Shared Flashcard Set

Details

Spine manipulation
dexters mobs/jt plays
10
Management
Graduate
10/03/2010

Additional Management Flashcards

 


 

Cards

Term
Opening Restriction = opening problem = "stuck closed";
-S&S?
Definition
-SS deviation during fwd flex, difficulty side-bending to OS, prominence of affected Lumbar TP's evident during EXT
Term
Closing Restriction = closing problem = "stuck open"
-S&S?
Definition
-OS deviation during fwd flex, difficulty side-bending to SS, prominence of affected Lumbar TP's evident during FLEX
Term
Manipulation Classification Criteria: (5)
Definition
-No sxs distal to knee
-Recent onset (<16 days)
-Low FABQ-W (<19)
-Hypomobile L-spine
-Hip IR >35 for at least one side
Term
Stabilization Classification Criteria: (5.2)
Definition
-Age <40
-Increased overall flexibility (SLR >91 if postpartum)
-Instability catch or aberrant mvmt during L-flex/ext
-Positive Prone Instab Test
-Postpartum with
<>Pain during P4, ASLR, and Trendellenburg
<>Pain during palpation of pubic symph or long dorsal SI ligament
Term
Specific Exercise Extension Classification Criteria (4)
Definition
-Sxs distal to buttock
-Sxs centralize w/ ext
-Sxs peripheralize w/ flex
-Directional pref twd ext
Term
Specific Exercise Flexion Classification Criteria (3)
Definition
-Age >50
-Directional preference for flex
-Imaging evidence of stenosis
Term
Specific Exercise Lateral-Shift Classification Criteria (2)
Definition
-Visible frontal plane deviation of shoulders to pelvis
-Directional preference fo lat translation movement of pelvis
Term
Traction Classification Criteria: (2)
Definition
-S&S of nerve root compression
-No movements centralize sxs
Term
OSWESTRY = ODI
-Scoring?
-Minimum clinically important difference?
-Adjustment for incomplete test?
-Classifications?
-Average baseline?
Definition
-10 questions, Ea question is 0-5 from top to bottom; Total score = total points from each question *2 (as %)
-6 points (or 12%)
-Calculate % out of whatever they filled out
- >60 = "very disabled", can't sit or stand;
40-60 = "significant disability", trouble w/ ADLs;
20-40 = "moderate disability", trouble w/ only some ADLs
<20 = OK to RTW, unless hi-demand work or athlete
-40% for pts starting PT
Term
FABQ
-Scoring?
-Adjustment for incomplete test?
-Classifications?
Definition
-Ea question is 0-6 points, score FABQPA (physical activity) separately from FABQW (work);
<>FABQPA: only total 2-5 (4 items)
<>FABQW: only total 6,7,9-12,15 (7 items)
-None: pt must answer ALL questions
- >34 = "avoider", 58% of no RTW after 4 wks;
<18 = not as likely to benefit from Manipulation Rx;
FABQPA >13-14 may need cognitive approach/less focus on pain and more on mutual goals
>34 on FABQW = prolonged disability / multidisciplinary approach candidate;
<29 on FABQW = "confronter", 3% of no RTW after 4 wks;
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