Lumbar Spine PT Word Scramble
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Question | Answer |
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 |
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