Clinical Prediction Rules

Question 1

Talocrual impingement

Answer 1

1. anterolateral ankle joint tenderness
2. anterolateral ankle joint swelling
3. pain with forced DF and eversion
4. pain with SL squat
5. pain with activities
6. ankle instability

Question 2

How many signs do you need for talocrual impingement CPR to be positive?

Answer 2

5/6

Question 3

Ottawa Ankle Rules

Answer 3

1. inability to WB immediately after injury and in ER for 4 steps
2. bone tenderness along following areas:
   a. distal 6 cm of post edge of tibia or tip of medial malleolus
   b. distal 6 cm of post edge of fibula or tip or lateral malleolus
   c. base of 5th metatarsal or navicular bone (foot)

Question 4

How many signs do you need to order radiographs for Ottawa Ankle rules?

Answer 4

any of the following

Question 5

Knee OA

Answer 5

1. > 50 years old
2. siffness>30min
3. crepitus
4. bony tenderness
5. bony enlargement
6. no palpable warmth

Question 6

How many signs present do you n need for knee OA CPR?

Answer 6

3/6

Question 7

Ottawa Knee rules

Answer 7

1. > 55 years old
2. isolated patellar tenderness w/out other bone tenderness
3. tenderness of fibular head
4. inability to flex 90°
5. inability to WB immediately after injury & in ER (4 steps) regardless of limping

Question 8

How many signs do you need to order radiographs for Ottawa knee rules?

Answer 8

any of the following

Question 9

What is cluster 1 for hip OA?

Answer 9

1. hip pain
2. hip IR less than 15
3. Hip flex less than 115

Question 10

What is cluster 2 for hip OA?

Answer 10

1. painful hip with IR
2. > 50 years old
3. morning stiffness less than 60 min

Question 11

When do you use cluster 2 for hip OA

Answer 11

if hip IR is > (greater than) 15 degrees

Question 12

When is it a high probability that the pt has hip OA

Answer 12

if all three are present in the cluster

Question 13

Radiographic lumbar instability CPR

Answer 13

No hypomobility in vert segments is detected and lumbar flexion is greater than 53° with inclinometer

Question 14

Lumbar Stabilization Exercise CPR

Answer 14

1. Age 40 yrs
2. Avg SLR greater than 91°
3. (+) prone instability test.
4. Aberrant movement present (lumbar ROM)–painful arc of motion & “thigh climbing” or reversal of lumbopelvic rhythm

Question 15

Lumbar Manipulation CPR—-check on this CPR

Answer 15

1. duration of current episode of LBP 16 days or less.
2. not having sx distal to knee.
3. FABQ work 18 or less.
4. segmental mobility testing @ least 1 hypo mobile in lumbar
5. hip IR in 1 or both at least 35°

Question 16

with lumbar manipulation and stabilization CPR, how much improvement may the pt see?

Answer 16

50% likelihood improvement

Question 17

CPR SI dysfunction

Answer 17

distraction test, 
thigh thrust test, 
gaenslen test, 
compression test
sacral thrust

Question 18

how many tests need to be present for it to be a Si dysfunction?

Answer 18

3/5 positive tests