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cueFlash >Decks >Mdt >Glossary  

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Glossary of mdt

Created by khoard

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Matching stage of the condition to managementWeek 1-Injury & Inflammation- 

Protect from further damagePrevent excessive inflam exudate Reduce Swellingmid-range movements, isometric contractions 

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Card Front<p>Matching stage of the condition to management</p><p>Week 1-Injury & Inflammation-</p><p> </p>

Card Back<p>Protect from further damage</p><p>Prevent excessive inflam exudate </p><p>Reduce Swelling</p><p>mid-range movements, isometric contractions </p>

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Matching stage of the condition to managementWeeks 2-4 Repair and Healing 

Gentle tension & loading without lasting Pain (produces pain but no worse after)Progressive return to normal loads & tensionPain (does it last, is it local)      

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Card Front<p>Matching stage of the condition to management</p><p>Weeks 2-4 Repair and Healing </p>

Card Back<p>Gentle tension & loading without lasting Pain (produces pain but no worse after)</p><p>Progressive return to normal loads & tension</p><p>Pain (does it last, is it local) </p><p> </p><p> </p><p> </p><p> </p><p> </p

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Matching stage of the condition to managementWeeks 5 and onward 

Prevent contracturesFull Range movementsNormal loading and tension to increase strength and flexibility 

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Card Front<p>Matching stage of the condition to management</p><p>Weeks 5 and onward </p>

Card Back<p>Prevent contractures</p><p>Full Range movements</p><p>Normal loading and tension to increase strength and flexibility </p>

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Cauda equina

Loss of anal sphincter tone urinary retention or overflow incontience
saddle anaesthesiasciatica 

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Card FrontCauda equina<br />

Card Back<p>Loss of anal sphincter tone </p><p>urinary retention or overflow incontience<br /></p><p>saddle anaesthesia</p><p>sciatica </p>

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Chemical Pain

ConstantRecent OnsetCardinal Signs, swelling,redness, heat, tendernessLasting aggravation of pain by all movementsNo movement abolishes Pain 

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Card FrontChemical Pain<br />

Card Back<p>Constant</p><p>Recent Onset</p><p>Cardinal Signs, swelling,redness, heat, tenderness</p><p>Lasting aggravation of pain by all movements</p><p>No movement abolishes Pain </p>

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Chronic Pain

not closely linked to mechanical factors or original tissue dammageResponse may take more timeMay not happen at all there could be psychosocial factors 

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Card FrontChronic Pain

Card Back<p>not closely linked to mechanical factors or original tissue dammage</p><p>Response may take more time</p><p>May not happen at all </p><p>there could be psychosocial factors </p>

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Contraindications for MDT

Serious spinal pathologycauda equinaCancer, fractures, widespread neurological deficit
cord signs, infections 

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Card FrontContraindications for MDT

Card Back<p>Serious spinal pathology</p><p>cauda equina</p><p>Cancer, fractures, widespread neurological deficit<br /></p><p>cord signs, infections </p>

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Hip

exclusion of lumbar spine my mech evaluationPain inc with wt. bearing, eased by rest, or worse first few steps after restPain pattern-groin, ant thigh, knee ant shin, lateral thigh,  possibly buttock, positive pain provocation tests&

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Card FrontHip

Card Back<p>exclusion of lumbar spine my mech evaluation</p><p>Pain inc with wt. bearing, eased by rest, or worse first few steps after rest</p><p>Pain pattern-groin, ant thigh, knee ant shin, lateral thigh,  possibly buttock, positive pain provocation tests&

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Indications for MDT

Nerve root problemsMechanical back pain-mostly aged 20-55-lumbosacral region, buttocks and thighs-mechanical nature, patient is generally well 

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Card FrontIndications for MDT<br />

Card Back<p>Nerve root problems</p><p>Mechanical back pain</p><p>-mostly aged 20-55</p><p>-lumbosacral region, buttocks and thighs</p><p>-mechanical nature, patient is generally well </p>

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Inflammatory disorders

gradual onsetmarked morning stiffness and persisting limiation of movements in all directionsperipheral joint involvementIritis, psoriasis, colitisurethral d/c family hx 

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Card FrontInflammatory disorders<br />

Card Back<p>gradual onset</p><p>marked morning stiffness and persisting limiation of movements in all directions</p><p>peripheral joint involvement</p><p>Iritis, psoriasis, colitis</p><p>urethral d/c </p><p>family hx </p>

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Lifestyle

Poor sitting posture and frequent flexing

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Card FrontLifestyle

Card BackPoor sitting posture and frequent flexing<br />

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Mechanic Pain

Intermittant pain but,Constant pain can be changed by certain repeated movements cause lasting reduction, abolition, or centralization.Mechanical changes improve with the symptoms 

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Card FrontMechanic Pain<br />

Card Back<p>Intermittant pain but,</p><p>Constant pain can be changed by certain repeated movements cause lasting reduction, abolition, or centralization.</p><p>Mechanical changes improve with the symptoms </p>

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Natural Hx

reoccurence, episodes and persistent symptoms are commonNH is quite variable 

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Card FrontNatural Hx<br />

Card Back<p>reoccurence, episodes and persistent symptoms are common</p><p>NH is quite variable </p>

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Possible Ca

age(>55)Hx of Caunexplained wt. lossconstant,progressive, pain not effected by loading strategies, worse at rest 

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Card FrontPossible Ca<br />

Card Back<p>age(>55)</p><p>Hx of Ca</p><p>unexplained wt. loss</p><p>constant,progressive, pain not effected by loading strategies, worse at rest </p>

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Possible other serious spinal pathology

systematically unwellwidespread neurologyhx of significant traumahx of trivial trauma with osteoporotic pts.sudden and persistent extremes of pain causing pt to freeze 

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Card FrontPossible other serious spinal pathology<br />

Card Back<p>systematically unwell</p><p>widespread neurology</p><p>hx of significant trauma</p><p>hx of trivial trauma with osteoporotic pts.</p><p>sudden and persistent extremes of pain causing pt to freeze </p>

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Prevalence of LBP

50-80% of adult pop will have LBP at some point 

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Card FrontPrevalence of LBP<br />

Card Back50-80% of adult pop will have LBP at some point 

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Repair Process

Inflammation-0-5 daysRepair 1st few days for 3 weeksRemodelling 3-4 weeks onwards 

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Card FrontRepair Process<br />

Card Back<p>Inflammation-0-5 days</p><p>Repair 1st few days for 3 weeks</p><p>Remodelling 3-4 weeks onwards </p>

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Risk Factors

1. Individual and lifestyle, Hx of LBP2.Physical or biomech, heavy or frequent lifting,whole body vibration, prolonged and frequent bending or twisting, postural stresses3.Psychosocial 

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Card FrontRisk Factors<br />

Card Back<p>1. Individual and lifestyle, Hx of LBP</p><p>2.Physical or biomech, heavy or frequent lifting,whole body vibration, prolonged and frequent bending or twisting, postural stresses</p><p>3.Psychosocial </p>

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stenosis

hx of leg symptoms when walking uprightsitting or leaning fwd abolishes painloss of extsustained extension causes P and relief on flexage >50nerve root signs and symptomsextensive degenerative changes on x-r

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Card Frontstenosis

Card Back<p>hx of leg symptoms when walking upright</p><p>sitting or leaning fwd abolishes pain</p><p>loss of ext</p><p>sustained extension causes P and relief on flex</p><p>age >50</p><p>nerve root signs and symptoms</p><p>extensive degenerative changes on x-r

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Symptomatic SIJ

exclusion of Lumbar spine and Hip

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Card FrontSymptomatic SIJ<br />

Card Backexclusion of Lumbar spine and Hip

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