Please enable JavaScript.
Coggle requires JavaScript to display documents.
Non Specific Chronic Low Back Pain (White Hat - Facts - What is known or…
Non Specific Chronic Low Back Pain
Blue Hat -Priorities, depth or resources needed to manage
Important to identify typical manual therapies for CNSLBP
Manual therapies such as massage, manipulation, mobilization
Frequency, time, repetition
Important to identify typical exercise prescription for CNSLBP
General exercise, specific stretches, strengthening, postural exercise
Yellow Hat - New ideas and incorporation
New information will help in subjective and objective assessment approach of patients with CNSLBP
New information will help to guide treatment for either manual therapy, exercise based or both
Use of objective measures from learning can be adopted and used in practice
Expected outcomes dependent on patient presentation will be presented from study and help with guiding progression of patients with CNSLBP
Red Hat - Thoughts and feelings
Personal approach to treating CNSLBP leans towards exercise therapy with self maintenance
Through experience patients often present with hypersensitivity and are not suitable for manual therapy
Have found decrease in symptoms from patients who perform self managed HEP but have noted a high FTA rates and patients not performing HEP.
Have found that patients with CNSLBP have other complications or complaints in regards to pain in other areas of body.
Green Hat - Creativity
Is the approach to both manual therapy and exercise combined a better approach to CNSLBP
Does pschological issues effect response to exercise treatment
Does how the treatment is expressed to the patient effect treatment response
Should more time be instilled in advice and education when dealing with patients with CNSLBP
Black Hat - Links to difficulty
Difficulty determining true presentation of CNSLBP
Hypersensitivity
May not respond to therapy due to heightened pain response
Underlying musculoskeletal pathology
May require further investigation and refer on
How to determine
Increased risk of patient not performing HEP if not supervised - how to best manage HEP
May present with increased yellow flags reducing impact of treatments
White Hat - Facts - What is known or needs to be known
Highly Researched Musculoskeletal disability for patients of all ages
Pain often more prevalent due to previous traumatic experience
Presents as pain with no clear Physiological presentation or pattern for disability
Increase in presentation with yellow flags
Often presents with hypersensitivity or increase in CNS response
Often treated with an exercise based approach with self-management with good evidence to support findings
Patients often report manual handling is a sought after treatment and provides decrease in pain for short periods.
Patients hold a thought fear that hurt equals harm.