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Lumbar Spine PT

Epidemiology of LBP sig affects 80% of pop 90% can't be given precise dx >10,000,000 of work in US daily 90% recurrent 40% persistent sx 10% longstanding disabling 7-18% affected frequently, daily or constantly not all pain same
Cyriax and truth "every patient contains a truth...the clinician must adopt a conscious humility, not towards the patient, but towards the truth concealed within the patient" be respectful, logical, actively listen
Aims of hx taking overall impression site stage status red flags baseline measures factors that aggravate/relieve severity functional limitations impression of pt response hypothetical dx
Age and susceptibility of problems young-postural or spondylo young to older adults-dysfunctions or derangements elderly especially females-osteoporosis older age-spinal stenosis and malignancies age relates to increased risk of injury and reduced ability to recover
key points from symptoms central/symmetrical: sagittal plane procedures unilateral/asymmetrical: lateral forces postural and dysfunction felt locally except ANR leg pain is not always nerve root involvement don't rely on pain patterns to diagnose
positive cough/sneeze/strain is usually... derangement
Centralization key points during exam/intervention associated with improved treatment outcomes if not observed by 7th visit, further medical evaluation should be considered
Created by: 1301160059



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