Flashcards in Day 1 Deck (24)
What factors can affect *lumbar* spine prognosis?
- psychosocial factors (stress, anxiety, depression, social support)
- pain intensity (high pain, worse prognosis)
- coping style
- workplace social support
What are risk factors for cervical spine problems?
- previous hx
- long durations of sedentary positions
- trunk twisting or bending
Risk factors for thoracic spine problems?
- other MSK pain
- social support
- backpack use
Why do we need a diagnosis?
- predicts prognosis
- guides intervention
- facilitates communication
Levels of Classification (Delitto)
1- Is patient appropriate for PT?
2- Stage of acuity?
3- Treatment based classification?
Goal of ODI Stage I
Goal of ODI Stage II
Goals of ODI Stage III
improve ability to perform demanding activities
address high levels of function
What might indicate someone will respond well to manipulation and exercise?
no sx below the knee
low fear avoidance
more hip IR
What factors indicate someone might respond well to stabilization?
prone instability test
greater SLR ROM
Factors for centralization
centralization during movement exam
Factors for traction
no centralization during movement testing
Kaltenborn Grade I
- Neutralizes pressure in joint without actual surface separation
- Produce pain relief by reducing compressive forces
Kaltenborn Grade II
- Separates articulating surfaces, taking up slack or eliminating play within joint capsule
- Used initially to determine joint sensitivity
Kaltenborn Grade III
- Involves stretching of soft tissue surrounding joint
- Increase mobility in hypomobile joint
Maitland Grade I
Small amplitude rhythmic oscillating movement at the *beginning* of range of movement
Maitland Grade II
Large amplitude rhythmic oscillating movement within *midrange* of movement
Maitland Grade III
Large amplitude rhythmic oscillating movement *up to limitation* in range of movement
Maitland Grade IV
Small amplitude rhythmic oscillating movement at very *end* range of movement
Maitland Grade V
- Small amplitude quick thrust at end range
- Accompanied by popping sound
Maitland grades I and II are used to...
manage pain and spasm
Maitland grades II and IV are used to...
gain motion within the joint, stretch capsule and connective tissue
Maitland grade V is used to...
gain motion, decrease pain and spasm