Do Not Pass Go
Presence of PVD and CAD are 2 risk factors for this medical consideration related to LBP.
What is Abdominal Aneurysm?
This muscle attaches to the bodies of all lumbar vertebra and to the lesser trochanter of the femur.
What is the psoas?
PROMIS is the acronym for this
What is Patient-Reported Outcomes Measurement Information System?
True or False, specific trunk activation is a technique that evidence shows may be used in Acute LBP with leg pain.
TRUE
Name of condition seen in these images
What is a pars fracture?
TRIPLE PLAY - Name all 5 previously mentioned (last week) medical red flag considerations
What are Back-related tumor, Spinal Infection, Spinal Compression Fracture, Abdominal Aneurysm and Cauda Equina Syndrome?
According to a 2005 study by Whitman and colleagues, these are the two most significant prognostic markers for successful treatment with spinal manipulation.
What are, duration of LBP < 16 days and no symptoms below the knee?
These are the landmarks for measuring lumbar flexion/extension ROM with dual bubble inclinometers.
What is L1 spinous process and S1 spinous process?
(**PSIS >> 15cm cephalad also valid, MacDermid, et al, 2015)
This intervention has the highest level of evidence supporting its use in most subgroups of Acute LBP cases.
What is thrust or non-thrust joint mobilization?
Name of condition seen in these images
What is a syrinx?
These 2 terms associated with horses and riding horses describe a medical consideration related to LBP and the area affected by it.
What are Saddle and Cauda Equina?
According to 2022 Funibashi et al study, this structure receives 99% of the peak forces delivered to a spinal segment during a spinal manipulation.
What is the intervertebral disc?
(**only 12% of force applied reaches the spinal tissues)
Observable impairments in the lumbopelvic region during flexion/extension movements are hallmarks to rule in this Acute LBP subgroup
What is Movement Coordination Impairments Subgroup?
True of False, there is strong evidence (Level A) to support the use of general exercise training for patients with LBP following surgery.
FALSE
Name of condition seen in these images
What is an anterolisthesis?
According to a 2013 Cochrane SR, the presence of this single red flag had a sufficiently high LR+ to meaningfully increase the probability of a sinister condition masked as LBP.
What is history of cancer?
The Biering-Sorenson test has a normative value between 120-190 seconds in healthy males and females and tests this.
What is trunk extensor muscle endurance?
If a patient presents with repeated episodes of buttock, groin or thigh pain made worse by flexion activities or sitting, you might suspect they fall into this Acute LBP Subgroup.
The original Matlock series, which aired from 1986-1995, starred this famous actor as Ben Matlock, being replaced in 2024 by a woman.
Who is Andy Griffith?
Name of condition seen in these images
What is a lumbarization of S1?
Age >75 and history of corticosteroid use are 2 risk factors for this medical consideration related to LBP
What is Spinal Compression Fracture?
In a 2024 study Nim and colleagues found poor to moderate reliability in this manual exam technique, often used as a precursor to spinal mobilizations/manipulations.
What is lumbar spine/spinous process palpation?
This Yellow Flag screening tool comprised of 17, 10 or 7 question varieties can provide insight into how a patient might score on 11 unidimensional psychological questionnaires.
What is OSPRO-YF?
Optimal Screening for Prediction of Referral and Outcome - Yellow Flag
True or False, pain neuroscience education has strong evidence in its use with post op lumbar cases.
FALSE
Name of condition seen in these images
What is vacuum disc phenomenon?