Course content

0h02m

Low Back Pain Guideline: Prognosis & Course (Part 1)

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. In the first part of the low back pain guideline series we talk about the prognosis and the normal / abnormal course of low back pain

Articles:
http://www.kngfrichtlijnen.nl/images/pdfs/guidelines_in_english/low_back_pain_practice_guidelines_2013.pdf

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0h04m

Low Back Pain Guideline: Screening & History-Taking (Part 2)

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. In the second part of the low back pain guideline series we talk about what is important in screening for malignancy, fractures, and other serious pathologies as well as patient history-taking

Articles:
http://www.kngfrichtlijnen.nl/images/pdfs/guidelines_in_english/low_back_pain_practice_guidelines_2013.pdf
QBPDS: https://www.tac.vic.gov.au/files-to-move/media/upload/quebec_scale.pdf
VAS: http://www.blackwellpublishing.com/specialarticles/jcn_10_706.pdf
PSC: http://www.rehab.msu.edu/_files/_docs/Patient-specific%20functional%20scale.pdf

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0h01m

The Babinski Sign or Reflex | Upper Motor Neuron Lesion

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Babinski sign is characterized by great toe extension and toe abduction and is indicative for an upper motor neuron lesion or temporary pyramidal tract disturbance due to epilepsy or intoxication.

Articles:
https://www.ncbi.nlm.nih.gov/pubmed/24906707
http://pn.bmj.com/content/2/1/42.full.pdf

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0h01m

The Closed Fist Percussion Sign | Osteoporotic Vertebral Fractures

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Sharp pain when conducting the test can be a sign of a vertebral compression fracture mostly occurring at the thoracolumbar junction.

Articles:
www.ncbi.nlm.nih.gov/pubmed/19995486

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0h01m

The Supine Sign for Osteoporotic Vertebral Fractures

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The supine sign for osteoporotic vertebral fractures has good validity in detecting spine fractures. A suspected vertebral compression fracture possible due to osteoporotic changes of the spine can represent in the inability to lie supine.

Articles:
http://www.ncbi.nlm.nih.gov/pubmed/19995486

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0h03m

Low Back Pain Guideline: Examination & Analysis (Part 3)

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. In the third part of the low back pain guideline series we talk about the specifics of examination and how to interpret findings of a patient with aspecific low back pain.

Articles:
http://www.kngfrichtlijnen.nl/images/pdfs/guidelines_in_english/low_back_pain_practice_guidelines_2013.pdf

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0h03m

Observation and Posture Analysis

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Observation and posture analysis is one of the first steps of your physiotherapeutic evaluation process. Even before you start with orthopedic special testing you want to get an idea on structural abnormalities that might be linked to your patients problems. In this video you will learn about the key landmarks worth taking a look at.

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Tags: Physio, therapy, physical, anamnesis, tre

0h02m

Straight Leg Raise or Lasègue's Test for Lumbar Radiculopathy

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Straight Leg Raise or Lasègue's Test for lumbar radiculopathy.
This neurodynamic test is most commonly used in order to assess lumbar radiculopathy or sciatica symptoms, central low back pain and neurological symptoms such as tingling, burning, shooting pain along the leg.
Research article: http://bit.ly/29NrSmM

0h02m

Crossed Straight Leg Raise Test | Crossed Over Lasègue

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. With a crossed straight leg raise test you are commonly trying to confirm lumbar disc protrusion. When flexion the extended leg on the unaffected side to around 60° the patient will report the same sharp shooting pain (radicular pain) that they usually experience on the other side.
Articles:
https://www.ncbi.nlm.nih.gov/pubmed/20166095

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0h01m

Reversed Lasègue or Prone Knee Bending Test

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Prone Knee Bending test is a neurodynamic test used to assess neurological symptoms such as sciatica, tingling, numbness or burning sensation in the lower limb possibly caused by a hernia or nerve root entrapment. Furthermore, it can indicate a tight rectus femurs tendon as well as tension of the femoral nerve.

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0h05m

Distal & Proximal Initiation of the Straight Leg Raise

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. You can initiate the straight leg raise test from distal & proximal for a differential diagnosis.
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ARTICLES: http://onlinelibrary.wiley.com/doi/10.1046/j.1533-2500.2002.02012.x/abstract

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0h02m

Lumbar Spine Stenosis Clinical Prediction Rule by Cook

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The clinical prediction rule by Cook et al is an effective tool in assessing patients with suspected lumbar spina stenosis. it is a cluster of 5 elements from patient-history taking and observation that are predictive of lumbar spinal stenosis.

Article:https://www.ncbi.nlm.nih.gov/pubmed/21077266

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0h01m

Kemp Test / Kemps / Extension Quadrant | Lumbar Spinal Stenosis

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. In lateral lumbar spinal stenosis, the narrowing of the intervertebral foramen causes neurogenic claudication or facet joint pain. the Kemp test or Kemp's Test provokes this narrowing.

Lyle et al. (2005): https://www.ncbi.nlm.nih.gov/pubmed/15679463

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0h03m

Lumbar Spine Instability | Symptoms, Assessment and Diagnosis

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Clinical lumbar spine instability is hard to define and most often is attributed to an increased neutral zone as described by early published articles of Panjabi. The best available evidence is a delphi study by cook et al describing the best subjective and objective clinical symptoms of lumbar spine instability.

Article:
https://www.ncbi.nlm.nih.gov/pubmed/15996889

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0h04m

The Cluster of Rehorst | Lumbar Segmental Instability

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The cluster of Rehorst can possibly identify patients with lumbar segmental instability. These patients might respond well to a back strengthening program. Evaluating the test and communicating the results with patients should be done with caution as there is risk of a nocebo.

Articles:

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0h02m

Passive Lumbar Extension Test (PLET) | Lumbar Instability

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The passive lumbar extension Test, abbreviated as PLET, is a quick test for Lumbar Instability.
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ARTICLES: https://www.ncbi.nlm.nih.gov/pubmed/17033040

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0h02m

Prone Instability Test | Lumbar Spine Instability

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Prone Instability Test is included in Hicks clinical prediction rule for Lumbar Spine Instability
Article: http://www.ncbi.nlm.nih.gov/pubmed/14669195

Fritz et al. (2005) actually did find a sensitivity of 61% and a specificity of 57% with radiological instability as a gold standard.
Reliability of the test was good with a Kappa of 0.69.
Fritze et al. (2005): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489248/
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Tags: Physio, therapy, physical, anamnesis, treatment, medical, Magee, assessment, tutorial,

0h04m

Luomajoki Lumbar Movement Control Dysfunction Screening

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Here are some simple lumbar spine movement control dysfunction screening tests as described by Luomajoki.
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ARTICLES: http://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-8-90
https://www.ncbi.nlm.nih.gov/pubmed/10688954

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0h06m

Proximal & Distal Initiation of the SLUMP Test

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. You can initiate the SLUMP test from distal & proximal for a differential diagnosis.
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ARTICLES: http://onlinelibrary.wiley.com/doi/10.1046/j.1533-2500.2002.02012.x/abstract

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0h02m

The SLUMP Test | Neurodynamic Testing

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Slump test is a neurodynamic test used to assess neurological symptoms such as sciatica, tingling, numbness or burning sensation in the lower limb possibly caused by a hernia or nerve root entrapment.

Article:
http://www.ncbi.nlm.nih.gov/pubmed/20166095

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