Low Back Pain, question perfectly done2023/2024

What percent of Americans will experience Low Back Pain at some point in their life? - answers80% Pain caused by unique or unusual pathophysiologic mechanisms like disc herniation, tumor, arthritis, etc - answersspecific LBP Pain not caused by a specific disease or spine pathology - answersnon specific LBP Pain lasting less than 6 weeks - answersacute LBP Pain lasting 6-12 weeks - answerssubacute LBP Pain lasting longer than 12 weeks - answerschronic LBP Pain, muscle tension, or stiffness localized below the ribs and above the inferior gluteal folds with or without leg pain lasting >/= 12 months - answerschronic non-specific LBP Chronic non-specific LBP is the 2nd leading cause of: - answersphysician's visits disability Chronic non-specific LBP is the leading cause of: - answerslost work time What are the causes of LBP? - answerscentral nervous system LBP nociceptive LBP neuropathic LBP Sensitization within the brain - answerscentral nervous system LBP Sensitization of pain receptors within spinal and/pr mechanical structures and myofascial tissues - answersnociceptive LBP Radicular or nerve-related pain - answersneuropathic LBP What are the structural sources of LBP? - answersback muscles interspinous ligaments sacroiliac joints zygapophyseal joints intervertebral discs irritation of dura matter How can you diagnose LBP? - answerssymptoms physical exam x-ray MRI Clinical indicators of possible serious underlying conditions requiring further medical intervention - answersred flags Red and yellow flags were designed for use in __________, but can be applied more broadly if needed - answersacute low back pain Psychosocial indicators suggesting increased risk of progression to long term distress, disability, and pain - answersyellow flags Consequences of LBP - answersintolerance and avoidance low levels of fitness lost work time depression decreased strength Medications for LBP - answersanalgesics anti-inflammatories (NSAIDs) muscle relaxants (flexeril, soma, valium) Exercise testing for those with LBP - answerssame as pain free unimpaired individuals ACSM guidelines for resistance training in LBP - answers2-3 days/week 8-12 reps 60-70% (adults) 10-15 reps 40-50% (elderly) 2-4 sets Extension exercises for LBP - answersfloor cobra ball superman bird-dogs Isometric exercises for LBP - answersside and prone planks pelvic tilts supine bridges anti-rotation exercises ACSM guidelines for flexibility in LBP - answers>/= 3 days/week 10-30 sec per stretch 2-4 reps per stretch Exercise considerations and modifications for LBP - answersavoid high impact exercises squats, hip hinge, lift from floor stop exercise if there's pain avoid sitting no bed rest Strong beliefs and attitudes of LBP - answersmy back is fragile my back is broken i'll always be in pain How can you reinforce that pain typically resolves in a few weeks without intervention - answersencourage to keep active and recommend physical activity For yellow flag management, relate to the patients: - answersattitude and beliefs emotions and behaviors family life work environment For yellow flag management, what are the key factors in low back pain? - answersbelief that pain is harmful fear-avoidance behavior low mood social withdrawal