Musculoskeletal LQ Week 2 - Lumbopelvic ICF Classification and Interventions 1

<p>80% (C)</p> Signup and view all the answers

<p>Acute low back pain lasts less than 6 weeks, while chronic low back pain lasts longer than 6 weeks. (B)</p> Signup and view all the answers

<p>To determine the best course of treatment based on the patient's presentation. (A)</p> Signup and view all the answers

<p>Non-specific low back pain (A)</p> Signup and view all the answers

<p>All of the above. (D)</p> Signup and view all the answers

<p>Presence of symptoms in the dorsal spine (C)</p> Signup and view all the answers

<p>92% (D)</p> Signup and view all the answers

<p>Manual therapy should be combined with active exercise interventions. (D)</p> Signup and view all the answers

<p>Begin with 40% hands-on treatment and 60% active exercise, gradually decreasing the amount of mobilizations over subsequent appointments. (A)</p> Signup and view all the answers

<p>Cervical traction (C)</p> Signup and view all the answers

<p>To identify patients who are most likely to benefit from spinal manipulation. (A)</p> Signup and view all the answers

<p>Spinal manipulative therapy is associated with modest improvements in pain and function. (D)</p> Signup and view all the answers

<p>Directional preference (A)</p> Signup and view all the answers

<p>Moderate-quality (B)</p> Signup and view all the answers

<p>To identify individuals with low back pain most likely to benefit from manipulation. (A)</p> Signup and view all the answers

<p>Centralization (D)</p> Signup and view all the answers

<p>Increased lumbar flexion mobility (A)</p> Signup and view all the answers

<p>Meeting patient expectations is essential for enhancing satisfaction with manual therapy care. (D)</p> Signup and view all the answers

<p>Increase in low back pain (A)</p> Signup and view all the answers

<p>Promote lumbar flexion exercises (D)</p> Signup and view all the answers

<p>It is based on the sole understanding of disc herniation and nerve root compression (A)</p> Signup and view all the answers

<p>Overuse of muscle strength (D)</p> Signup and view all the answers

<p>Utilization of repeated movements and exercises to promote centralization (C)</p> Signup and view all the answers

<p>Improved mobility and reduced symptoms (A)</p> Signup and view all the answers

<p>The pain is moving back to its source, indicating a healing process (D)</p> Signup and view all the answers

<p>To move the symptoms back to the center of the spine. (B)</p> Signup and view all the answers

<p>Extension preference indicates pain relief with extension movements, while flexion preference indicates pain relief with flexion movements. (B)</p> Signup and view all the answers

<p>Active range of motion (AROM) in all directions (C)</p> Signup and view all the answers

<p>Symptoms worsen or peripheralize (A)</p> Signup and view all the answers

<p>Active stretching by the patient with self-overpressure (A)</p> Signup and view all the answers

<p>Not fully exploring repeated movements (C)</p> Signup and view all the answers

<p>A movement of the trunk away from the center of the pelvis (A)</p> Signup and view all the answers

<p>It should be addressed before attempting to restore extension range of motion (C)</p> Signup and view all the answers

<p>To achieve a more comfortable postural position (A)</p> Signup and view all the answers

<p>All of the above. (D)</p> Signup and view all the answers

<p>Symptoms are reproduced (D)</p> Signup and view all the answers

<p>When the symptoms are highly irritable (D)</p> Signup and view all the answers

<p>Based on the patient's condition using SINSS (A)</p> Signup and view all the answers

<p>Modify treatment based on patient-specific exam findings (D)</p> Signup and view all the answers

<p>Grade 4 (D)</p> Signup and view all the answers

<p>Low back pain with radiating pain (D)</p> Signup and view all the answers

<p>Joint hypermobility (A)</p> Signup and view all the answers

<p>Prone traction (C)</p> Signup and view all the answers

<p>It is ineffective when added to other standard treatments. (B)</p> Signup and view all the answers

<p>Combination of traction mode and dosage (C)</p> Signup and view all the answers

<p>For chronic low back pain with leg pain (A)</p> Signup and view all the answers

<p>It is less effective compared to standard physical therapy methods. (A)</p> Signup and view all the answers

<p>Evidence showing no modification of effects by patient characteristics (C)</p> Signup and view all the answers

<p>Exercise and standard physical therapy (C)</p> Signup and view all the answers

<p>Type of exercise regimen prescribed (B)</p> Signup and view all the answers

<p>Reduce pain levels to allow for further treatment. (A)</p> Signup and view all the answers

<p>Nature of the pain, whether mechanical or non-mechanical. (D)</p> Signup and view all the answers

<p>Prioritize pain management and patient education before addressing mobility. (B)</p> Signup and view all the answers

<p>Manipulation uses high-velocity, low-amplitude thrusts, while mobilization involves oscillatory movements. (A)</p> Signup and view all the answers

<p>Limited active range of motion in the lumbar spine (AROM). (A)</p> Signup and view all the answers

<p>Presence of a disc bulge or herniation. (A)</p> Signup and view all the answers

<p>Strong recommendation, based on high-quality evidence. (D)</p> Signup and view all the answers

<p>Central Posterior-to-Anterior (CPA) and Unilateral Posterior-to-Anterior (UPA). (A)</p> Signup and view all the answers

<p>To reduce pain in the sacroiliac (SI) joint region. (D)</p> Signup and view all the answers

<p>Patients with a history of low back pain lasting more than 3 months (chronic pain). (B)</p> Signup and view all the answers

<p>Subgrouping patients based on their signs and symptoms, using a treatment-based or ICF classification. (B)</p> Signup and view all the answers

<p>Guide the selection of appropriate treatment interventions. (C)</p> Signup and view all the answers

<p>Focus on pain management and address the underlying cause of the weakness. (C)</p> Signup and view all the answers

<p>When the patient has a strong fear of manipulation and has developed a high level of catastrophizing. (B)</p> Signup and view all the answers

<p>The SINSS criteria do not adequately address the patient’s functional limitations. (C)</p> Signup and view all the answers

<p>Both manipulation and mobilization have shown similar levels of effectiveness in research studies. (C)</p> Signup and view all the answers

<p>To match patients to their subgroup classification and improve treatment outcomes (C)</p> Signup and view all the answers

<p>Low back pain with mobility deficits (C)</p> Signup and view all the answers

<p>Cauda equina syndrome (A)</p> Signup and view all the answers

<p>Progression (D)</p> Signup and view all the answers

<p>Discogenic pain (A)</p> Signup and view all the answers

<p>Movement control exercises (C)</p> Signup and view all the answers

<p>Related cognitive or affective tendencies (C)</p> Signup and view all the answers

<p>To assess the patient's psychosocial risk status (C)</p> Signup and view all the answers

<p>Hard neurological signs that are worsening or progressing (B)</p> Signup and view all the answers

<p>If they have a high psychosocial risk status and require additional support (A)</p> Signup and view all the answers

<p>Directional preference exercises (A)</p> Signup and view all the answers

<p>Low back pain with related, referred, lower extremity pain (A)</p> Signup and view all the answers

<p>Pain that is primarily located in the leg (B)</p> Signup and view all the answers

<p>Leg or buttock pain while walking (C)</p> Signup and view all the answers

<p>Pain that spreads from the low back down the leg (A)</p> Signup and view all the answers

<p>High likelihood of lumbar stenosis (C)</p> Signup and view all the answers

<p>The patient's psychosocial factors (A)</p> Signup and view all the answers

<p>Surgery planning (B)</p> Signup and view all the answers

<p>Low back pain with radiating pain (B)</p> Signup and view all the answers

<p>Bicycle Stress Test (D)</p> Signup and view all the answers

<p>Flexed posture in standing (B)</p> Signup and view all the answers

<p>The presence of a lumbar lateral shift (A)</p> Signup and view all the answers

<p>Lumbar spinal stenosis (C)</p> Signup and view all the answers

<p>Standing upright for extended durations (D)</p> Signup and view all the answers

<p>Seated quadruped positions (D)</p> Signup and view all the answers

<p>To reduce pain during standing and walking (C)</p> Signup and view all the answers

<p>Symptom-free movement before exercises (C)</p> Signup and view all the answers

<p>Minimizing lumbar flexion (D)</p> Signup and view all the answers

<p>Prolonged standing (A)</p> Signup and view all the answers

<p>Gradually increase tolerance to extension (B)</p> Signup and view all the answers

<p>Thoracic extension self mobs (C)</p> Signup and view all the answers

<p>Preparing food at a countertop to avoid forward bending (D)</p> Signup and view all the answers

<p>Lumbar spinal stenosis (D)</p> Signup and view all the answers

<p>Aggravating factors that include lying prone (A)</p> Signup and view all the answers

<p>Centralize symptoms (D)</p> Signup and view all the answers

<p>Upper extremity pain (C)</p> Signup and view all the answers

<p>Extension directional preference (C)</p> Signup and view all the answers

<p>Age &lt; 45 years (C)</p> Signup and view all the answers

<p>Preliminary evidence from research (B)</p> Signup and view all the answers

<p>Improve tolerance to flexion postures (D)</p> Signup and view all the answers

<p>The presence of neurological symptoms (B)</p> Signup and view all the answers

<p>To allow the lumbar paraspinals to relax (D)</p> Signup and view all the answers

<p>Pain that improves with lying prone (B)</p> Signup and view all the answers

<p>Lying prone (D)</p> Signup and view all the answers

<p>Pain that worsens with walking or standing (B)</p> Signup and view all the answers

<p>To decrease pain and improve mobility (B)</p> Signup and view all the answers

<p>Positive straight leg raise test (A)</p> Signup and view all the answers

<p>Sliders aim to increase nerve excursion, tensioners aim to improve tolerance to lengthened positions. (C)</p> Signup and view all the answers

<p>Cervical flexed seated position (C)</p> Signup and view all the answers

<p>Slump test (B)</p> Signup and view all the answers

<p>Decreased intraneural edema (C)</p> Signup and view all the answers

<p>With higher levels of irritability (C)</p> Signup and view all the answers

<p>Prone knee bend tensioner (C)</p> Signup and view all the answers

<p>Centralization (C)</p> Signup and view all the answers

<p>The SINSS framework and irritability level (C)</p> Signup and view all the answers

<p>Positive nerve provocation test (A)</p> Signup and view all the answers

<p>Straight leg raise slider (A)</p> Signup and view all the answers

<p>From mobilizations to a more active treatment approach with exercise (D)</p> Signup and view all the answers

<p>Both sliders and tensioners (D)</p> Signup and view all the answers

A system to subgroup patients based on their low back pain characteristics for effective management.

80% of adults experience LBP; only 25% seek treatment.

85% of LBP cases are non-specific, without a specific pathoanatomical diagnosis.

Anatomical findings on imaging that do not correlate with symptoms in many cases.

International Classification of Functioning categorizes LBP into several subgroups like mobility deficits and coordination impairments.

Acute LBP lasts ≤ 6 weeks; Chronic LBP lasts > 6 weeks.

Subgrouping helps tailor treatment strategies for better patient outcomes in LBP management.

60% of individuals will experience low back pain again within a year of recovery.

The risk of serious complications from lumbar manipulation is lower than from NSAIDs or lumbar spine surgery.

Spinal manipulation shows moderate-quality evidence of pain and function improvement for acute low back pain.

Five predictor variables can help identify patients likely to benefit from spinal manipulation.

A score below 19 points indicates lower fear and better outcomes for manipulation of back pain.

Meeting three out of five clinical prediction criteria increases the likelihood of success in therapy.

A study confirmed patients with four or five criteria had better outcomes from manipulation compared to fewer criteria.

Self-mobilizations include exercises like lumbar extensions and trunk rotations to alleviate pain.

Patients' prior experiences and expectations significantly affect their satisfaction with manual therapy.

Manual therapy should be combined with exercise to enhance the effectiveness of treatment for low back pain.

Post-treatment assessments help check if mobility improvements lead to less pain in patients.

Process of decreasing pain to progress with treatment.

Managing movement patterns to reduce pain and improve function.

Improving performance of daily tasks and overall function.

A guide to assess severity, irritability, nature, stage, and stability of symptoms.

Level of pain discomfort ranging from mild to maximum.

How easily symptoms are provoked and how long they last.

Pain that is recent, typically lasting less than 6 weeks.

Pain present for longer than 6 weeks, often ongoing.

Therapeutic technique aimed at restoring mobility in the lumbar and pelvic regions.

Manipulation is a high-velocity thrust; mobilization is oscillatory movements.

Conditions or factors that make manipulation unsafe, like fractures or infections.

Conditions that require caution, such as osteoporosis or high fear levels.

Informing patients about their condition and treatments to empower decision-making.

Specific movements to enhance joint mobility and reduce pain.

Describing patient sub-groups based on signs and symptoms to guide treatment.

A method to classify patients and dictate tailored treatment approaches.

Indications include <16 days of symptoms, no distal knee pain, and low fear avoidance.

Indicated for patients with more mobility, aged <40, and positive instability tests.

Exercises that centralize symptoms to the back rather than the legs.

For signs of nerve root compression and distal numbness or pain.

Initial assessment to determine treatment appropriateness for low back pain.

Identifies patients who may benefit from tailored psychological support.

Patients without significant concerns; usually can manage with minimal care.

Framework to classify patients based on their symptoms and physical examination findings.

Characterized by limitations in movement; often treated with joint mobilizations.

Involves pain that travels down the leg, commonly treated with traction.

A framework assessing Severity, Irritability, Nature, Stage, and Stability of symptoms.

Psychosocial factors that may hinder recovery from low back pain.

Providing information to patients about their condition and self-care as a critical part of recovery.

A clinical phenomenon where certain movements improve symptoms.

The phenomenon where distal pain reduces to the spine.

Improvement of pain when moving the back into extension.

Improvement of pain when moving the back into flexion.

Low back pain lasting ≤ 6 weeks, often with certain symptoms.

Low back pain lasting > 6 weeks, potentially recurring.

Pain felt in an area not directly injured, like leg pain from back issues.

Symptoms are aggravated during certain movements or tests.

Signs of nerve root damage, including sensory and strength deficits.

Indicators from an exam that show patterns of low back pain.

Movement of pain symptoms from the spine to the extremities.

The goal of treatment to move symptoms back towards the spine.

A system that categorizes back pain into four syndromes for evaluation.

A category where movement direction significantly affects patient symptoms.

Trunk offset over the pelvis in the frontal plane, named by shift direction.

Includes posture, ROM assessments, and symptom evaluation during movement.

Symbols indicating symptom changes: Red (worsening), Yellow (no change), Green (improvement).

Techniques to advance patient movements from mid-range to end-range.

Correcting trunk position before addressing extension range of motion.

Tests performed to identify radiating pain symptoms.

A test that reproduces or reduces symptoms during evaluation.

Techniques include glides, sliders, flossing, and tensioners for neurodynamic issues.

Radiculopathy involves neurological signs; referred pain does not pinpoint injury area.

A focused exam based on severity and irritability (SINSS) instead of a full one.

Activities that worsen symptoms, like sitting or bending.

Activities that relieve symptoms, such as lying prone.

Gradually increasing extension exercises from lying to standing.

Patients practice exercises at home to maintain alignment.

Lying face down to facilitate extension without flexion.

Pain in the calves and feet that occurs with standing or walking.

Patients are typically younger than 45 years with specific symptoms.

Patients may show a fixed lordosis during forward bending.

Exercises should be done every 2 hours for effective results.

Instructing patients on avoiding flexion to prevent symptom flare-ups.

Gradual incorporation of flexion exercises post-symptom relief.

Reducing the symptoms to facilitate treatment.

Pain or numbness in legs due to nerve compression, worsens with standing/walking.

Pain in the legs due to inadequate blood flow, worsens with exertion.

Diagnosis test for lumbar stenosis: Level walking then incline walking.

Pedaling test to reproduce lower limb pain indicating claudication type.

7 symptoms for diagnosing lumbar stenosis, like leg pain while walking.

Flexibility and strengthening exercises focused on lumbar flexion.

Patients' fears about pain affecting their ability to function normally.

Therapeutic approaches aimed at restoring movement and relieving pain.

Centralize symptoms, improve posture, and enhance mobility.

Education, manual therapy, exercises, and aerobic conditioning.

Traction performed by a machine as opposed to manual traction by a therapist.

Patient lies in a hook-lying position with calves supported at 90° while traction pulls through the pelvis.

Traction applied while the patient is lying face down, using a stabilizing belt around the rib cage and pelvis.

Used for symptom modulation in patients with low back pain and high irritability not responding to exercises.

Conditions like acute trauma, osteoporosis, and pregnancy where traction should not be applied.

Includes factors like the angle of application, dosage, and duration of traction session.

Limited benefit of traction compared to standard physical therapy treatments for back pain.

Focuses on neural mobilization techniques for patients with radiating low back pain.

Incorporates various treatment modalities, including traction, rather than using traction in isolation.

A therapy technique used to improve nerve mobility and reduce pain.

Includes lower extremity paresthesia, numbness, and weakness related to back pain.

Tests like straight leg raise and slump that reproduce or aggravate symptoms.

Sensory deficits, strength issues, or reflex problems indicating nerve root damage.

A diagnostic maneuver to assess neural mobility and nerve pain.

A physical test to check nerve and muscle pain in the lower limbs.

Nerve mobilization method applying tension to the nerve while moving two joints.

Nerve mobilization technique using simultaneous joint movements to reduce tension.

Guidelines for frequency and intensity of nerve mobilization based on symptom irritability.

Sliders increase nerve movement; tensioners improve tolerance to lengthened positions.

Mobilization can decrease pain, improve nerve fluid flow, and reduce sensitivity.

Results from assessing nerve movement can direct treatment strategies.

The process where distal pain shifts back towards the spine during treatment.

Combining different therapies such as mobilizations and exercises for better outcomes.

Timing and development patterns of symptoms give insight into treatment needs.