Term
| McKenzie believed there are several predisposing factors related to the occurence of LBP (3) |
|
Definition
sititng posture
loss of extension ROM
Frequency of flexion |
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Term
| 3 basic components of MDT |
|
Definition
Mechanical dx
Mechanical tx based on mechanical dx
Prevention of recurrence |
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Term
| How is prevention of recurrence achieved |
|
Definition
emphasize pt responsibility to follow through with treatment rx
exploring pt generated forces fully before applying PT forces |
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Term
|
Definition
|
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Term
|
Definition
| single AROM assessed to determine quality and quantity and presence of deviations during movement |
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Term
|
Definition
| repeated mvoement testing key to the exam process |
|
|
Term
| purpose of repeated movements |
|
Definition
affects of loading on the spine in different planes assessed
centralizaoitn/peripheralization important guides during assessment |
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|
Term
| Loading progressing of the MDT exam (3) |
|
Definition
WB to NWB
Saggital to frontal to transverse
Dynamic (cyclical loading) is tested first followed by static laoding if needed |
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Term
|
Definition
postural
dysfunction
derangement
other (SIJ, Hip, non-mechanical) |
|
|
Term
| when are pt's classified into an MDT classificaiton |
|
Definition
| following repeated movement assessment |
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Term
| Postural Syndrome: what produces pain |
|
Definition
| abnormal stress on normal tissues |
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|
Term
| Postural Syndrome: symptoms are NOT produced by what |
|
Definition
|
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Term
| Postural Syndrome: symptoms are produced by what |
|
Definition
| sustained posturing only and relieved by posture correction |
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|
Term
| Postural Syndrome: where/frequency of pain |
|
Definition
|
|
Term
| Postural Syndrome: type of onset |
|
Definition
|
|
Term
| Postural Syndrome: is a result of what |
|
Definition
| sustained loadign of tissues during end range positions |
|
|
Term
| Postural Syndrome: result of sustained loading of tissues during which positions |
|
Definition
|
|
Term
| Postural Syndrome: there is no (3) with repeated movements |
|
Definition
deformity
loss of motion
pain provocation |
|
|
Term
| Postural Syndrome: 5 aspects of pain |
|
Definition
gradual onset
local
symmetric
never referred
onset usually occurs after 15 minutes with sustained end range positioning only |
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Term
| Dysfunction syndrome: ______ stresses on ______ tissues produces pain |
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Definition
| normal stresses on abnormal tissues produces pain |
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|
Term
| Dysfunction syndrome: associated with what type of motion loss |
|
Definition
|
|
Term
| Dysfunction syndrome: what type of onset? |
|
Definition
insidous
may have of hx of previous injury |
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|
Term
| Dysfunction syndrome: 2 aspects of pain |
|
Definition
Local pain (Except ANR)
occurs at full end range only and not worsened with repeated mvmts |
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|
Term
| Dysfunction syndrome: how are the subclassifications named |
|
Definition
| direction of movement restriction |
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|
Term
| Dysfunction syndrome: how are the subclassifications named |
|
Definition
| direction of movement restriction |
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|
Term
| Dysfunction syndrome: 5 subclassifications |
|
Definition
flexion dysfunciton
extension dysfunction
side-gliding dysfunction
multidirectional dysfunction
ANR |
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|
Term
| Derangement syndrome: is thought to be the result of what |
|
Definition
| displacement or alteration in the postioin of joint structures |
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|
Term
| Derangement syndrome: originally based on what model |
|
Definition
|
|
Term
| Derangement syndrome: old terminiology |
|
Definition
| IVD anterior and posteiror derangements with posterior divided into 6 subcategories |
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Term
| Derangement syndrome: Current MDT terminology |
|
Definition
| derangements as reducible or irreducible and then describes pain location adn or presence of a deformity |
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|
Term
| Derangement syndrome: pain location/intensity |
|
Definition
|
|
Term
| Derangement syndrome: pain during movement? |
|
Definition
|
|
Term
| Derangement syndrome: presence of a deformity |
|
Definition
may or may not
lateral shift, kyphosis, accentuated lordosis |
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|
Term
| Derangement syndrome: what increases as pain centralizes or abolishes |
|
Definition
|
|
Term
| Derangement syndrome: symptoms better or worse as a result of what exam procedure |
|
Definition
|
|
Term
| Derangement syndrome: onset |
|
Definition
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|
Term
| Derangement syndrome: pain patterns |
|
Definition
|
|
Term
| Derangement syndrome: pain location descriptions (4) |
|
Definition
central
unilateral
symmetric
asymmetric |
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|
Term
| Derangement syndrome: what is the guiding response for this syndrome |
|
Definition
| centralization or peripheralization |
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|
Term
| the "other" categories for MDT |
|
Definition
| non-mechanical LBP, inconclusive |
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|
Term
| requirements to classify pt as Non-mechanical LBP |
|
Definition
rptd mvmts have no effect or no directional preference found
Red flags
Waddel's signs |
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|
Term
| requirements to dx pt as inconclusive |
|
Definition
rptd mvmts affect symptoms but no directional preference or consistent pattern is observed during exam
tx symptomatically and then reassess |
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|
Term
| MDT interventions: what is key to a successful outcome |
|
Definition
|
|
Term
| MDT interventions: progression of forces |
|
Definition
| mid range to end range, to end range with over pressure |
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|
Term
| MDT interventions: when should PT generated forces be implemented |
|
Definition
| pt has plateaued or no effect with self generated forces |
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|
Term
| MDT interventions: postural syndromes |
|
Definition
| correct faulty posture and pt education |
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|
Term
| MDT interventions: dysfunction syndromes |
|
Definition
| move into the restriction in an attempt ot elongated shortened tissues |
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|
Term
| MDT interventions: derangements: what types of techniques should be utilized |
|
Definition
|
|
Term
| MDT interventions: derangements: when should asymmetrical techniques be avoided |
|
Definition
| symmetric symptoms (acute kyphosis) |
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|
Term
| MDT interventions: derangements: why should asymmetrical techniques be avoided with symmetric symptoms such as an acute kyphosis |
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Definition
| may convert a posterior derangement into a posterolateral derangement |
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|
Term
| MDT interventions: derangment: when are asymmetricla techniques used |
|
Definition
| asymmetric derangments/pain patterns |
|
|
Term
| MDT interventions: the direction of tx is governed by what |
|
Definition
| centralization/peripheralization phenomena |
|
|
Term
| in most cases, no mvmt should be performed that causes pain referral to peripheralize except |
|
Definition
|
|
Term
| MDT interventions: derangement syndromes: 4 objectives of tx |
|
Definition
reduce derangement
maintain reduction
recovery of function
prevention of recurrence |
|
|
Term
| MDT interventions: derangement syndromes: reduce derangement |
|
Definition
correct acute deformity if present
utilize mid range to end range to end range with overpressure progression of forces |
|
|
Term
| MDT interventions: derangement syndromes: recovery of function: meaning what |
|
Definition
|
|
Term
| MDT interventions: derangement syndromes: prevention of recurrence |
|
Definition
| perform extension whenever in prolonged flexion |
|
|
Term
| MDT interventions: derangement syndromes: when is it safe to test if the pt can flex forward again |
|
Definition
|
|
Term
| MDT interventions: derangement syndromes: if the pt has gone 48 hrs s symptoms, when should you test flexion |
|
Definition
|
|
Term
| MDT interventions: derangement syndromes: pt has gone 48 hrs s symptoms, and are seeing you for an afternoon visit, what is the progression to see if they can reintroduce flexion |
|
Definition
EIL 10x full ROM s pain
FIL 10x full ROM s pain
EIL 10x full ROM s pain
if EIL not at full ROM don't progress
if FIL is not with full ROM or has pain, not ready for flexion
if 2nd EIL not at full ROM, pt not ready to flex |
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