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    cp1 w2 Tutorial

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    This document provides information on the biopsychosocial model and assessing patients for red and yellow flags. It lists examples of red and yellow flags, how they can affect treatment and prognosis. It describes Waddell signs which are indicators of non-organic pain behaviors. The document also provides examples of case studies for different conditions like neck pain, whiplash, lower back pain, and hip injury. It lists potential red and yellow flags to assess, appropriate tests and measures, strategies for addressing fear avoidance and providing reassurance, and functional goals for treatment.

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    cp1 w2 Tutorial

    Uploaded by

    api-508474347
    71 views6 pages
    This document provides information on the biopsychosocial model and assessing patients for red and yellow flags. It lists examples of red and yellow flags, how they can affect treatment and prognosis. It describes Waddell signs which are indicators of non-organic pain behaviors. The document also provides examples of case studies for different conditions like neck pain, whiplash, lower back pain, and hip injury. It lists potential red and yellow flags to assess, appropriate tests and measures, strategies for addressing fear avoidance and providing reassurance, and functional goals for treatment.

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    cp1 w2 tutorial

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    This document provides information on the biopsychosocial model and assessing patients for red and yellow flags. It lists examples of red and yellow flags, how they can affect treatment and prognosis. It describes Waddell signs which are indicators of non-organic pain behaviors. The document also provides examples of case studies for different conditions like neck pain, whiplash, lower back pain, and hip injury. It lists potential red and yellow flags to assess, appropriate tests and measures, strategies for addressing fear avoidance and providing reassurance, and functional goals for treatment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    71 views6 pages

    cp1 w2 Tutorial

    Uploaded by

    api-508474347
    This document provides information on the biopsychosocial model and assessing patients for red and yellow flags. It lists examples of red and yellow flags, how they can affect treatment and prognosis. It describes Waddell signs which are indicators of non-organic pain behaviors. The document also provides examples of case studies for different conditions like neck pain, whiplash, lower back pain, and hip injury. It lists potential red and yellow flags to assess, appropriate tests and measures, strategies for addressing fear avoidance and providing reassurance, and functional goals for treatment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    CP1 – Week 2 Tutorial

    Biopsychosocial Model

    List some red flags List some yellow flags


    Cauda equina syndrome Diabetes – slow wound healing
    Unexplained weight loss Stress
    Jaundice Anxiety
    Hypothyroidism Depression
    Non-mechanical nocturnal pain Chronic pain
    Cancer Poor coping skills
    Chronic drug uses Difficulty at work or home
    Previous history of receiving worker’s
    compensation

    Why are these important? How do they affect treatment and prognosis of the patient?
    Yellow flags can affect prognosis to be poor – more visits might require to achieve the goal

    What are Waddell signs?


    1) Superficial or nonanatomic tenderness—widespread sensitivity to light touch in the lumbar
    region and pain referred to other areas such as thoracic, sacrum, or pelvis.

    2) Simulation—axial loading (light pressure to the skull should not significantly increase low back
    pain. Passive rotation of the shoulders and pelvis together in a standing patient should not
    reproduce low back pain.

    3) Distractions—difference of 40 to 45 degrees between the supine and seated straight leg raising
    tests.

    4) Regional disturbances—sensory or motor disturbance (“giving way”) that is not neurologically


    correlated.

    5) Overreaction—inappropriate overreaction such as guarding, limping, rubbing the affected area,


    bracing oneself, grimacing, or sighing are all signs of illness behavior.
    How do these affect treatment and prognosis of the patient?
    Even just two signs of Waddell evaluation can be correlated with more depressive and anxiety
    symptoms. Underlying psychological distress can affect prognosis to be poor.

    Have a look at the Waddell questionnaire.

    What information does the questionnaire give us?


    What do you think is good about it?
    Is there anything missing or any disadvantages of this questionnaire?
    Case Studies:
    Neck pain

    Potential red/yellow flags Tests/outcome measures Fear Avoidance/Reassurance Functional Goals


    Any cardiovascular signs To rule out red flags Tissue sparing exercise Improve ROM

    Left sided neck and shoulder Screen yellow flags Stretching away from the painful side Improve ADL
    pain accompanied by chest pain
    Neck flexion movement pattern Reactivation exercise
    Pain referring to the L) upper
    extremity

    Age <40

    Whiplash

    Potential red/yellow flags Tests/outcome measures Fear Avoidance/Reassurance Functional Goals


    Fracture CT scan Tissue sparing exercise Improve ROM
    Mechanism of injury
    Concussion Stretching away from the painful side Improve ADL
    Neurological deficits
    Haemorrhage Reactivation exercise Back to work
    Self-harm related injury
    Lower back pain

    Potential red/yellow flags Tests/outcome measures Fear Avoidance/Reassurance Functional Goals


    AAA – Age AAA test Tissue sparing techniques
    Metastases – bowel Vitals Cat-Camel
    Metastatic prostate cancer Biochemistry assays Getting out of the bed
    Unexplained weight loss Imaging Sitting on the chair and getting up
    Compression fracture Improve ROM
    Osteopenia Orthopaedic test Strengthening and conditioning
    Spondylolisthesis Pain scale Quadraped bird-dog
    Spina bifida occulta ADL Hip hinge
    Manual handling techniques

    Widespread pain
    Previous Hx of back pain
    Anxiety and depression
    Job dissatisfaction
    Low expectation of recovery
    Receiving compensation

    Hip Injury

    Potential red/yellow flags Tests/outcome measures Fear Avoidance/Reassurance Functional Goals


    Headaches

    Potential red/yellow flags Tests/outcome measures Fear Avoidance/Reassurance Functional Goals

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