Intro to Spine Eval - MSK III.pdf.pdf

Introduction to Evaluation: The Spine Jack Bott PT, DPT Board Certified Sports Clinical Specialist Assistant Professor Franklin Pierce University Objectives Introduce Introduce the relevance of spine pathologies and treatment Recall the role of the Doctor of Physical Therapy in pa...

Introduction to Evaluation: The Spine Jack Bott PT, DPT Board Certified Sports Clinical Specialist Assistant Professor Franklin Pierce University Objectives Introduce Introduce the relevance of spine pathologies and treatment Recall the role of the Doctor of Physical Therapy in patient/client Recall management Understand the Screening process to determine appropriateness for physical Understand therapy Apply Apply the Screening process to best ensure proper care for patient/client Utilize Utilize Screening tools to determine pathway for Plan of Care Low Back Pain in America Epidemiology https://www.vecteezy.com/free-vector/traffic-light-cartoon Primary Care Practitioners Who screens for Red Flags: Screening Process for Physical Therapists Physical Therapy Screening ´ Data gathered allows us to make an informed decision ´ NEVER ultimately ruling out, always preparing for patient presentation to change Screening – Decision Tool Determine Level of Step 1 Concern Decide Clinical Step 2 Action Pathway for Plan of Step 3 Care Determine Level of Concern - Screening Step 1 Evidence Clinical Profile ´Age, sex, location ´ Intake sheet, PMH ´CPRs ´ Current complaints ´Special Tests ´ Subjective exam ´ Objective examination ´ Imaging referral or review Decide Clinical Action Pathway for Plan of Care Options for Physical Therapist Take Ownership of the Patient’s Care “First do no harm” Doctor of Physical Therapy Expectations ´ Perform a primary care assessment and screen ´ Make a clinical decision to refer or treat ´ Provide accurate documentation and clear communication with patient and professionals ´ Maintain ownership of patient’s care and plan to see it through  References ´ Beyera, G. K., O’Brien, J., & Campbell, S. (2019). Health-care utilisation for low back pain: a systematic review and meta-analysis of population-based observational studies. Rheumatology International, 39(10), 1663–1679. doi:10.1007/s00296-019-04430-5 ´ Finucane, L. M., Downie, A., Mercer, C., Greenhalgh, S. M., Boissonnault, W. G., Pool- Goudzwaard, A. L., … Selfe, J. (2020). International Framework for Red Flags for Potential Serious Spinal Pathologies. Journal of Orthopaedic & Sports Physical Therapy, 50(7), 350– 372. doi:10.2519/jospt.2020.9971 ´ Kim, L. H., Vail, D., Azad, T. D., Bentley, J. P., Zhang, Y., Ho, A. L., … Ratliff, J. K. (2019). Expenditures and Health Care Utilization Among Adults With Newly Diagnosed Low Back and Lower Extremity Pain. JAMA Network Open, 2(5), e193676. doi:10.1001/jamanetworkopen.2019.3676 ´ In: Dutton M. eds. Dutton's Orthopaedic Examination, Evaluation, and Intervention, 6e. McGraw Hill; 2023. Accessed May 2, 2023. https://accessphysiotherapy-mhmedical- com.ezproxy.franklinpierce.edu/content.aspx?bookid=3216&sectionid=268960257