lumbar Flashcards
what time period is typically considered “acute” for LBP?
<3 months
what time period is typically considered “chronic” for LBP
> 3 months
is there any association between prolonged sitting, sports activities, or work related spinal loading and prolonged recovery from LBP
no
what is the 3 criteria for quick recovery from LBP that compose a CPR?
lower initial pain, shorter duration of symptoms, fewer previous episodes of pain
there are 5 red flags for metastatic cancer, list them
hx of cancer, night pain, unexplained weight loss, age >50, failure to improve over the predicted time interval
there are 4 red flags for infection in the disk or vertebrae, list them
patient is immunosuppressed, prolonged fever, hx of IV drug use, hx of recent UTI, cellulitis, or pneumonia
there are 5 red flags for an undiagnosed vertebral fx, list them
prolonged corticosteroid use, mild trauma >50 or age >70, hx of osteoporosis, recent major trauma, bruising over the spine
there are 4 red flags for an AAA, list them
pulsating mass in abdomen, hx of atherosclerosis, throbbing/pulsing low back pain, age >60
what is the only finding that increases the likelihood of diskogenic pain?
centralization of symptoms
what clinical tests detect facet joint problems?
none
what are the 5 items on the CPR for lumbar manipulation?
no symptoms distal to the knee, duration >16 days, FABQ >`9, at least one hypomobile segment, at least one hip with greater than 35 degrees of IR
is there a link between smoking, heavy manual labor, and exposure to vibration with disk degeneration?
no
in patients with DD should they perform flexion exercises in the morning?
no, this leads to more pain and disability
what 5 things predict a positive outcome to lumbar manip? (also put someone into manip category)
< 16 days, no symptoms distal to knee, FABQ work < 19, one hypo mobile segment, one hip > 35 IR
CPG - intervention - manual therapy
A
CPG - trunk coordination, strength, endurance exercises
A
CPG - centralizing and directional preferences
A
CPG - flexion exercises
C
CPG - nerve mobilizations
C
CPG - traction (level of evidence and three criteria to use it)
D, peripheralization, nerve root compression, pos CSLR
CPG - patient ed and counseling
B
CPG - progressive endurance exercises and fitness activities
A
what 5 things put someone into the stability category?
pos PIT, aberrant motion, hyper mobility, younger age, greater SLR ROM
what 2 things put someone into the specific exercise category?
centralizing phenomenon with movement exam, postural preference
what 3 things put someone into the traction category?
nerve root compression signs, peripheralization with movement testing, pos CSLR
