Chapter 26 Non-Specific Lower Back Pain Facts Review
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Questions and Answers

What is the primary definition of nonspecific low back pain (NSLBP)?

  • Low back pain caused by a specific injury or trauma
  • Low back pain with an identifiable cause, such as a herniated disc or spinal stenosis
  • Low back pain without a known specific pathology or anatomical cause (correct)
  • Low back pain that is chronic and persistent, lasting for more than 3 months
  • What do 'yellow flags' specifically refer to in relation to NSLBP?

  • Risk factors for developing a herniated disc or spinal stenosis
  • Physical symptoms that indicate a serious underlying condition
  • Psychological factors that may increase the risk of developing chronic pain (correct)
  • Indicators for the need for diagnostic imaging tests
  • What is the best way to determine whether or not an individual will experience an episode of NSLBP?

  • Order diagnostic imaging tests, such as MRI or CT scan
  • Perform a comprehensive physical examination
  • There is no reliable way to predict who will experience NSLBP (correct)
  • Assess the individual's risk factors and medical history
  • Which of the following is NOT a common intervention strategy utilized to provide therapy for clients with NSLBP?

    <p>Prescribing narcotic analgesics</p> Signup and view all the answers

    Which intervention strategy has been shown to produce the greatest therapeutic benefit for clients with NSLBP?

    <p>The text does not specify which intervention strategy is most beneficial</p> Signup and view all the answers

    What is the value of using diagnostic imaging techniques, such as MRI, radiographic films, and CT scan?

    <p>To rule out serious underlying conditions</p> Signup and view all the answers

    What is the difference between a primary and a secondary prevention strategy?

    <p>Primary prevention aims to prevent the onset of a condition, while secondary prevention aims to reduce the impact of an existing condition</p> Signup and view all the answers

    What is the hypothesized value of informing a client that pain improvements may require a considerable amount of time to take effect (potentially up to 4-6 weeks)?

    <p>It helps manage the client's expectations and prevents frustration</p> Signup and view all the answers

    What are the therapeutic benefits of unloaded exercise in patients with NSLBP?

    <p>The text does not mention specific benefits of unloaded exercise</p> Signup and view all the answers

    What is the MAIN factor that influences bone remodeling?

    <p>All of the above</p> Signup and view all the answers

    What is the primary purpose of the continuous process of bone resorption and bone formation?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT a sign or symptom of osteoporosis?

    <p>Increased bone mineral density</p> Signup and view all the answers

    What is the BEST way to measure bone mineral density?

    <p>Both a and c</p> Signup and view all the answers

    Which of the following is a NON-modifiable risk factor for osteoporosis?

    <p>Age</p> Signup and view all the answers

    What type of exercise program is RECOMMENDED for individuals with osteoporosis or osteopenia?

    <p>A multicomponent program including aerobic, resistance, and balance exercises</p> Signup and view all the answers

    What is the MAIN benefit of prolonged cardiorespiratory training for individuals with osteoporosis or osteopenia?

    <p>Increased fitness with a reduction in cardiovascular disease risk</p> Signup and view all the answers

    Which of the following is NOT a recommended approach when designing an exercise program for an individual with osteoporosis or osteopenia?

    <p>Prioritize exercises that focus on increasing bone mineral density</p> Signup and view all the answers

    Which factor is crucial in the development of osteoporosis, according to the text?

    <p>Amount of peak bone mass attained</p> Signup and view all the answers

    At what T-score does bone mineral density (BMD) indicate osteoporosis?

    <p>-2.5</p> Signup and view all the answers

    What comparison does the Z score make for bone density?

    <p>With a person of the same age, sex, and size</p> Signup and view all the answers

    Which condition is NOT listed as a risk factor for osteoporosis in the text?

    <p>Obesity</p> Signup and view all the answers

    Approximately when is peak bone mass typically attained in life?

    <p>Early 20s</p> Signup and view all the answers

    What does Osteopenia represent in terms of bone mass levels?

    <p>Bone mass below osteoporotic levels</p> Signup and view all the answers

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