Case Study: Low Back Pain 2023 Update.
Question and Answer with 100% CORRECT.
When does low back pain (LBP) generally resolve in patients? –
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ANSWER 6 weeks for 90% of patients
12 Weeks for 5% of patients
What is sciatic pain? –
ANSWER When the nerve is trapped by a herniated disc
What is spinal stenosis? –
ANSWER Narrowing of the intervertebral foramen
What is facet joint pain? –
ANSWER Inflammation or changes of the spinal joints
What is spondylolysis? –
ANSWER Stress fracture of the dorsal to transverse process
What is spondylolisthesis? –
ANSWER Slippage of a vertebra out of position
What is a herniated nucleus pulposus? –
ANSWER Stress tearing of the fibers of a disc, causing an outward bulge pressing on spinal nerves
What is compression fracture? –
ANSWER Vertebral osteoporosis
What are some OT intervention ideas for LBP? –
ANSWER Education regarding back anatomy and movements related to the client's occupational performance
Use of neutral spine back stabilization techniques to promote decreased pain
Body mechanics education
Training in adaptive equipment and modified tasks
Task analysis and introduction of ergonomic design
Training in energy conservation
Use of occupation to increase strength and endurance
Education for pain management, stress reduction, and coping
What are the standard of body mechanics? –
ANSWER Maintain a straight back; minimize lumbar lordosis.
Bend from the hip.
Avoid twisting.
Maintain good posture.
Carry loads close to body
Lift with the legs.
Lift with a wide base of support.
Lift in the sagittal plane.
Lift slowly.
What are the different types of lifts? –
ANSWER Semi squat
Squat
Stoop lift
Semi squat? –
ANSWER Safest lift for the back; ideal for heavy loads (e.g., clients)
Squat? –
ANSWER Alternative to the semi squat when space is limited; often preferred by people with LBP
Stoop lift? –
ANSWER Used only for light loads
What are some bathing guidelines for clients with LBP? –
ANSWER Bathing
A shower is generally better than a bath because neutral spine can be maintained.
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