Treatment Based Classification of Low Back Pain

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Questions and Answers

What is the definition of classification in relation to low back pain?

The systematic arrangement of similar entities (LBP) on the basis of certain differing characteristics.

Which of the following are functions of classification systems? (Select all that apply)

  • Identifies patients that are not appropriate for PT (correct)
  • Reduces the need for patient follow-ups
  • Optimizes efficacy of treatment (correct)
  • Allows PT to group patients based on common characteristics (correct)

What is the pathoanatomical model in relation to low back pain?

It bases diagnosis and treatment of LBP on anatomical factors.

The stabilization subgroup is likely to respond to stabilization exercises.

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The stabilization subgroup is not likely to respond to stabilization exercises.

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Study Notes

Classification of Low Back Pain (LBP)

  • Classification is the systematic arrangement of entities (LBP) based on differing characteristics.
  • Defined by Dorland's Medical Dictionary.

Functions of Classification Systems

  • Facilitates grouping of patients based on shared characteristics.
  • Enhances treatment efficacy by connecting patients to the most suitable interventions.
  • Aids in identifying patients who are not suitable for physical therapy.

Pathoanatomical Model

  • Diagnostic and treatment strategies for LBP are derived from the pathoanatomical model.
  • Related to conditions like pubic symphysis.

Stabilization Subgroup: Likely Response

  • Individuals likely to benefit from stabilization exercises show:
    • Age ≥ 91 degrees.
    • Aberrant movement during lumbar active range of motion testing (flexion/extension).
    • Positive results in the prone instability test.
    • Presence of at least 3 out of 4 criteria increases likelihood ratio (LR) to 4.

Stabilization Subgroup: Unlikely Response

  • Individuals unlikely to benefit from stabilization exercises demonstrate:
    • Negative results in the prone instability test.
    • Absence of aberrant movements during lumbar active range of motion.
    • Scores on the Fear-Avoidance Beliefs Questionnaire (FABQ) activity subscale suggest reduced likelihood of positive response.

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