Practical TBC

Question 1

CPR for Lumbar Manipulation

Answer 1

No symptoms distal to the knee
Recent onset of symptoms (<19)
Hypomobility of the lumbar spine
Hip internal rotation ROM (35* for at least 1 hip)

Question 2

CPR for Stabilization

Answer 2

≧ 3 present
Age ≤ 40
Average SLR ≥ 91 Degrees
Aberrant Movement Present
Positive Prone Instability Test

Question 3

CPR for Lumbar Traction

Answer 3

Presence of sciatica
Signs of nerve root compression
Positive crossed straight leg raise
Failure to demonstrate centralization on clinical examination (especially peripheralization with extension)

Question 4

CPR for Cervical Manipulation

Answer 4

> 3 factors present
Symptoms < 38 days
Positive expectation that manipulation will help
10* difference rotation
Pain with PA testing (middle cervical spine)

Question 5

CPR for Cervical Radiculopathy

Answer 5

Ipsilateral cervical rotation < 60*
ULNT 1
Distraction Test
Spurling’s Test A

Question 6

CPR for Cervical Traction

Answer 6

>3/5  factors
Positive neck distraction test
Age ≥ 55
Positive shoulder abduction test
Positive ULNT 1
Symptom peripheralization with mobility testing of the lower cervical spine (C4-C7)