SIN Factors

Question 1

Severity

Answer 1

Intensity of symptoms (low, moderate, high) based on:

• Constant vs intermittent (inflammatory or mechanical)
• Pain scale (VAS)
• Night symptoms
• Levels of medication required
• Ability to return to work

Question 2

Irritability

Answer 2

• The ease at which a patient’s symptoms are increased or produced
• Based on aggs and eases
• Irritable vs non-irritable
• Low, moderate, high

Question 3

Nature

Answer 3

• Tissue mechanisms (pathology, stage of healing)
• Pain mechanisms
• Psychosocial factors
• Genetics (myo, neuro, arthro)

Question 4

Indications for grades of mobs

Answer 4

Grades 1-2

• High severity/irritability
• High levels of pain - 7-10
• Acute condition

Grades 3-4

• Stiffness more/worse than pain
• Low to moderate severity/irritability
• Lower levels of pain 2-4
• Sub-acute to chronic stage
• Movement related pain, end range pain