CPRS Exam Questions &Answers 100% Correct!

Lumbar Spine Stenosis - ANSWER-1. 48 years old 2. B symptoms 3. Leg back pain 4. Pain with walking/ standing 5. Pain relief with sitting (sx are abolished when sitting=best utility for dx) 4/5 .98 Sp, +LR=4.60 5/5 1.00 SP Lumbar Stabilization CPR (not yet validated) - Hicks 2005- invalidated 2014 - ANSWER-1. Age 40 2. SLR 91* 3. Aberrant movements (move out of plane or use assistance) 4. (+) Prone Instability Test = reduction of painful sx (as applied during PA) during raising of pt's legs 3+ present= +LR=4.0 Mechanical traction for LBP - this was on John Snyder's website - ANSWER-1. FABQ 21 (work) 2. No neuro deficits 3. Age 30 4. Non manual work 4/4 .96 Sp, +LR = 9.3 Subgroup of patients who would benefit from mechanical traction (prone 40-60% of body weight x 12 minutes)- this is in the CPG - ANSWER-1. Signs of nerve root compression (neuro signs) 2. Peripheralization of symptoms 3. + XSLR CPR to predict failure with Lumbar Stabilization (not yet validated) - Hicks 2005 - ANSWER-1. FABQ Physical Activity subscale 9 2. Absence of aberrant movements 3. No hypermobility with lumbar spring testing 4. (-) Prone Instability Test 2+ present= -LR: 0.18 CPR for HVLA (short term improvement with spinal manipulation for LBP): - ANSWER-1. FABQ (work) 19 2. No symptoms distal to the knee 3. Pain 16 days Of 42 points possible (seven questions scored on 1-6 scale). 4. PROM hip IR 35* (either or both hips) 5. (+) lumbar spring test- hypomobility (and pain?) Initially proposed by Flynn (2002), validated by Childs (2004) Used L5/S1 manipulation - "Chicago Roll" 4/5= probability of success (after 3 treatments); LR+: 24.38 (From 2002 Flynn paper); +13.1 for success at wk 1 (2004 Childs' paper) NNT (number needed to treat) @ 4 weeks= 1.9 (From 2004 Childs' paper) Invalidated Hancock 2008 -Lumbar Facet CPR - ANSWER-1. Pain not relieved in supine 2. h/o surgery 3. occupational onset 4. abnormal gait