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What does the objective assessment for people with spinal conditions aim to determine?

  • Client's favorite activities
  • Treatment effectiveness for unrelated conditions
  • Functional activities and impairments affecting those activities (correct)
  • Client's age and gender
  • Why is it important to do client reported outcome measures (PROM) for individuals with long-term spinal problems?

  • To determine the client's favorite song
  • To track treatment effectiveness (correct)
  • To identify unrelated health issues
  • To measure body temperature
  • What does the history of a client provide in relation to the objective assessment?

  • Impairments that affect functional activities (correct)
  • Dietary preferences of the client
  • Weather conditions during the assessment
  • Client's shoe size
  • In what ways can objective assessment and client history help in determining a treatment plan?

    <p>By identifying impairments that can be targeted with treatment</p> Signup and view all the answers

    What type of outcome measures are important for individuals with lumbo-pelvic pain conditions?

    <p>Client reported outcome measures (PROM)</p> Signup and view all the answers

    What is the purpose of conducting optional readings on outcome measures for low back pain syndromes?

    <p>To understand the usefulness of different outcome measures</p> Signup and view all the answers

    What is the purpose of conducting patient-reported outcome measures (PROMs) for clients with low back pain?

    <p>To assist in accurately targeting treatment approaches</p> Signup and view all the answers

    Why is caution advised when completing pain and disability-focused outcome measures for clients with low back pain?

    <p>They have an immediate negative effect on pressure pain thresholds</p> Signup and view all the answers

    Why should specific tests be conducted for clients with low back pain?

    <p>To detect specific conditions when there is a reason to do so</p> Signup and view all the answers

    What is the primary function of screening or clearing tests for clients with low back pain?

    <p>To rule out potential sources of symptoms</p> Signup and view all the answers

    When should objective assessments be categorized as 'routine tests' for clients with low back pain?

    <p>When the area is considered a likely source of symptoms</p> Signup and view all the answers

    What is a reason to conduct specific tests for clients with low back pain?

    <p>To detect specific conditions when there is a reason to do so</p> Signup and view all the answers

    Why should objective assessments not necessarily be completed on day one for clients with low back pain?

    <p>Some assessments may not be relevant based on hypotheses</p> Signup and view all the answers

    What is the main purpose of conducting outcome measures for clients with low back pain?

    <p>To guide treatment decisions and monitor improvement</p> Signup and view all the answers

    What is an important consideration when assessing someone with low back pain?

    <p>Using questionnaires and patient-reported outcome measures</p> Signup and view all the answers

    Why are screening or clearing tests conducted for clients with low back pain?

    <p>To rule out certain diagnoses or structures as contributors to symptoms</p> Signup and view all the answers

    Which region is usually better to start assessing posture from, rather than focusing on the lumbar spine and pelvis?

    <p>Feet and calves</p> Signup and view all the answers

    What is a structural scoliosis characterized by?

    <p>An 'S' shaped curve being convex to one side</p> Signup and view all the answers

    What test is commonly used for screening structural scoliosis?

    <p>Adams forward flexion test</p> Signup and view all the answers

    How can a list be differentiated from a scoliosis?

    <p>By being a lateral shift without rotation</p> Signup and view all the answers

    What angle of the ribs from the horizontal indicates the need for imaging to evaluate scoliosis?

    <p>$5-7$ degrees</p> Signup and view all the answers

    Which app has been found to provide reliable results for assessing scoliosis even when used by non-professionals?

    <p>'Scoliometer' app</p> Signup and view all the answers

    What does a rotational component in a scoliosis result in during the Adams forward flexion test?

    <p>Higher ribs on one side</p> Signup and view all the answers

    What is typically included in relevant functional movements during a client assessment?

    <p>Activities like standing, bending, sitting at a workstation, or lifting.</p> Signup and view all the answers

    What is described as a transient condition that involves a lateral shift without rotation?

    <p>List.</p> Signup and view all the answers

    What is indicated when a smartphone inclinometer app provides reliable results for assessing scoliosis?

    <p>The need for further professional evaluation.</p> Signup and view all the answers

    What should be monitored at each stage in active movements?

    <p>Pre-movement resting symptoms, during movement behaviour of symptoms, and post-movement resolution of symptoms</p> Signup and view all the answers

    Why is visual estimation of lumbar movements useful?

    <p>It can reliably detect differences of 2-3 degrees immediately after a treatment</p> Signup and view all the answers

    Which method is known for being notoriously inaccurate in estimating angles?

    <p>Visual estimation</p> Signup and view all the answers

    What can distort measurements when using smartphone apps to measure lumbar movements?

    <p>Magnetic fields in the room</p> Signup and view all the answers

    Which method is considered more difficult to perform and less reliable than the Modified modified Shober test (MMS)?

    <p>Dual inclinometers</p> Signup and view all the answers

    What are the normative values for lumbar extension measurement using the Modified modified Shober test (MMS)?

    <p>$2.42±0.74$ cm</p> Signup and view all the answers

    What is the term used to describe translational movements of peripheral joints?

    <p>Accessory movements</p> Signup and view all the answers

    What type of movements in the spine are produced by a translational force?

    <p>Accessory movements</p> Signup and view all the answers

    What type of movements involve more directions in multiple planes, similar to peripheral physiological movements?

    <p>Functional movements</p> Signup and view all the answers

    What are the standard techniques for assessing Passive Physiological Intervertebral Movements (PPIVMs) in the spine?

    <p>Movement in cardinal planes</p> Signup and view all the answers

    What does the abbreviation SMT stand for in the context of spinal manual therapy?

    <p>Spinal Manual Therapy</p> Signup and view all the answers

    Which technique for the spine uses the same four grades of movement as treatment for peripheral joints?

    <p>PAIVM treatment</p> Signup and view all the answers

    What does the abbreviation PROM stand for in relation to client assessments?

    <p>Patient Reported Outcome Measure</p> Signup and view all the answers

    What is a key focus of the McKenzie Method or Mechanical Diagnosis and Therapy (MDT)?

    <p>Targeting movements that the client can do themselves</p> Signup and view all the answers

    According to the McKenzie approach, what is the primary principle behind the Derangement classification?

    <p>Repeated movements in a direction that improves pain</p> Signup and view all the answers

    What distinguishes the McKenzie approach from passive mobilization in treating low back pain?

    <p>Repetition of movements by the person themselves</p> Signup and view all the answers

    Which classification in the McKenzie Method pertains to limitations of mobility in a particular direction, similar to a peripheral joint issue?

    <p>Dysfunction classification</p> Signup and view all the answers

    What type of symptoms are addressed by the Postural classification in the McKenzie Method?

    <p>Symptoms due to abnormal postures</p> Signup and view all the answers

    What was the shift in exercise prescription for low back pain patients from Williams Flexion exercises to McKenzie exercises primarily based on?

    <p>Empirical evidence and disc movement theory</p> Signup and view all the answers

    Which aspect of exercises had been popularized after the focus on extension-based exercises in treating low back pain?

    <p>Motor control and stability exercises</p> Signup and view all the answers

    Which list is easier to improve according to the text?

    <p>Contralateral list</p> Signup and view all the answers

    During which activity did the individual sit with minimal lumbar lordosis?

    <p>Sitting in simulated workplace</p> Signup and view all the answers

    What is the assessment method mentioned for articular motion in the spine?

    <p>Passive physiological intervertebral movements (PPIVMs)</p> Signup and view all the answers

    What causes limitations in the motion element of the spine, according to the text?

    <p>Articular and neural structures</p> Signup and view all the answers

    What should be evaluated prior to assessing articular motion, according to the text?

    <p>Evaluating soft tissue characteristics</p> Signup and view all the answers

    What is the primary consideration for selecting treatment according to the text?

    <p>Client's goals and impairments</p> Signup and view all the answers

    During which activity did the individual show a contralateral list?

    <p>Standing in slight lumbar flexion</p> Signup and view all the answers

    When is the SpPIN (Specificity Positive rule IN) mnemonic helpful?

    <p>When you want a quick test to confirm you don't need to investigate further.</p> Signup and view all the answers

    What does a positive finding on a clearing test trigger?

    <p>The need to investigate further.</p> Signup and view all the answers

    What does the SnNOUT (Sensitivity Negative rule OUT) mnemonic help with?

    <p>Ruling out conditions when routine tests are negative.</p> Signup and view all the answers

    In what situation might a clearing test be used?

    <p>When a structure is suspected to contribute to the symptoms.</p> Signup and view all the answers

    What is the purpose of the SpPIN mnemonic?

    <p>To confirm no need for further investigation.</p> Signup and view all the answers

    When might a SpPIN mnemonic be beneficial during assessments?

    <p>When there is uncertainty about the involvement of a particular structure.</p> Signup and view all the answers

    What triggers the need for further investigation during assessments?

    <p>A positive finding on a clearing test.</p> Signup and view all the answers

    When should the SnNOUT mnemonic be applied?

    <p>When suspicion remains despite negative routine tests.</p> Signup and view all the answers

    What is the primary function of the SnNOUT mnemonic?

    <p>To rule out conditions when routine tests are negative.</p> Signup and view all the answers

    What does a clearing test confirm?

    <p>Further investigation is required.</p> Signup and view all the answers

    Why would a positive finding on a clearing test prompt further action?

    <p>To investigate suspicions further.</p> Signup and view all the answers

    In what scenario would you apply the SnNOUT mnemonic?

    <p>When routine tests are inconclusive.</p> Signup and view all the answers

    What outcome does a positive finding on a clearing test trigger?

    <p>Further investigation.</p> Signup and view all the answers

    Why might one consider using the SpPIN mnemonic?

    <p>To affirm suspicions of structure involvement.</p> Signup and view all the answers

    Under what circumstances would you find the SpPIN mnemonic beneficial?

    <p>When testing reveals inconclusive results.</p> Signup and view all the answers

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