Neurogenic claudication aspects
- Heavy, dull, achy pain, in legs
- may report paresthsia
- can continue activity
- worse on bike
- no trophic changes
- peripheral pulse normal
vascular claudication aspects
- cramp like pain
- no paresthesia
- cannot continue activity
- trophic chages
- decrease or absent pulse
yellow flag factor examples
- fear avoidance behaviour
- catastrophizing
- passive coping
- pain focussed
- lack of social network
UMNL features
- pos babinski
- May have increased tone in limbs/spacisity
- faisculations
- hypereflexia
- spastic weakness
- clonus
LMNL features
flaccid limbs paraesthesia atrophy decreased DTR Hyporeflex weakness
migraine vs tension: duration, loc, character, severity, aggravating factors, associated symptoms
migraine: 4-72hrs, unilateral, pulsating, mode sev, daily activity trigger, associated w nausea, rom, photophobia
Tension: Mins-days, bilateral, bandlike pressing, mild to mod, no adl trigs, no associated
What is data trawling
Looking for statistical sign in a non hypothesis variables after u have collected the data
-need to state hypothesis upfront
What is external validity
The study results apply to the pop that was examined in the study
what kinda studies did the authors include in the Brantingham study
The authors of this review accepted a larger range of research including RCTS, CT, single group pre test post test design, case series and case reports and expert consensus
Overall conclusion of the Brnatingham stude
all lvls of evidence should be considered in chiro evidence based care, not just RCTs
what are the patterns of the core back tool (4)
1- disc pain
2-facet
3- compressed nerve
4-neurogenic claudication
