Assessment of Low Back Pain in Physiotherapy

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Questions and Answers

What percentage of adults experience low back pain at some point in life?

70-85% (correct)

10-20%

90-100%

30-50%

What is the most common cause of disability?

Headaches

Low back pain (correct)

Shoulder pain

Knee pain

What are some components of clinical assessment of low back pain?

X-ray, ultrasound, electrodiagnostic testing

History, palpation, range of motion (correct)

Biopsy, endoscopy, colonoscopy

Blood test, CT scan, MRI

What do global diagnostic triage guidelines help identify?

Serious pathology, radicular syndrome, and non-specific or mechanical LBP Signup and view all the answers

What are some specific red flags for low back pain?

Spinal fractures, malignancy, cauda equina syndrome Signup and view all the answers

What is neuropathic pain?

Pain caused by nerve root injury or disease Signup and view all the answers

How can sacroiliac joint pain be diagnosed?

Through 3 or more positive tests with high sensitivity and specificity Signup and view all the answers

What is the McKenzie method used for?

To treat discogenic pain Signup and view all the answers

How can lumbopelvic instability be diagnosed?

Through clinical instability and functional instability tests Signup and view all the answers

What percentage of adults experience low back pain at some point in life?

70-85% Signup and view all the answers

What is the most common cause of disability?

Low back pain Signup and view all the answers

What are the components of clinical assessment of LBP?

History, general inspection, palpation, range of motion, and special tests Signup and view all the answers

What is the purpose of global diagnostic triage guidelines?

To identify serious pathology, radicular syndrome, and non-specific or mechanical LBP Signup and view all the answers

Which of the following is NOT a specific red flag for LBP?

Muscle strain Signup and view all the answers

What is neuropathic pain?

Pain caused by nerve root injury or disease Signup and view all the answers

How can sacroiliac joint pain be diagnosed?

Through 3 or more positive tests with high sensitivity and specificity Signup and view all the answers

What is the McKenzie method?

A method that uses spinal movements to centralize symptoms of discogenic pain Signup and view all the answers

What percentage of LBP patients experience sacroiliac joint pain?

15-30% Signup and view all the answers

What is lumbopelvic instability?

Dysfunction in one or more of the stabilizing subsystems of the spine Signup and view all the answers

What is the McKenzie method used for?

Centralizing symptoms in discogenic pain Signup and view all the answers

What is lumbopelvic instability caused by?

Dysfunction in the stabilizing subsystems of the spine Signup and view all the answers

What is myofascial pain syndrome (MPS)?

A common contributing factor to LBP Signup and view all the answers

What is the purpose of global diagnostic triage guidelines?

To identify serious pathology (red flags), radicular syndrome, and non-specific or mechanical LBP Signup and view all the answers

What is neuropathic pain?

A type of LBP caused by a nerve root injury or disease Signup and view all the answers

How can sacroiliac joint pain be diagnosed?

Through 3 or more positive tests with high sensitivity and specificity Signup and view all the answers

What are some specific red flags for LBP?

Spinal fractures, malignancy, cauda equina syndrome Signup and view all the answers

Study Notes

Assessment of Low Back Pain in Physiotherapy: Understanding Red Flags, Neuropathic Pain, and Instability

Low back pain (LBP) affects 70-85% of adults at some point in life and is the most common cause of disability.
Diagnosing the cause of LBP remains a challenge for doctors, and 28-65% of patients still experience pain 12 months after onset.
Clinical assessment of LBP includes history, general inspection, palpation, range of motion, and special tests.
Global diagnostic triage guidelines help identify serious pathology (red flags), radicular syndrome, and non-specific or mechanical LBP.
Specific red flags include spinal fractures, malignancy, cauda equina syndrome, infection, and myelopathy.
Neuropathic pain is a type of LBP caused by a nerve root injury or disease, affecting 8-80% of patients depending on the location and signs.
Mechanical compression of the nerve root causes mechanical neuropathic root pain, which can be diagnosed through subjective assessment and associated sensory or motor signs.
Sacroiliac joint pain occurs in 15-30% of LBP patients and can be diagnosed through 3 or more positive tests with high sensitivity and specificity.
Discogenic pain affects 26-42% of LBP patients and can be treated with the McKenzie method, which uses spinal movements to centralize symptoms.
Lumbopelvic instability is caused by dysfunction in one or more of the stabilizing subsystems of the spine and can be diagnosed through clinical instability and functional instability tests.
Myofascial pain syndrome (MPS) is a common contributing factor to LBP, and trigger points can be identified through palpation.
Assessment of LBP includes measuring active range of motion through inclinometry, Shober test, lateral bending test, and rotation. Disability and avoidance questionnaires like the Oswestry Low Back Disability Questionnaire, Roland Morris Disability Questionnaire, and Fear Avoidance Belief Questionnaire can also be used.

Assessment of Low Back Pain in Physiotherapy: Understanding Red Flags, Neuropathic Pain, and Instability

Low back pain (LBP) affects 70-85% of adults at some point in life and is the most common cause of disability.
Diagnosing the cause of LBP remains a challenge for doctors, and 28-65% of patients still experience pain 12 months after onset.
Clinical assessment of LBP includes history, general inspection, palpation, range of motion, and special tests.
Global diagnostic triage guidelines help identify serious pathology (red flags), radicular syndrome, and non-specific or mechanical LBP.
Specific red flags include spinal fractures, malignancy, cauda equina syndrome, infection, and myelopathy.
Neuropathic pain is a type of LBP caused by a nerve root injury or disease, affecting 8-80% of patients depending on the location and signs.
Mechanical compression of the nerve root causes mechanical neuropathic root pain, which can be diagnosed through subjective assessment and associated sensory or motor signs.
Sacroiliac joint pain occurs in 15-30% of LBP patients and can be diagnosed through 3 or more positive tests with high sensitivity and specificity.
Discogenic pain affects 26-42% of LBP patients and can be treated with the McKenzie method, which uses spinal movements to centralize symptoms.
Lumbopelvic instability is caused by dysfunction in one or more of the stabilizing subsystems of the spine and can be diagnosed through clinical instability and functional instability tests.
Myofascial pain syndrome (MPS) is a common contributing factor to LBP, and trigger points can be identified through palpation.
Assessment of LBP includes measuring active range of motion through inclinometry, Shober test, lateral bending test, and rotation. Disability and avoidance questionnaires like the Oswestry Low Back Disability Questionnaire, Roland Morris Disability Questionnaire, and Fear Avoidance Belief Questionnaire can also be used.

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Description

Are you a physiotherapy professional looking to enhance your assessment skills for low back pain patients? This quiz is designed to test your knowledge of red flags, neuropathic pain, and instability related to low back pain. From identifying specific red flags to understanding different types of pain, this quiz covers a range of topics to help you better diagnose and treat your patients. Take the quiz and see how well you know the assessment of low back pain in physiotherapy!