midterm Flashcards
(34 cards)
what is the first step of the TBC?
is patient appropriate for PT (are symptoms of primarily mechanical origin?
what is the second step of the TBC?
what is the level of acuity, must classify as I, II, III
what is the third step of the TBC?
what treatment should be used
what are some things that could tip you off for cancer?
age over 50, history of cancer, cannot sleep at night regardless of position, recent unexplained weight loss
what are some things that could point you towards CES?
saddle anesthesia, bladder dysfunction, severe neurological deficits
what are some risk factors for AAA?
age over 60, male, smoker, family history
How will AAA present clinically?
back pain, increase in pain with general activity but not with spinal movement
who is most at risk of vertebral fractures?
older white females
what are some key clinical presentations for ankylosing spondylitis
morning stiffness > 30 minutes, improvements with exercise but not with rest, night pain during second half of night, alternating buttock pain
how is a lateral shift named?
named by the side the shoulders lean towards
what defines a radiculopathy?
reflex change, dermatome or myotome change
what does a patient in stage I of classification look like?
ODI > 30, unable to sit > 30 mins, unable to stand >15 mins, unable to walk 1/4 mile
what does a patient in stage II of classification look like?
ODI 15-30, able to sit and walk, can perform basic ADL’s but cannot perform complex tasks
what does a patient in stage III of classification look like?
ODI < 15, able to perform complex tasks
what classification puts someone into the manipulation classification?
current pain < 16 days, no pain distal to knee, FABQ-W < 19 points, at least one hypomobile segment, hip IR > 35 degrees
what would you find during the physical examination for a patient who is classified into stabilization?
aberrant motion, positive PIT test, SLR > 91 degrees, hypermobility
what are some findings that could point to a person who would fall into the stabilization classification?
hypermobility, frequent prior episodes, + response to immobilization, younger age
what is the findings for a specific exercise patient?
centralization phenomenon with movement exam, postural preference,
what would point you towards putting a patient in the traction category?
neurological signs, leg symptoms, peripherialization with movement, CSLR positive
what would a patient within the stability category subjectively report?
good and bad day, catching, pain at end ranges, pain with sustained postures
would you expect to see hyper or hypo mobility in the prone PA of a stabilization patient?
hypermobility
what are some physical exam tests you can perform to classify a patient in the stability category?
prone PA mobility, PPIVM, PIT, passive lumbar extension test
what is ankylosing spondylitis?
an inflammatory disease that ossifies the SIJ and the lower back
what are key components of history of AS
gradual onset before age 40, males>females, marked morning stiffness, ROM limitations in all directions
