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Flashcards in Day 1 Deck (24):
1

What factors can affect *lumbar* spine prognosis?

- psychosocial factors (stress, anxiety, depression, social support)
- expectation
- pain intensity (high pain, worse prognosis)
- coping style
- workplace social support

2

What are risk factors for cervical spine problems?

- female
- previous hx
- long durations of sedentary positions
- trunk twisting or bending

3

Risk factors for thoracic spine problems?

- adolescent
- female
- other MSK pain
- posture
- social support
- backpack use

4

Why do we need a diagnosis?

- predicts prognosis
- guides intervention
- facilitates communication

5

Levels of Classification (Delitto)

1- Is patient appropriate for PT?
2- Stage of acuity?
3- Treatment based classification?

6

Goal of ODI Stage I

pain management

7

Goal of ODI Stage II

addressing impairments

8

Goals of ODI Stage III

improve ability to perform demanding activities

address high levels of function

9

What might indicate someone will respond well to manipulation and exercise?

no sx below the knee
recent sx
hypomobility
low fear avoidance
more hip IR

10

What factors indicate someone might respond well to stabilization?

prone instability test
aberrant motions
hypermobility
younger age
greater SLR ROM

11

Factors for centralization

centralization during movement exam

postural preference

12

Factors for traction

neuro signs
leg sx
no centralization during movement testing

13

Kaltenborn Grade I

- Neutralizes pressure in joint without actual surface separation
- Produce pain relief by reducing compressive forces

14

Kaltenborn Grade II

- Separates articulating surfaces, taking up slack or eliminating play within joint capsule
- Used initially to determine joint sensitivity

15

Kaltenborn Grade III

- Involves stretching of soft tissue surrounding joint
- Increase mobility in hypomobile joint

16

Maitland Grade I

Small amplitude rhythmic oscillating movement at the *beginning* of range of movement

17

Maitland Grade II

Large amplitude rhythmic oscillating movement within *midrange* of movement

18

Maitland Grade III

Large amplitude rhythmic oscillating movement *up to limitation* in range of movement

19

Maitland Grade IV

Small amplitude rhythmic oscillating movement at very *end* range of movement

20

Maitland Grade V

Thrust
- Small amplitude quick thrust at end range
- Accompanied by popping sound

21

Maitland grades I and II are used to...

manage pain and spasm

22

Maitland grades II and IV are used to...

gain motion within the joint, stretch capsule and connective tissue

23

Maitland grade V is used to...

gain motion, decrease pain and spasm

24

Precautions to manipulation

children
pregnancy
disc herniation
flu
total joint replacement
patient anxiety, can't relax