Clusters

Question 1

Lumbar Manipulation
4/5

Answer 1

Pain lasting less than 16 days
No symptoms distal to the knee
FABQ score less than 19
Internal rotation of greater than 35 degrees for at least one hip
Hypomobility of a least one level of the lumbar spine

Question 2

Ottowa Ankle Rules

Answer 2

An ankle x-ray is only required if: there is pain present in the malleolar zone AND ANY ONE of the
following are present:

Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial
malleolus
OR
Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral
malleolus
OR
An inability to bear weight both immediately and in the emergency department for four steps.

Question 3

Ottawa Foot Rules

Answer 3

A foot x-ray is only required if: there is pain present in the midfoot zone AND ANY ONE of the
following are present:
OTTAWA FOOT RULES

Bone tenderness at the base of the fifth metatarsal (for foot injuries)
OR
Bone tenderness at the navicular bone (for foot injuries)
OR
An inability to bear weight both immediately and in the emergency department for four steps