Lumbar Spine CPRs

Question 1

List the 5 criteria that make up the Spinal Manipulation CPR.

Answer 1

1. Recent onset (<16 days)
2. No symptoms below knee
3. Low FABQ work subscale (<19)
4. At least 1 hip IR > 35 degrees
5. At least 1 hypomible lumbar segment

Question 2

What are the 3 rehabilitation approaches that make up rehabilitation management?

Answer 2

1. Symptoms modulation
2. Movement Control
3. Functional Optimization

Question 3

List 4 treatment intervention to consider for patients in the symptom modulation category.

Answer 3

1. Directional preference exercises
2. Manipulation/Mobilization
3. Traction
4. Active Rest

Question 4

List 3 treatment interventions to consider for patients in the movement control category.

Answer 4

1. Sensoriomotor exercises
2. Stabilization exercises
3. Flexibility exercises

Question 5

List 4 treatment interventions to consider for patients in the functional optimization category.

Answer 5

1. Strength and conditioning exercises
2. Work and sport specific exercises
3. Aerobic exercises
4. General fitness exercises

Question 6

What is the difference between nociceptive, peripheral neurogenic, and central sensitization pain?

Answer 6

Nociceptive pain: proportional to the injury, can describe aggravating and easing factor, no radiating symptoms/night pain

Peripheral neurogenic pain: pain is located in dermatomal/cutaneous distribution, positive neurodynamic tests, history of nerve pathology

Central sensitization: pain not proportionate to injury