Understanding Cognitive and Behavioural Risk Factors in Low Back Pain

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27 Questions

Which pathoanatomy-based diagnostic label is commonly considered in specific LBP conditions characterized by muscle dysfunction?

Low back or lumbo-pelvic muscle dysfunction

What type of pathophysiological mechanism is associated with disc herniation in specific LBP conditions?

Space-occupying lesions

Which of the following is an ICF category of LBP?

Impairment of body functions

What is a common pathoanatomy-based diagnostic label for specific LBP conditions involving sacroiliac joint dysfunction?

Sacroiliac joint dysfunction

Which pathoanatomy-based diagnostic label is associated with spondylosis in specific LBP conditions?

Facet arthritis

What type of pathophysiological mechanism is associated with neoplastic lesions in specific LBP conditions?

Space-occupying lesions

Which category of low back pain is characterized by movement coordination impairments and diminishes with lumbar extension movements?

Low back pain with movement coordination deficits

In which category of low back pain are symptoms worsened by end-range movements or positions and may indicate thoracic, lumbar, or pelvic hypermobility?

Low back pain with radicular pain

Which type of low back pain is commonly associated with referred lower extremity pain and presents with limited lumbar extension mobility?

Acute low back pain with referred pain

Symptoms of acute low back pain with nerve compression are typically reproduced or aggravated by which movements?

Lumbar flexion activities

Which category of low back pain may exhibit signs of nerve root involvement such as sensory, strength, or reflex deficits?

Low back pain with radicular pain

In which category of low back pain do symptoms centralize and diminish with specific positioning, manual therapy, or repeated movements like lumbar extension?

Acute low back pain with referred pain

What is the main difference between central sensitization and peripheral sensitization in low back pain conditions?

Central sensitization involves spontaneous pain while peripheral sensitization involves movement-induced pain.

What type of pain response is best explained by peripheral sensitization in clients with specific low back pain conditions?

Pain from bone and joint structures

Which factor is responsible for the increased responsiveness of nociceptive neurons in peripheral sensitization?

Injury or inflammation

What is the role of anatomic pathology in specific low back pain conditions?

Source of pain generator

Why is it difficult to fit central sensitization into the clinical patterns of specific low back pain conditions?

'Central sensitisation' phenomenon does not align with relevant structural and functional impairments

What is the defining characteristic of peripheral sensitization/nociceptive pain?

Increased responsiveness of A-δ and C fibres

What is a diagnostic criterion for nociceptive pain?

Pain provoked by specific loading, postures, and movements

What is reflected in objective examinations and imaging techniques concerning nociceptive pain?

The nature and extent of injury or pathology

According to the ICD-11 chronic pain classification system, what is secondary chronic pain linked to?

Primary underlying diseases

In which type of pain will the chronic pain diagnosis remain even after successful treatment of the primary disease?

Chronic secondary musculoskeletal pain

What is the primary role of a physiotherapist when managing clients with specific low back pain?

Assessing and treating impairments associated with different lumbar spine and pelvis conditions

What is required to identify psychosocial and person-centric determinants of pain symptoms presented in clients with specific low back pain conditions?

Address co-existing psychological and central sensitization

What is essential for physiotherapists to make effective clinical decisions in treating specific low back pain conditions?

Considering evidence-informed classifications systems

What does chronic secondary visceral pain originate from?

Internal organs of the head/neck, thoracic, abdominal, and pelvic region

What kind of pain is caused by primary cancer/metastases or its treatment?

Chronic cancer-related pain

Learn about the association of cognitive and behavioural risk factors with nonspecific low back pain (NSLBP) and specific low back pain conditions. Explore how central sensitization can coexist with different low back pain conditions and the importance of identifying anatomic pathology as a pain generator.

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