MSK - 2C

Question 1

what are the two main objectives of LBP interventions?

Answer 1

relieve acute plan
attempt to prevent transition to chronicity

Question 1

Pt classification allows us to identify effective interventions and increase outcomes

Answer 1

stage of conditions (acute, subacute, chronic)
response to tx (TBC criteria)

Question 2

acute phase intervention goals

Answer 2

decrease pain, inflammation and mm spasm

promote tissue healing

increase pain free ROM (segmental motion)

regain soft tissue extensibility

regain NM control

allow progression to sub-acute functional phase

Question 3

acute phase is early motion encouraged even if symptoms exacerbated?

Answer 3

yes

Question 4

what is a great initial choice for treatment?

Answer 4

walking!

-less stress on tissues when compared with most rehab exercises

Question 5

in acute stage progress to restoring what?

Answer 5

ROM, strength and proper posture ASAP

Question 6

_____ is most beneficial if used early in pts that present without radiating leg pain

Answer 6

MT

Question 7

sub-acute/functional phase intervention goals

Answer 7

achieve significant ↓ or complete resolution of pt’s pain

• Restoration of full and pain-free vertebral
  ROM
• Full integration of entire upper and lower kinetic chains
• Complete restoration of respiratory function
• Restoration of t-spine and UQ/LQ strength
  and NM control

Question 8

what phase is critical in preventing chronicity and disability?

Answer 8

SUB ACUTE

Question 9

graded activity improved absenteeism in what phase?

Answer 9

sub-acute/functional

Question 10

chronic phase intervention goals?

Answer 10

maximize function and encourage exercise

can decrease pain in this phase

educate pt regarding using pain science technique

use multi model approach tailored to patient needs

Question 11

primary hyperalgesia

Answer 11

primary sensitization

normal hyperalgesia that is a protective mechanism

Question 12

secondary hyperalgesia

Answer 12

adaptations in CNS

increase responsiveness to stimuli from periphery

Question 13

what is central sensitization?

Answer 13

hallmark of chronic pain
functional changes in CNS

-altered sensory processing in brain
-malfunctioning of descending anti-nociceptive mechanisms
-increase activity of pain faciliatory pathways

Question 14

manipulation vs mobilization

Answer 14

manipulation: passive, high velocity, low amplitude thrust applied to a joint complex past its anatomical limit with the intent to restore optimal motion, function, to reduce pain

mobilization: MT technique comprising a continuum of skilled passive mvmts to the joint complex that are applied to varying speeds and amps, that may include a small amplitude/high velocity therapeutic mvmt with the intent to restore optimal, function, and or reduce pain