Week 3

Question 1

What is the managemengt order for patients with acute low back pain?

Answer 1

Question 2

What are the prognostic factors for delayed recovery?

Answer 2

1. Older age
2. Prior history of neck pain
3. High levels of initial pain
4. High levels of initial disab ility
5. Post-crash psychological factors
6. Depressed mood or feelings of depression about pain
7. Anxiety or fear about pain, high levels of frustration or anger

Question 3

What should physiotherapists aim to address?

Answer 3

Modifiable risk factors.

Question 4

What indicates whiplash associated disorder (WAD)?

Answer 4

1. VAS >5/10
2. NDI >15/50
3. Expectation of recovery
4. Post-traumatic stress - Impact of events scale (IES >25)
5. Decreased initial neck ROM
6. Initial cold hyperalgesia

Question 5

What is risk stratification based on? What are the benefits of stratifying risk?

Answer 5

1. Predictions rules
2. Helps to identify patients who are less likely to recover

Question 6

What is stratification of care based upon?

Answer 6

1. Adverse prognostic factors

Question 7

What are the different levels of stratified primary care for low back pain?

Answer 7

Question 8

What are predictors of poor outcomes?

Answer 8

1. History and PE
2. Appendix V. Examples of Questions or Tools to assess prognostic factors for delayed recovery

Question 9

Who is first line of care offered to?

Answer 9

To everyone!

Question 10

What is the first line of care?

Answer 10

Clinicians should educate and reassure patients about the benign and self-limiting nature of the typical course of NAD grades 1-III and the improtance of maintaining activity and movement.

• Clinicians should emphasise active rather than passive treatments and deliver time limited care that includes effective interventions.