Term
|
Definition
1. Better walking than sitting
2. Improves with lumbar support
3. Responds to repeated extension
• Disk
• Posterior derangement
• Extension dysfunction |
|
|
Term
|
Definition
Better sitting than standing
2. Marked relief lying down
3. Responds to sustained flexion
• Facet (DJD)
• Stenosis (cent+Lat)
• Flexion dysfunction |
|
|
Term
|
Definition
. Unilateral, likely distal
2. Observed lateral shift
3. Responds to lateral component
• Posteriolateral disk herniation |
|
|
Term
|
Definition
1. sub-acute, localized pain (no leg pain) with specific movement
2. no response to repeated movements
3. responds to mobs / manips
• Stuck facet
• Difficult disk
• Scar tissue |
|
|
Term
|
Definition
Better when non-weight bearing
2. no lasting change with repeated movements
3. Responds to traction (“lasting” change)
• Irreducible disk
• Stenosis
• Facet DJD
• Neural entrapment (from disk/stenosis) |
|
|
Term
|
Definition
1. catching / giving way – esp. with sudden movement or loading
2. grade 5 or 6 PIVM’s, SLR >90 deg
3. positive prone instability test
instability |
|
|
Term
|
Definition
hx of trauma or post-partum
2. a. unilateral SIJ pain
b. pain not above L5
c. worse with weight bearing
3. cluster of 3 positive stress tests
• SIJ
• Iliac
• Sacral
• Pubic (groin pain) |
|
|
Term
|
Definition
. pain usually anterolateral
2. doesn’t respond to spinal repeated movements
3. positive hip stress tests
• Hip joint
• Bursa
• Soft tissue |
|
|
Term
|
Definition
AM pain /stiffness (30 minutes)
2. recent hx of trauma or disease
3. doesn’t follow mechanical pattern
4. responds to NSAID’s
• Arthritis (AS)
• Post trauma |
|
|
Term
|
Definition
1. not changed by rest, NSAIDS
2. trauma was long ago
3. symptoms are widespread, bilateral,
4. doesn’t follow mechanical pattern
5. positive Waddell signs
6. high FABQ / TSK scores
• CPS
• Central sensitization
• Not called symptom magnification or non organic |
|
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