Treatment Based Classification Flashcards
What are the three categories in the TBC model?
Medical management
Rehab management
Self-care management
What are the clinical findings in the medical management category?
Red flags
Medical comorbidities precluding rehab
Leg pain with progressive neurologic deficits
What are the clinical findings of the self-care management category?
Low psychosocial risk status
Predominantly axial LBP
Minor or controlled medical comorbidities
What are the clinical findings in the rehab management category?
Medium to high psychosocial risk status
Low psychosocial risk status with predominantly leg pain
Minor or controlled medical comorbidities
What are signs of serious spinal pathology?
Temp > 100° F
BP > 160/95mmHg
Resting pulse > 100/min
Resting respiration > 25/min
What is the TBC model for determining appropriate rehab approach?
Symptom modulation
Movement control
Functional optimization
What are the clinical findings in the symptom modulation category?
Disability is high
Symptom status is volatile
Pain is high to moderate
What are the clinical findings of the movement control category?
Disability is moderate
Symptom status is stable
Pain is moderate to low
What are the clinical findings in the functional optimization category?
Disability is low
Symptom status is controlled
Pain is low to absent
What are treatments in the symptom modulation category?
Directional preference exercise
Manipulation
Traction
Active rest
What are treatments in the movement control category?
Sensorimotor exercises
Stabilization exercises
Flexibility exercises
What are the treatments in the functional optimization category?
Strength and conditioning exercises
Work or specific sport tasks
Aerobic exercises
General fitness exercises
What are some manipulation interventions?
Manipulation of lumbopelvic region
Active ROM exercises
What are some stabilization interventions?
Isolated contraction of deep stabilizing muscles
Strengthening of large spinal stabilizing muscles
What are some specific exercise interventions?
Focusing on extension, flexion, and lateral shift
