Lumbar and Cervical ICF Classifications - Super Simplified

Description

Simplified diagnostic criteria for the ICF classifications, focusing on pain assessment and some A/PROM findings.
Ben Williams
Quiz by Ben Williams, updated more than 1 year ago
Ben Williams
Created by Ben Williams over 6 years ago
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Resource summary

Question 1

Question
Patient reports low back pain and you take the following notes during your examination: P! worsens throughout day, esp. c Sustained Positions +PIT Aberrant Motions Gower Signs What ICF Classification do you suspect?
Answer
  • LBP Move.Coor
  • LBP Referred LE P!
  • LBP Radicular LE P! – Flexion Preference
  • LBP Radicular LE P! – Extension Preference
  • LBP Mobility.Deficits

Question 2

Question
Patient reports low back pain and you take the following notes during your examination: Morning P! depends on sleeping position P! Decreases c Walking/Standing P! Increases c Sitting/Flexion P! extends distal to knee What ICF Classification do you suspect?
Answer
  • LBP Move.Coor
  • LBP Referred LE P!
  • LBP Radicular LE P! – Flexion Preference
  • LBP Radicular LE P! – Extension Preference
  • LBP Mobility.Deficits

Question 3

Question
Patient reports low back pain and you take the following notes during your examination: P! decreases c Sitting/Flexion P! increases c Standing P! extends distal to knee What ICF Classification do you suspect?
Answer
  • LBP Move.Coor
  • LBP Referred LE P!
  • LBP Radicular LE P! – Flexion Preference
  • LBP Radicular LE P! – Extension Preference
  • LBP Mobility.Deficits

Question 4

Question
Patient reports low back pain and you take the following notes during your examination: P! does not extend distal to Knee Morning Pain/Stiffness, improves with 30-mins activity What ICF Classification do you suspect?
Answer
  • LBP Move.Coor
  • LBP Referred LE P!
  • LBP Radicular LE P! – Flexion Preference
  • LBP Radicular LE P! – Extension Preference
  • LBP Mobility.Deficits

Question 5

Question
You've determined that your patient has LBP Radicular LE P! - Flexion Preference (good job!) and you note that their symptoms seem to be limited to the distribution of one particular nerve root. Therefore, you can confidently conclude that they have a Foraminal Stenosis.
Answer
  • True
  • False

Question 6

Question
You've determined that your patient has LBP Radicular LE P! - Flexion Preference (good job!) and you note that their symptoms seem to be limited to the distribution of one particular nerve root. Therefore, you can confidently conclude that they have a Central Stenosis.
Answer
  • True
  • False

Question 7

Question
You've determined that your patient has LBP Radicular LE P! - Flexion Preference (good job!) and you note that their symptoms seem to affect the distribution patterns of several nerve roots. Therefore, you can confidently conclude that they have a Foraminal Stenosis.
Answer
  • True
  • False

Question 8

Question
You've determined that your patient has LBP Radicular LE P! - Flexion Preference (good job!) and you note that their symptoms seem to affect the distribution patterns of several nerve roots. Therefore, you can confidently conclude that they have a Central Stenosis.
Answer
  • True
  • False

Question 9

Question
Patient reports neck pain and you take the following notes during your examination: P! c Mid-Range motions, worsens @ End-Range Headache Referred shldr/UE P! (provoked by palpation) Sensitization Sympathetic Involvement What ICF Classification do you suspect?
Answer
  • NP! Move.Coor
  • NP! Radicular UE P!
  • NP! Mobility Deficits
  • NP! Headache

Question 10

Question
Patient reports neck pain and you take the following notes during your examination: P! extends distal to elbow +Spurlings Test +Neck Distraction Test +Median ULTT Ipsilateral Rotation <60-degrees What ICF Classification do you suspect?
Answer
  • NP! Move.Coor
  • NP! Radicular UE P!
  • NP! Mobility Deficits
  • NP! Headache

Question 11

Question
Patient reports neck pain and you take the following notes during your examination: Stiffness, improves c activity Referred P! UE Limited A/PROM, consistently reproduces symptoms @ End-Range What ICF Classification do you suspect?
Answer
  • NP! Move.Coor
  • NP! Radicular UE P!
  • NP! Mobility Deficits
  • NP! Headache

Question 12

Question
Patient reports neck pain and you take the following notes during your examination: Unilateral NP! & Related HA NP! Precedes HA HA from occiput to frontal lobe (Ram’s Horn) Limited Cervical A/PROM c Restricted upper cervical mobility What ICF Classification do you suspect?
Answer
  • NP! Move.Coor
  • NP! Radicular UE P!
  • NP! Mobility Deficits
  • NP! Headache

Question 13

Question
Using the Wainner Cluster, you've determined that your patient has NP! Radicular UE P! (good job!) and you note that their symptoms increase with extension/axial compression. Therefore, you can confidently conclude that they have a Nerve Root Compression.
Answer
  • True
  • False

Question 14

Question
Using the Wainner Cluster, you've determined that your patient has NP! Radicular UE P! (good job!) and you note that their symptoms increase with extension/axial compression. Therefore, you can confidently conclude that they have a Nerve Root Mechanosensitization.
Answer
  • True
  • False

Question 15

Question
Using the Wainner Cluster, you've determined that your patient has NP! Radicular UE P! (good job!) and you note that their symptoms increase with flexion. Therefore, you can confidently conclude that they have a Nerve Root Compression.
Answer
  • True
  • False

Question 16

Question
Using the Wainner Cluster, you've determined that your patient has NP! Radicular UE P! (good job!) and you note that their symptoms increase with flexion. Therefore, you can confidently conclude that they have a Nerve Root Mechanosensitization.
Answer
  • True
  • False
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