Term
| What is another term for malingering? |
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Definition
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Term
| What are some non-organic physical signs? |
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Definition
| When identified, reasonable rehab and vocational goals are not likely to be achieved if pt's motivation is not well understood. May require psychosocial exam. |
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Term
| Operate on a pt, not a __ |
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Definition
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Term
| Name 5 categories of back pain. If pt is positive in 3 of the 5, they are a symptom magnifier. |
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Definition
Tenderness
Simulation "my lawyer says.."
Distracting Pt
Regional Disturbances
Over Reaction |
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Term
| Name 2 types of tenderness. |
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Definition
Superficial (palpation)
Non-anatomic (be careful not to be over trigger point areas) |
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Term
| Name 3 types of simulation techniques. |
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Definition
Axial loading (compression)
Rotation
PF-DF Tests |
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Term
| If person is a symptom magnifier if compression in the c-spine causes pain where? |
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Definition
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Term
| A person if a symptom magnifier if knees and hips are at 90 and DF/PF of the foot causes pain where? |
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Definition
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Term
| Name 2 ways to distract the pt |
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Definition
SLR to check the knee
- If SLR in supine hurts at 30, then sit pt up, tell them your are gonna check their knee and do a SLR in sitting.
Muscle testing |
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Term
| Name 2 types of regional disturbances |
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Definition
Weakness - in a cogwheel fashion
Sensory - if they can't feel the leg all the way around, then its not consistent with dermatomes |
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Term
| Name 3 other ways to test for a symptom magnifier |
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Definition
Computerized back testing
Computerized work simulation
Functional capacity evaluation |
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Term
| Name 4 ways in which the malingerer may demonstrate over-reaction |
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Definition
- Disproportionate verbalization (scream)
- Facial expressions (grimacing)
-Pain Rated at "25" on 1-10 scale VAS
-Pain Rated at "10" when sitting in no obvious distress |
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