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| purpose of functional assessment tools |
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Definition
| assess the effects of pain on the pt's ability to perform functional tasks |
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| the pt's ability to perform a functional task is possibly a more dramatic effect on health care costs than what alone? |
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| most often used questionnaire for low back pain? |
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Definition
| oswestry low back diability questionnaire (OLBDQ) |
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| why is the OLBDQ used most often? |
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| assessment easier and quicker that OSDQ. 10 item assessment |
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| Describe the functional rating index |
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Definition
| quantitatively measures the pt's subjective perception of function and pain of the spinal musculoskeletal system |
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| what items are assessed on the functional rating index |
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Definition
| 8 functional/ADL's, 2 items assess different attributes of pain |
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| What are the 2 items that assess different attributes of pain on the functional rating index |
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Definition
| pain intensity, frequency of pain |
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| the Roland-Morris Diability questionnaire was developed from what |
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| The RDQ scores correlates well with physfical function scores on other tools such as (3) |
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| assessment based on theories of fear and avoidance behavior |
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| fear avoidance belief questionnaire (FABQ) |
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Definition
| the higher the numbers the greater the levels of fear avoidance beliefs |
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Definition
| 7 item work, 4 item physical activity |
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| which subscale of the FABQ is associated with current and future disability and work loss in both chronic and acute LBP |
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Definition
| structural (medical), functional |
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Term
| describe a structural (medical) diagnosis |
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Definition
| ID's specific tissues at fault, patho-anatomic diganosis |
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Term
| structural medical dx: which model? what is it centered on |
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Definition
| biomedical model. disease/pathology centered |
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| based upon the pt's S/S and thereby dictates tx |
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| functional dx: what is the model? what is it centered on? |
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Definition
| biopsychosocial model, patient/client centered |
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Term
| collection of signs and symptoms. implies that a specific dx is not known. tx typically associated with specific... |
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Definition
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Term
| classification systems (5) |
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Definition
| mechanical diagnosis and treatment-mckenzie, pathoanatomic classification, movement system impairment classification-sahrmann, International classification of functioning, disability, and health, treatment based classification |
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Term
| classification systems: tx and classification of pt is based on pt's s/s |
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Definition
| mechanical diagnosis and treatment (MDT) Mckenzie |
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Term
| Mechanical Diagnosis and Treatment (MDT) - attempt to ID... |
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Definition
| a directional preference for exercise prescription |
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Term
| McKenzie MDT: several predisposing factors related to occurence of low back pain (3) |
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Definition
| sitting posture, loss of extension, frequency of flexion |
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| McKenzie MDT: 4 models within McKenzie |
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Definition
| posture, derangement, dysfunction, non-mechanical |
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Term
| classification systems: osteopathic system tx is based upon (3) |
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Definition
| structural assessment, active movement tests, position testing/palpation |
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Term
| Osteopathic System: identify.... |
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Definition
| specific structural abnormalities at the jt and soft tissue level |
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Term
| osteopathic system: ID specific structural abnormalities at the jt and soft tissue level. Then what? |
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Definition
| tx is directed at normalizing identified dysfunction |
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Term
| In the osteopathic system where are MET's and or Thrust manipulation directed? |
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Definition
| towards positional faults |
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Term
| classification systems: 3 names behind muscle balance approach (MIS) |
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Definition
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Term
| classification systems: Muscle Balance Approach: Identify.... |
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Definition
| faulty movement patterns at the sit of dysfunction as well as distal and proximal to dysfunction |
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Term
| classification systems: Muscle Balance Approach (MIS): Identify faulty movement patterns at the site of dysunction as well as a distal and proximal to dysfunction, and then? |
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Definition
| ID movement dysfunction into syndromes |
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| classification systems: Muscle Balance Approach (MIS): tx is based on |
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Definition
| stretch shortened muscle, lengthen shortened muscle through retraining |
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| classification systems: ICF model is based on what? |
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Definition
| World Health Organization's International Classification of Functioning, Disability, and Health (ICF) |
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| How does the treatment-based classification system (TBC) classify patients? |
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Definition
| utilizes information from both physical examination and pt's self reports of pain and disability to classify pts |
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| 4 low back pain classifications |
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Definition
| manipulation, specific exercise, stabilization, traction |
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| Stabilization candidates: are younger than |
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Definition
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| Stabilization candidates: have greater general |
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Definition
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| Stabilization candidates: have greater general flexibility as in what population |
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Definition
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| Stabilization candidates: have greater general flexibility as determined by what test? |
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Definition
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| Stabilization candidates: instability catch or aberrant movements with what motions? |
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Definition
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Term
| Stabilization candidates: this test is (+) |
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Definition
| positive prone instabilitly test |
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| Stabilization candidates: for post partum pt's they will exhibit these 3 s/s |
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Definition
| + posterior shear test, active slr test, pain with ligamentous palpation |
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| Clinical Prediction rules for stabilization: more favorable response: age |
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Definition
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| Clinical Prediction rules for stabilization: more favorable response: SLR greater than |
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Definition
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| Clinical Prediction rules for stabilization: more favorable response: (+) test |
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Definition
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| Clinical Prediction rules for stabilization: more favorable response: spring testing results |
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Definition
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Term
| Clinical Prediction rules for stabilization: more favorable response:how many episodes? |
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Definition
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Term
| Clinical Prediction rules for stabilization: more favorable response:what happens during flexion/extension |
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Definition
| aberrant motions "catch" during flexion/extension |
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| Treat-based classification system: manipulation (3) conditions |
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Definition
| unilateral pain without referral distal to the knee, facet pattern of limitation or capsular pattern, meets CPR for lumbar region manipulation |
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| Clinical Prediction Rules for Spinal Manipulation (5) |
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Definition
| symptoms <16 days, no symptoms distal to the knee, IR Hip >35 degrees, lumbar hypomobility, FABQWK <19 |
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| What +LR number is considered significant |
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Definition
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| 3 syndromes for specific exercise group |
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Definition
| extension, flexion, lateral shift |
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| for the specific exercise category, what direction should treatment be based on? |
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Definition
| centralization, peripheralization, improvement/worsening of symptoms |
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| direction of treatment for specific exercise is based on what? |
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Definition
| MDT approach and primary information gathered from repeated movement component of examination |
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Term
| Specific Exercise Criteria: Extension (4) |
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Definition
| symptoms distal to buttock, centralize with extension, peripheralize with flexion, directional preference for extension |
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Term
| Specific Exercise Criteria: flexion (3) |
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Definition
| older age (>50), directional preference with flexion, imaging evidence of spinal stenosis |
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Term
| Specific Exercise Criteria: lateral (2) |
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Definition
| visible frontal plane deviation of shoulders, directional preference with lateral translation movements of pelvis |
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Term
| 2 syndromes to use traction for |
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Definition
| tractoin syndrome, lateral shift syndrome |
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Term
| Candidates for traction would demonstrate what? |
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Definition
| hard neurological s/s of nerve root compression |
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Term
| candidates for traction would be patients that fail to what? |
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Definition
| demonstrate centralization with repeated movements |
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| If during the evaluation the symptoms are not affected during tests and measures what should be done? |
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Definition
| s/s are considered non-mechanical and pt should be referred elsewhere |
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| if during the review system/scanning examination there are red flags/(+) findings, what should be done |
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Definition
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| if during the review of systems/scanning examination there is no indication of red flags what should be done next? |
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Definition
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Term
| Intervention for stabilization candidates (2) |
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Definition
| segmental stabilization, progression |
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Term
| intervention for manipulation candidates |
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Definition
| thrust and non-thrust manipulation and/or specific exercise |
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Term
| specific exercise interventions |
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Definition
| repeated exercise based on directional preference |
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Term
| intervention for traction |
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Definition
| manual or mechanical traction |
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Term
| SIJ classification requirements (4) |
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Definition
| inconclusive lumbar exam, history, structural exam, kinetic and provocation tests of SIJ positive |
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Term
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Definition
| thrust (if meets CPR) and non-thrust manipulation. MET's. stabilization |
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Term
| inconclusive classification would be based on whhat (5) |
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Definition
| mechanical symptom presentation, no red/yellow flags, no clear classification, potentially inflammatory |
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Term
| inconclusive (mechanical) classification possible intervention |
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Definition
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Term
| inconclusive (mechanical) treatment intervention (3) |
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Definition
| posture correction, treat symptomatically, re-evaluate to reclassify or refer back to MD |
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Term
| Additional Interventions: P's (3) |
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Definition
| posture correction, patient education, physical agents |
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Term
| Additional Interventions: S's (3) |
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Definition
| soft tissue manipulation, stabilization, segemental stabilizaiton |
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| Additional Interventions: N's (2) |
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Definition
| Neuromobilization, neuromuscular re-education |
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| Additional Interventions: A |
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Definition
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| Additional Interventions: M |
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Definition
| muscle balance correction |
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| Additional Interventions: F |
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Definition
| functional rehabilitation |
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| Additional Interventions: B |
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Definition
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