Preventing Chronic Disability from Low Back Pain RENAISSANCE ...

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16 APPENDIX A2: FORMS DESIGNED FOR USE IN PROJECT The following 3 forms were designed to: A. assist the medical assessors in the differential diagnosis of LBP B. assess the degree, if any, of resulting disability and C. achieve and maintain consistency. A. DIAGNOSTIC TRIAGE 1. SIMPLE LOW BACK PAIN YES NO ● 20 –55 YRS ❏ ❏ ● L/S region, buttocks and thighs ❏ ❏ ● Mechanical in nature ❏ ❏ ● Patient well ❏ ❏ 2. NERVE ROOT PAIN ● Unilateral leg pain worse than low back pain ❏ ❏ ● Radiates generally to foot or toes ❏ ❏ ● Numbness & paraesthesia in same direction ❏ ❏ ● Nerve irritation signs – SLR restricted ❏ ❏ ● Nerve compression signs – motor, sensory ❏ ❏ or reflex changes
3. POTENTIAL SERIOUS SPINAL PATHOLOGY YES NO ● Age: onset under 20 or over 55 years ❏ ❏ ● Violent trauma relative to age, e.g. fall <strong>from</strong> height ❏ ❏ in young patient or heavy lift by older person with osteoporosis could indicate fractures ● Constant, progressive non-mechanical pain ❏ ❏ ● Thoracic pain ❏ ❏ ● Past history – carcinoma, immune suppression ❏ ❏ (<strong>from</strong> use of steroids, or HIV) ● Systemically unwell, weight loss, infection ❏ ❏ ● Persisting severe restriction of lumbar flexion ❏ ❏ ● Widespread neurological signs & symptoms ❏ ❏ ● Structural deformity ❏ ❏ 3.1 INFLAMMATORY DISORDERS (Ankylosing spondylitis & related disorders) ● Marked morning stiffness ❏ ❏ ● Persisting limitation of spinal movements ❏ ❏ ● Peripheral joint involvement ❏ ❏ ● Iritis, skin rashes (psoriasis), colitis, urethral discharge ❏ ❏ ● Family history ❏ ❏ 17
Page 1: Preventing Chronic Disability from
Page 5 and 6: Preventing Chronic Disability from
Page 7 and 8: Minister’s Foreword Back pain is
Page 9 and 10: legislation, improved ergonomic pra
Page 11 and 12: 5. METHOD In the period January to
Page 13 and 14: 8. RESULTS The incidence of progres
Page 15 and 16: 11. RECOMMENDATIONS Whereas, unilat
Page 17: APPENDIX A APPENDIX A1: DIAGNOSTIC
Page 21 and 22: B. DISABILITY ASSESSMENT: DEGREES O
Page 23 and 24: 7. Unassisted straight leg raising
Page 25 and 26: No. of Recipients 250,000 200,000 1
Page 27 and 28: APPENDIX D PROFILE OF PERSONS MEDIC
Page 29 and 30: % of total 80% 70% 60% 50% 40% 30%
Page 31 and 32: % of total 80% 70% 60% 50% 40% 30%
Page 33 and 34: % of total 60 50 40 30 20 10 Table
Page 35 and 36: % of total 80% 70% 60% 50% 40% 30%
Page 37 and 38: APPENDIX J OUTCOMES OF SUBSEQUENT M

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