Term
| what needs to be cleared when someone complains of LBP? |
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Definition
Thoracic Spine and Hip
AROM, PROM, MMT, PAMS, Neural Screen?, Special Tests, Functional Tests |
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Term
When is a neurological assessment done for LBP?
What is a neurolgical screen helpful for? |
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Definition
Perfomred on initial evaluation if sympotoms extend below the buttocks
Helpful for determining if there is nerve root compression |
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Term
What are the four components of a neurological assessment?
What can these help you to determine? |
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Definition
Sensation
Myotomes
Meural Tension
Reflexes
Helps to determine NEfve root compression |
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Term
| what is the minimally clincially important difference for the Oswestery LBP scale? |
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Definition
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Term
| Upon examination what might be some indications for manipulation on the subjective exam? |
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Definition
Subjective:
4/5 criteria on the Clinical prediction rule ( indicates a + response to manipulation) 2/5 indicateds no response to manipulation
Duration of Sx
Location of Sx
Fear Avoidance Belieft Questionnaire |
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Term
| Indications of manipulation on Objective Examination? |
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Definition
Lumbar mobility testing comes up hypomobility w/passive accessory movements in at least one segment
Provocation and mobility test (positions that provoke pain)
Hip IR in prone of >35 degrees in at least one hip |
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Term
| What are the clinical prediction Rules for Manipulation of the back |
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Definition
No symptoms distal to the knee
Durration of current episode <16
Score on FABQ work subscale <19
Hip IR ROM at least 1 hip with >35 deg of IR
Most important of these are <16 days, no symptoms distal to the knee |
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Term
| what automatically will exclude patient from manipulation? |
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Definition
| Contraindications such as OP, Fx, Spondylolisthesis |
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Term
| Is a Grade V mobilization within the physiological range? |
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Definition
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Term
| when manipulate a patient what should follow this? |
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Definition
| Followed by NWB ROM exercises (i.e. pelvic tilts in supine or quaderuped need to control the new ROM that they have |
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Term
| What are the subjective indications for stabilization of the LB? |
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Definition
Recurent episodes of LBP
Frq self manplation with short term relief
Trauma
Pregnancy/Oral Conterceptives |
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