پاورپوینت کامل Low Back Pain 33 اسلاید در PowerPoint

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پاورپوینت کامل Low Back Pain 33 اسلاید در PowerPoint

اسلاید ۴: Diagnosis and Treatment of پاورپوینت کامل Low Back Pain 33 اسلاید در PowerPoint: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society Clinicians should conduct a focusedhistory and physical examination to help place patients with ow back pain into 1 of 3 broad categories: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis,back pain potentially associated with another specific spinal cause. The history should include assessment of psychosocial risk factors, which predict risk for chronic disabling back pain

اسلاید ۵: Assessment of LBPRule out serious pathology ‘Red Flags’Confirm that the pain:Is in the lower back – always assess the hip jointIs mechanical — aggravated or relieved by certain movements or postures.Is not inflammatory — that is:Not worse in the second half of the night or after waking.Not associated with morning stiffness lasting more than 30 minutes.Not relieved by activity.Not associated with laboratory tests for inflammationExclude specific causes of low back pain

اسلاید ۶: Classification of LBPConventionally low back pain is categorised according to its duration as: acute (<6 weeks), sub-acute (6 weeks – 12 weeks)chronic (>12 weeks) (Spitzer, W. O. and Leblanc, F. E., 1987).

اسلاید ۷: Copyright ©۲۰۰۲ BMJ Publishing Group Ltd.Main, C. J et al. BMJ 2002;325:534-537No Caption Found

اسلاید ۸: Red FlagsRed flags for the cauda equina syndrome include: Saddle anaesthesia. Recent onset of bladder dysfunction or faecal incontinence. Major motor weakness.Red flags that suggest spinal fracture include: Sudden onset of severe central pain in the spine which is relieved by lying down. Major trauma such as a road accident or fall from a height. Minor trauma, or even just strenuous lifting, in people with osteoporosis. Structural deformity of the spine.Red flags that suggest cancer or infection include: Onset in a person over 50 years, or under 20 years, of age. History of cancer. Constitutional symptoms, such as fever, chills, or unexplained weight loss. Intravenous drug abuse. Immune suppression. Pain that remains when supine; aching night-time pain disturbing sleep; and thoracic pain (which also suggests aortic aneurysm).

اسلاید ۹: Yellow FlagsYellow flags are psychosocial barriers to recovery. They include:The belief that pain and activity are harmful. Sickness behaviours, such as extended rest. Social withdrawal, lack of support. Emotional problems such as low or negative mood, depression, aپاورپوینت کامل Low Back Pain 33 اسلاید در PowerPointiety, or feeling under stress. Problems or dissatisfaction at work. Problems with claims for compensation or applications for social benefits. Prolonged time off work (e.g. more than 6 weeks). Overprotective family. Inappropriate expectations of treatment, such as low expectations of active participation in treatment.

اسلاید ۱۰: ExaminationObservation + Tip