Week 2- Treatment Based Classification LBP Overview Flashcards
1
Q
Levels of patient management
A
- Medical management (RED LIGHT)
- Self-care management (GREEN LIGHT
- Rehabilitation management (YELLOW LIGHT)
2
Q
Clinical findings for medical management
A
- Red flags
- Medical comorbidities precluding rehab
- Leg pain w/ progressive neurologic deficits
3
Q
Clinical findings for self-care management
A
- Low psychosocial risk status
- Predominantly axial LBP
- Minor or controlled medical comorbidities
4
Q
Clinical findings for rehabilitation management
A
- Medium-high psychosocial risk status
- Low psychosocial risk status with predominantly leg pain
- Minor or controlled medical comorbidities
5
Q
Sighs of serious spinal pathology
A
- Signs of infection (fever >100, BP >160/95, HR 100+, respiration 25+/min)
- Constant pain
- Severe night pain
- Unexplained weight loss 10+ lb
- Direct blunt trauma
- Acutely ill
- Abdominal pain
- Sexual dysfunction
- Menstrual irregularities
- Bowel/bladder dysfunction
6
Q
Levels of rehabilitation management
A
- Symptom modulation
- Movement control
- Functional optimization
7
Q
Symptom modulation characteristics
A
- Disability: High
- Symptom status: volatile
- Pain: high-moderate
8
Q
Movement control characteristics
A
- Disability: moderate
- Symptom status: stable
- Pain: moderate to low
9
Q
Functional optimization characteristics
A
- Disability: low
- Symptom status: controlled
- Pain: low to absent
10
Q
Symptom modulation treatments
A
- Directional preference exercises
- Manipulation/mobilization
- Traction
- Active rest
11
Q
Movement control treatments
A
- Sensorimotor exercises
- Stabilization exercises
- Flexibility exercises
12
Q
Functional optimization treatments
A
- S&C exercises
- Work- or sport-specific tasks
- Aerobic exercises
- General fitness exercises
13
Q
Factors Favoring Manipulation
A
- Recent onset of symptoms
- Hypomobility with spring testing
- LBP only, no distal symptoms
- Low FABQ scores (FABQW <19)
14
Q
Factors Against Manipulation
A
- Symptoms below the knee
- Increasing episode frequency
- Peripheralization w/ motion testing
- No pain w/ spring testing
15
Q
Factors Favoring Stabilization
A
- Young
- Positive prone instability test
- Aberrant motions present
- Greater SLR ROM
- Hypermobility w/ spring testing
- Increasing episode frequency
- 3+ prior episodes
