Regional Interdependence in Low Back Pain: Interventions: Difference between revisions
Dana Schmidt (talk | contribs) No edit summary |
Dana Schmidt (talk | contribs) No edit summary |
||
Line 10: | Line 10: | ||
- [http://www.physio-pedia.com/Thoracic_manipulation_with_shoulder_dysfunction Shoulder] | - [http://www.physio-pedia.com/Thoracic_manipulation_with_shoulder_dysfunction Shoulder] | ||
== [http://www.physio-pedia.com/Lumbar_Examination Examination] == | == [http://www.physio-pedia.com/Lumbar_Examination Examination] == | ||
Screen patient for red flags<ref name="Diletto et al.">Delitto A, George S.Z. et al. Low Back Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orhtop Sports Phys Ther. 2012;42(4):A1-A57 Pub Med Link: http://www.ncbi.nlm.nih.gov/pubmed/22466247 (accessed 26 October 2013).</ref> | Screen patient for red flags<ref name="Diletto et al.">Delitto A, George S.Z. et al. Low Back Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orhtop Sports Phys Ther. 2012;42(4):A1-A57 Pub Med Link: http://www.ncbi.nlm.nih.gov/pubmed/22466247 (accessed 26 October 2013).</ref> | ||
{| border="1" cellpadding="1" cellspacing="1" | {| border="1" cellpadding="1" cellspacing="1" | ||
Line 84: | Line 84: | ||
*Segmental Mobility | *Segmental Mobility | ||
*Pain Provocation with Segmental Mobility Testing | *Pain Provocation with Segmental Mobility Testing | ||
*Judgments of Centralization during Movement Testing | *Judgments of Centralization during Movement Testing<br> | ||
- Look for a centralization of pain with repeated motion in a specific direction. | - Look for a centralization of pain with repeated motion in a specific direction. | ||
*Prone Instability Test | *Prone Instability Test | ||
*Judgments of the presence of aberrant movement | *Judgments of the presence of aberrant movement<br> | ||
*Straight Leg Raise | *Straight Leg Raise | ||
*Slump Test | *Slump Test | ||
*Trunk Muscle Power and Endurance | *Trunk Muscle Power and Endurance<br> | ||
*Passive Hip Internal Rotation, External Rotation, Flexion, and Extension | *Passive Hip Internal Rotation, External Rotation, Flexion, and Extension | ||
Line 111: | Line 103: | ||
- [http://www.physio-pedia.com/Fear%E2%80%90Avoidance_Belief_Questionnaire Fear Avoidance Beliefs Questionnaire] | - [http://www.physio-pedia.com/Fear%E2%80%90Avoidance_Belief_Questionnaire Fear Avoidance Beliefs Questionnaire] | ||
Also consider [http://www.physio-pedia.com/Hip_Examination Hip Examination] | |||
*Active and Passive ROM | |||
*Joint Mobility | |||
*Strength | |||
== References == | == References == | ||
<references /> | <references /> |
Revision as of 01:47, 27 October 2013
Regional Interdependence[edit | edit source]
- Regional interdependence is the concept that a musculoskeletal treatment targeting a specific area of the body could have effects in another, seemingly unrelated, part of the body[1].
- Examples of Regional Interdependence:
- Elbow
- Shoulder
Examination[edit | edit source]
Screen patient for red flags[2]
Condition | Red Flags |
Back-related tumor |
|
Cauda equina syndrome |
|
Back-related infection |
|
Spinal compression fracture |
|
Abdominal aneurysm |
|
Physical Impairment Measures[2]
- Evaluate Thoraco-Lumbar Active and Passive ROM
- Segmental Mobility
- Pain Provocation with Segmental Mobility Testing
- Judgments of Centralization during Movement Testing
- Look for a centralization of pain with repeated motion in a specific direction.
- Prone Instability Test
- Judgments of the presence of aberrant movement
- Straight Leg Raise
- Slump Test
- Trunk Muscle Power and Endurance
- Passive Hip Internal Rotation, External Rotation, Flexion, and Extension
- Mental Impairment Measures
- Fear Avoidance Beliefs Questionnaire
Also consider Hip Examination
- Active and Passive ROM
- Joint Mobility
- Strength
References[edit | edit source]
- ↑ Wainner RS, Whitman JM, Cleland JA, Flynn TW. Regional Interdependence: A Musculoskeletal Examination Model Whose Time Has Come. J Orthop Sports Phys Ther 2007;37(11):658-660. Pub Med Link: http://www.ncbi.nlm.nih.gov/pubmed/18057674 (accessed 26 Oct 2013).
- ↑ 2.0 2.1 Delitto A, George S.Z. et al. Low Back Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orhtop Sports Phys Ther. 2012;42(4):A1-A57 Pub Med Link: http://www.ncbi.nlm.nih.gov/pubmed/22466247 (accessed 26 October 2013).