SMT 361-420 Flashcards
- What did Haskins et al 2012 concluded regarding CPR’s and LBP ?
- evidence did not support clinical application -only 2 have progressed to the validation process
- No rule has ever been investigated for clinical impact
- What were Flynn et al 2002 clinical predictors rules?
Duration of sxs <16 d FABQ <19 L/s hypomobility on spring testing one hip >35* IR NO sxs distal to knee
- But what was the only tech that Flynn et al 2002 applied to?
Chicago
- Does Chicago tech impact the Lumbar spine?
there is no evidence to suggest that it does not. Thus it may and is not specific to the SIJ
- What was Flynn et al 2002 success rate for random manip for w/non radic LBP?
45% so random manip could work 45% of the time
- What inc. the % of success from 45% -95%? (Flynn 2002)
4 out 5 predictors
397.Who validated Flynn et al 2002?
Child et al 2004
- Results ? (Flynn 2002)
pt’s with + CPR had 95% success rate chance with HVLAT, +LR 24.38
- But who were these results valid for? (Flynn 2002)
Military, only used Chicago, only 30 % follow up
- what did Cleland et al 2006 find using Flynn et al 2002 CPR’s ?
91.7 % had successful outcomes with in 2 tx of lateral recumbent lumbar roll HVLAT
- How did the results relate to CPR identification ?
Identified pt with LBP to benefit from any HVLA directed toward lumbar spine (Chicago or lateral recumbent roll)
- According to Flynn et al 2002 what was the best single predictor of success with manip.?
Duration of symptoms
- Who performed an independent evaluation of the external validity Childs eval 2004?
Hancock et al 2004
- Why?
- CPRs had not been Indp. evaluated by other authors
- CPR’s only in US Air force not generalization
- Using Flynn et al 2002 criteria did Hancock et al 2008 find the CPR’s identified those pt’s more likely to respond to SMT?
No CPR’s were no better than chance in identifying its with acute - non specific LBP who would most likely respond to SMT
- What was wrong with Hancock et al 2008 method ?
97% only received non thrust mob only 5% got HVLA
- Diferences b/w Childs et al 2004 & Hancock et al 2008 duration symptoms ?
Childs et al 2004 vs Hancock et al 2008. 27 days Childs vs 5 days hancock
- what was the setting for question 407 (Childs vs Hancock)
Military Childs vs P=private practice hancock
- Treatment Duration? (Childs vs Hancock)
2 Childs vs 8-12 hancock
- Loss to follow up? (Child’s vs Hancock)
30 % Childs vs 2% hancock
- Who attempted to validate CPR using lateral recumbent manip & supine lumbopelvic manip?
clealand et al 2009
- What were Cleland et al 2009 tx groups ?
- 2 sessions HVLA supine did not choose level and 4 attempts
- 2 sessions HVLA side lying did not choose level
- 2 sessions non thrust central PA’s to L4, L5
- What else did all groups get?Cleland
ex pelvic tilts, TrA hallowing, quadruped arm/leg ext.
- were there differences b/w the supine or side lying thrusts? Cleland
No diff at any f/u