lumbar intervention/manip/mob

Question 1

what are four criteria that would qualify a patient for manipulation?

Answer 1

no symptoms distal to the knee
recent onset of symptoms (<16 d)
low FABQW score (low fear avoidance)
hypomobility of the lumbar spine

Question 2

what is wind-up?

Answer 2

sensitization of nervous system such that a painful stimulus given repeatedly hurts more than initial
in a normal pain response stimulus produces same effect

Question 3

what effect does thoracic manip have on wind-up?

Answer 3

decreases it

Question 4

according to bishop, what has the biggest effect on patient response to manipulation?

Answer 4

patient expectation

Question 5

what are indications for mechanical traction?

Answer 5

positive response to manual traction

movement testing worsens sx’s or acute radiculopathy (as in symptoms don’t centralize)

Question 6

what are four basic positions for lumbar traction?

Answer 6

supine: knees and hips flexed to 90 supported by stool
supine: knees flexed, feet on table
supine: hips/knees extended
prone

Question 7

what are indications for positional tractions (patient in sidelying)?

Answer 7

unilateral pain