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MM II > midterm > Flashcards

midterm Flashcards

1
Q

what is the first step of the TBC?

A

is patient appropriate for PT (are symptoms of primarily mechanical origin?

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2
Q

what is the second step of the TBC?

A

what is the level of acuity, must classify as I, II, III

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3
Q

what is the third step of the TBC?

A

what treatment should be used

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4
Q

what are some things that could tip you off for cancer?

A

age over 50, history of cancer, cannot sleep at night regardless of position, recent unexplained weight loss

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5
Q

what are some things that could point you towards CES?

A

saddle anesthesia, bladder dysfunction, severe neurological deficits

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6
Q

what are some risk factors for AAA?

A

age over 60, male, smoker, family history

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7
Q

How will AAA present clinically?

A

back pain, increase in pain with general activity but not with spinal movement

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8
Q

who is most at risk of vertebral fractures?

A

older white females

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9
Q

what are some key clinical presentations for ankylosing spondylitis

A

morning stiffness > 30 minutes, improvements with exercise but not with rest, night pain during second half of night, alternating buttock pain

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10
Q

how is a lateral shift named?

A

named by the side the shoulders lean towards

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11
Q

what defines a radiculopathy?

A

reflex change, dermatome or myotome change

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12
Q

what does a patient in stage I of classification look like?

A

ODI > 30, unable to sit > 30 mins, unable to stand >15 mins, unable to walk 1/4 mile

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13
Q

what does a patient in stage II of classification look like?

A

ODI 15-30, able to sit and walk, can perform basic ADL’s but cannot perform complex tasks

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14
Q

what does a patient in stage III of classification look like?

A

ODI < 15, able to perform complex tasks

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15
Q

what classification puts someone into the manipulation classification?

A

current pain < 16 days, no pain distal to knee, FABQ-W < 19 points, at least one hypomobile segment, hip IR > 35 degrees

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16
Q

what would you find during the physical examination for a patient who is classified into stabilization?

A

aberrant motion, positive PIT test, SLR > 91 degrees, hypermobility

17
Q

what are some findings that could point to a person who would fall into the stabilization classification?

A

hypermobility, frequent prior episodes, + response to immobilization, younger age

18
Q

what is the findings for a specific exercise patient?

A

centralization phenomenon with movement exam, postural preference,

19
Q

what would point you towards putting a patient in the traction category?

A

neurological signs, leg symptoms, peripherialization with movement, CSLR positive

20
Q

what would a patient within the stability category subjectively report?

A

good and bad day, catching, pain at end ranges, pain with sustained postures

21
Q

would you expect to see hyper or hypo mobility in the prone PA of a stabilization patient?

A

hypermobility

22
Q

what are some physical exam tests you can perform to classify a patient in the stability category?

A

prone PA mobility, PPIVM, PIT, passive lumbar extension test

23
Q

what is ankylosing spondylitis?

A

an inflammatory disease that ossifies the SIJ and the lower back

24
Q

what are key components of history of AS

A

gradual onset before age 40, males>females, marked morning stiffness, ROM limitations in all directions

25
Q

in what disorder will you see the iron back?

A

ankylosing spondylitis

26
Q

how do we treat ankylosing spondylitis?

A

constant mobilization, breathing exercises, stabilization exercises

27
Q

what is lumbar spinal stenosis?

A

compression of the nerve root through the canal

28
Q

can imaging alone be used to dx LSS?

A

no, imaging as well as a physical exam are needed

29
Q

what position will someone with LSS prefer?

A

flexion, opens up nerve root canal

30
Q

what are some important clinical findings for LSS?

A

over 65, no pain with flexion, pain below buttocks, absence of pain will seated

31
Q

what is a concern with LSS patients?

A

neurogenic or vascular claudication

32
Q

how do you differentiate between neurogenic and vascular claudication?

A

neurogenic symptoms will get better with spinal flexion, the vascular will not

33
Q

what is a test that can be used to confirm neurogenic claudication?

A

two stage treadmill test

34
Q

how do we treat LSS?

A

manual therapy and exercise to strengthen global stabilizers

MM II (1 decks)

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