1.4 Understanding Specific Low Back Pain Conditions

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Questions and Answers

What must be present in specific low back pain conditions to indicate the source of pain generator?

  • Anatomic pathology (correct)
  • Central sensitization
  • Behavioural risk factors
  • Cognitive risk factors

Which phenomenon best explains the pain response in clients with specific low back pain conditions characterized by structural impairments?

  • Peripheral sensitization (correct)
  • Central sensitization
  • Behavioural risk factors
  • Cognitive risk factors

What is defined as the increased responsiveness and reduced threshold of nociceptive neurons in the periphery in the presence of injury or inflammation?

  • Peripheral sensitisation (correct)
  • Behavioural risk factors
  • Central sensitisation
  • Cognitive risk factors

Which type of pain is characterized by enhanced response of nerve fibers to a normal stimulus in specific low back pain conditions?

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

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

<p>Due to the presence of anatomic pathology (D)</p> Signup and view all the answers

What type of structures may cause nociception and peripheral sensitization in specific low back pain conditions?

<p>Bone and joint, muscle-tendon, neural tissues structures of lumbar spine and pelvis injury (A)</p> Signup and view all the answers

What is a common pathoanatomy-based diagnostic label for specific LBP?

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

Which type of pathophysiological mechanism is associated with discogenic pain in specific LBP conditions?

<p>Physiological and age-related degeneration (D)</p> Signup and view all the answers

What is a common impairment-based classification of specific LBP according to the ICF?

<p>Spondylolysis &amp; Spondylolisthesis (D)</p> Signup and view all the answers

Which condition related to specific LBP involves a vertebral fracture?

<p>Vertebral compression fracture (C)</p> Signup and view all the answers

What is a pathophysiological mechanism associated with infective lesions in specific LBP conditions?

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

In the context of specific LBP, what is related to sacroiliac joint dysfunction?

<p>Sacroiliac joint dysfunction (A)</p> Signup and view all the answers

What is a common characteristic of acute low back pain with mobility deficits?

<p>Restricted lumbar range of motion and segmental mobility (B)</p> Signup and view all the answers

Which type of low back pain involves symptoms that worsen with end-range spinal motions?

<p>Subacute exacerbation of recurring low back pain (C)</p> Signup and view all the answers

What symptom is commonly associated with low back pain with radicular pain?

<p>Lower extremity paresthesia and weakness (C)</p> Signup and view all the answers

Which type of low back pain is aggravated with sustained end-range lower-limb nerve tension tests?

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

What is a common finding associated with chronic, recurring low back pain?

<p>Reduced lumbar lordosis (D)</p> Signup and view all the answers

Which category involves symptoms reproduced or aggravated with initial to mid-range spinal movements?

<p>Acute low back pain with mobility deficits (A)</p> Signup and view all the answers

In which condition does lower extremity pain centralize and diminish with certain movements?

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

What is a common feature of subacute low back pain?

<p>Lateral trunk shift during movement (A)</p> Signup and view all the answers

Which type of low back pain could involve the presence of movement coordination impairments during community/work-related activities?

<p>Low back pain with movement coordination deficits (A)</p> Signup and view all the answers

What is a key characteristic of acute exacerbation of recurring low back pain?

<p>Symptoms reproduced or aggravated with initial to mid-range spinal movements (C)</p> Signup and view all the answers

What is nociceptive pain primarily characterized by?

<p>Having a predictable stimulus-response profile (B)</p> Signup and view all the answers

In the ICD-11 chronic pain classification system, what type of pain is considered Secondary chronic pain?

<p>Pain that needs specific treatment for the underlying cause (C)</p> Signup and view all the answers

What role do physiotherapists play in managing specific low back pain conditions?

<p>Primary role in assessing and treating impairments associated with lumbar spine and pelvis conditions (C)</p> Signup and view all the answers

What is chronic secondary visceral pain associated with?

<p>Internal organs of head/neck, thoracic, abdominal, and pelvic regions (D)</p> Signup and view all the answers

What should physiotherapists focus on when managing clients with specific low back pain?

<p>Considering impairments hierarchically as a primary role (D)</p> Signup and view all the answers

What is one of the key aspects of Secondary chronic pain according to the ICD-11 classification system?

<p>'Secondary chronic pain' is linked to the primary underlying diseases (B)</p> Signup and view all the answers

What is the risk associated with delayed healing in specific low back pain conditions?

<p>Increased risk of developing chronic or persistent low back pain (A)</p> Signup and view all the answers

Which type of pain can persist even after successful treatment of the primary disease?

<p>'Secondary chronic pain' (B)</p> Signup and view all the answers

In what way does Secondary chronic visceral pain differ from other types of Secondary chronic pain?

<p>It relates to internal organs like abdominal and pelvic regions. (D)</p> Signup and view all the answers

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