Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

clinical practice guidelines > CPRs > Flashcards

CPRs Flashcards

1
Q

anterior shoulder instability

A
  1. anterior drawer
  2. relocation
  3. Apprehension
    stage derivation 2006
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ankylosing spondylitis

A
  1. morning stiffness less than 30 minutes
  2. improvement in back pain with exercise but not with rest
  3. awakening because of night pain in the second half of the night
  4. alternating buttock pain
    stage: validated
  5. less than 40
  6. insidious onset
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Canadian cervical spine rule

A

Determine need for x-ray after trauma
any 1 high risk
1. greater than 65
2. dangerous mechanism of injury (fall >1m or 5 stairs, axilal head load, high speed MVA, motorized rec veh, bike accident)
3. paresthesia in UE
any 2 low risk factors allowing for safe assessment of ROM
1. simple rear end MVA
2. normal sitting posture
3. ambulatory at any time since injury
4. delayed onset of pain or absence of tenderness
COUPLED with AROM less than 45 deg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CTSs

A
  1. shaking hands for symptom relief
  2. wrist-ration index greater than 0.67 AP/width
  3. symptom severity score greater than 1.9
  4. reduced median sensory field of digit 1
  5. age greater 45 years
    stage derivation 2005
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

cervical myopathy

A
  1. gait deviation
  2. positive hoffman’s test (DIP flick produces reflexive finger flexion)
  3. positive inverted supinator sign (brachioradialis reflex produces finger flexion and possible elbow ext)
  4. positive babinski (toe flexion)
  5. age greater than 45
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

cervical radiculopathy

A
  1. Positive ULTT -A
  2. involved cervical rotation less than 60
  3. Positive distraction
  4. positive spurling’s
    derivation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

DVT

A

10 point test, score 3 or greater high probability, 1-2 moderate, 0 low
- active CA, paralysis or recent immobilization, recently bed ridden or major surgery in past 12 weeks, entire leg swollen, tender along DV system, calf swelling of at least 3cm relative, pitting edema relative, previous DVT, collateral superficial veins, (-) alterative explanation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hip OA

A
  1. squatting aggravates pain
    • scour for groin or lateral hip pain
  3. active hip flexion causes primary pain
  4. passive IR less than 25 degree
  5. active hip extension causes primary pain

Derivation level of development 2008

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

lumbar stenosis

A
  1. bilateral symptoms
  2. leg pain greater than back pain
  3. pain during walking and standing
  4. pain relief upon sitting
  5. greater than 48 years old

derivation stage 2011

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MCL

A
  1. trauma by ER force
  2. rotational trauma
  3. pain with vagus stress test at 30 degree
  4. laxity with valgus stress at 30 degree

derivation 2008

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

meniscus

A
  1. history of catching or locking
  2. joint line tenderness
  3. pain with forced hyperextension (modified bounce)
  4. pain with maximal passive knee flexion
  5. positive McMurray

derivation 2006

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ottawa ankle rule

A

determine if x-ray is required
1. inability to weight bear following injury
or
2. lateral and medial distal/posterior 5cm malleolus tenderness
3. bone tenderness at the navicular base or 5th met

2017

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ottawa knee rule

A

determine if knee x-ray are needed

  1. age greater than 55
  2. tenderness at the head of the fibula
  3. isolated tenderness of the patella
  4. inability to flex the knee to 90
  5. inability to bear weight immediately and upon ER evaluation

validated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pulmonary embolism

A

Score based assessment

  1. over 65 +1
  2. previous DVT or PE +3
  3. surgery or factor within 1 month +2
  4. active malignant condition +2
  5. unilateral lower limbs pain +3
  6. hemoptysis +2
  7. HR 75-94 bpm +3
  8. HR greater than 95 ppm +5
  9. pain with deep palpation of lower limb and unilateral edema +4

High risk greater than 10
medium risk 4-10
low less than 4

Validated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

full thickness RTC tear

A
  1. painful arch sign
  2. drop arm sign
  3. infaspinatus weakness
  4. ER weakness
  5. night pain

combined two studies both in derivation from 2006

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SIJ

A
  1. SI distraction
  2. SI compression
  3. thigh thrust
  4. Gaenslen’s
  5. Sacral thrust
  6. FABER/Patrick

Validated 2003,2005,2006

17
Q

Subacrominal impingement

A
  1. Positive HK
  2. painful arc
  3. infraspinatus MMT

derivation 2005

18
Q

vertebral compression fracture

A
  1. age greater than 52 or age greater than 70
  2. no presence of leg pain
  3. BMI less than 22
  4. does not regularly exercise
  5. female gender
  6. prolonged use of corticosteroids
  7. significant trauma

Derivation 2009 and 2010

19
Q

cervical manipulation for neck

A 
Puentedura 2012
1. symptoms less than 38 days
2. positive expectation of manipulation help
3. rotation difference of 10 or greater
4. mid cervical pain with PA gliding
tseng 2006
1. NDI less than 11.5
2. (B) symptoms
3. less the 5 hours day sedentary work
4. movement helps pain
5. no change in pain with ext
6. spondylosis with our radiculopathy
20
Q

CT manipulation for shoulder pain

A

2017 study did not support

  1. pain free shoulder flexion less than 127
  2. shoulder IR less than 53 @90
  3. negative neer
  4. not taking medication for shoulder pain
  5. symptoms less than 90 days
21
Q

benefit from exercise for Ank Spon

A

2009blanco FDLP cleland

  1. SF-36 physical less than 37
  2. SF 36 bodily less than 27
  3. Bath AS disease activity less than 31
22
Q

hip mobilization for knee OA

A 
2007 currier derivation
1, hip or grain pain 
2. anterior thigh pain
3. passive knee flexion less than 122 
4. passive hip IR less than 17
5. pain with hip distraction
23
Q

manipulation for LBP

A

validated 2006 invalidated 2008 did not generalize well
1. duration of symptoms less than 16 days
2. at least on e hip with less than 35 degree of IR
3. lumbar hypomobility
4. no symptoms distal to the knee
FABQ less than 19

24
Q

Manual therapy and exercise for ankle sprain

A

derivation 2009 whiten, cleland mintken

  1. symptoms worse when standing
  2. symptoms worse in the evening
  3. navicular drop greater than 5 mm
  4. distal tibiofibular joint hypomobility
25
Q

mechanical traction for LBP

A 
2007 and 2009 derivation
1. FABQ less than 21
2. no neuro impairments
3. older than 30
4. non manual work status
2007 - leg symptoms, peripheralization, cross SLR, nerve root compression findings
26
Q

mechanical traction for neck pain

A

2009 derivation

  1. peripheralization of symptoms with lower cervical spine mobility
  2. positive shoulder abduction test
  3. less than 55
  4. positive ULTT-A
  5. postive neck distraction test
27
Q

Mobilization with movement for lateral elbow pain

A
  1. age less than 49
  2. affect side grip less than 25#
  3. unaffected grip greater than 75#
  4. chang in pain greater than 25% post treatment
28
Q

orthotics for patellofemoral pain

A
  1. age over 25
  2. short height
  3. worse pain less than 5/10, usual less than 2/10
  4. mid foot width difference of less than 10mm
  5. DF knee flexed less than 40
  6. decreased knee pain with single leg squat while using orthosis
29
Q

Lumbar stabilization exercise

A

hicks 2005 derivation, 2014 Rabin suggested 2 variable

  1. age less than 40
  2. straight leg raise greater than 90
  3. aberrant movement pattern
  4. postive prone instability
30
Q

Thoracic manipulation for neck pain

A

cleland 2007 derivation, cleland 2010 invalidated but found it does help symptoms

  1. symptoms less than 30 days
  2. no symptoms distal to shoulder
  3. no change in pain with ext
  4. FABQ less than 12
  5. flat thoracic kyphosis
  6. cervical extension less than 30 deg
31
Q

closed cervical fracture

A
  1. age <55
  2. single
  3. condition involved trauma
  4. acute condition
  5. condition involved ER visit
32
Q

Pittsburgh knee rule

A

blunt trauma or fa fall as mechanism of injury plus

  1. age older than 50 or younger then 12
  2. inability to walk 4 weight bearing steps in ER
33
Q

Lumbar manip for PFP

A
  1. difference in hip IR greater than 14
  2. ankle DF with knee flexed greater than 16
  3. navicular drop greater than 3 mm
  4. no stiffness with sitting 20 minutes
  5. squatting most painful activity
34
Q

PFP taping

A
  1. tibial varum angulation greater than 5 degrees
  2. positive patellar tilt
    Lesher, Jonathan D., et al. “Development of a clinical prediction rule for classifying patients with patellofemoral pain syndrome who respond to patellar taping.” Journal of Orthopaedic & Sports Physical Therapy 36.11 (2006): 854-866.
35
Q

stress fracture (lower leg)

A 
BSI score greater than 3 and exam score 1 or greater
risk 
1. poor aerobic fitness at start of training program
2. female
3. h/o stress fracture
4. eating disorder or caloric insuff
5. pes cavus
symptoms
1. gradual onset
2. increase with activity 
3. dull aching pain
4. night pain
5. recent increase in activity
exam
1. focal bone tenderness
2. pain with hip IR
3. painful hop test
4. painful fulcrum test
5. painful tuning fork
6. antalgic gait 
Nye, Nathaniel S., et al. "Improving diagnostic accuracy and efficiency of suspected bone stress injuries: algorithm and clinical prediction rule." Sports health 8.3 (2016): 278-283.
36
Q

hip arthoscopy benefit

A
  1. female
  2. pincer impingement
  3. labral tear
  4. HOS-adl 2 score
  5. WHOQOL good physical health
  6. WHOQOL pyso good
    Stephan, Patrick, et al. “Developing a risk prediction model for the functional outcome after hip arthroscopy.” BMC musculoskeletal disorders 19.1 (2018): 122.
37
Q

Radiculopathy treatment success

A
  • less than 54
  • dominant arm NOT affected
  • looking down does not increase symptoms
  • providing multi modal treatment
    Predictors of Short-Term Outcome in People With a Clinical Diagnosis of Cervical Radiculopathy 2007
38
Q

Benefit from nerve mobilization

A
  1. neuropathic pain qualities (S-LANSS) of 12 or greater,
  2. older age (study 18-60 year olds)
  3. deficit in elbow extension range of motion during ULNT1MEDIAN
    Baseline Characteristics of Patients With Nerve-Related Neck and Arm Pain Predict the Likely Response to Neural Tissue Management. Nee 2013
39
Q

cervical headache

A
  1. Cervical flexion rotation test (decreased upper cervical rotation)
  2. PAIVMs C0-C3
  3. decreased cervical ROM

clinical practice guidelines (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions