Treatment-based classification (TBC) approach to low back pain describes the model whereby the clinician makes treatment decisions based on the patient's clinical presentation. The primary purpose of the TBC approach is to identify features at baseline that predict responsiveness to four different treatment strategies.
What is the treatment-based classification approach for back pain?
Treatment-based classification approach to low back pain describes the model whereby the clinician makes treatment decisions based on the patient's clinical presentation. The primary purpose of the TBC approach is to identify features at baseline that predict responsiveness to four different treatment strategies.
What is the TBC model of treatment?
Treatment-based classification (TBC) approach to low back pain describes the model whereby the clinician makes treatment decisions based on the patient's clinical presentation. The primary purpose of the TBC approach is to identify features at baseline that predict responsiveness to four different treatment strategies.
What are the 4 categories of physical therapy?
The original classification involved classifying the patient into one of four categories of treatment: "manipulation", "stabilization", "specific exercise" or "traction". These have since been update and modified.
What is the treatment of a particular impairment?
The treatment of a particular impairment does not mean ignoring other impairments; that is, if a patient has flexibility and motor control impairments, the rehabilitation specialist should emphasize flexibility exercises in the earlier sessions of treatment, with the possibility of addressing some aspects of the motor impairments.
What is TBC in physical therapy?
Abstract. The treatment-based classification (TBC) system for the treatment of patients with low back pain (LBP) has been in use by clinicians since 1995. This perspective article describes how the TBC was updated by maintaining its strengths, addressing its limitations, and incorporating recent research developments.
What is a classification of back pain?
Back pain is classified in terms of duration of symptoms. Acute back pain lasts <6 weeks. Subacute back pain lasts between 6 and 12 weeks. Chronic back pain lasts for greater than 12 weeks.
What is a classification of back pain based on duration?
Low back pain may be classified by duration as acute (pain lasting less than 6 weeks), sub-chronic (6 to 12 weeks), or chronic (more than 12 weeks). The condition may be further classified by the underlying cause as either mechanical, non-mechanical, or referred pain.
What is non specific low back pain?
Non-specific low back pain is defined as low back pain not attributable to a recognizable, known specific pathology (eg, infection, tumour, osteoporosis, lumbar spine fracture, structural deformity, inflammatory disorder,radicular syndrome, or cauda equina syndrome).
What are the 3 categories of back pain?
3 Types of Back Pain and What They MeanAcute Pain. Acute pain, or short-term pain, can last anywhere from a day up to four weeks. ... Subacute Pain. Subacute pain lasts anywhere from four to 12 weeks. ... Chronic Pain. Chronic pain lasts longer than 12 weeks.
How do I know if I have lower back pain muscle or disc?
Your spinal disc is at the bottom of your back, so if you have pain in your lower back, you may assume it is a slipped disc. Furthermore, the feeling of pain will differ between the two. Muscle pain will feel like post-workout soreness, while disc pain will feel debilitating and tingly.
What is the difference between mechanical and non mechanical pain?
An example is a back muscle strain due to an athletic injury or other trauma. Nonspecific back pain is typically mechanical in nature, in that it is brought on when the spine moves. Muscle imbalances and wear and tear on joints over time may contribute to mechanical pain.
What is the difference between acute subacute and chronic?
Chronic pain is pain that has been present for more than 3 months (Merskey 1979; Merskey and Bogduk 1994). Subacute pain is a subset of acute pain: It is pain that has been present for at least 6 weeks but less than 3 months (van Tulder et al. 1997).
What does acute and subacute mean?
Acute is defined as less than 1 month of symptoms, whereas subacute refers to more than 1 month of symptoms but less than 3 months.
How do you know if your back pain is mechanical?
The key characteristics of mechanical back pain are:Acute pain (pain lasting less than 4 to 6 weeks)Localized pain in the lower back that may radiate to other parts of the body, such as the legs.Lower back spasms.Symptoms that are more noticeable when lifting heavy objects or bending forward.More items...•
What percentage of LBP is non specific?
Introduction. The lifetime prevalence of low back pain (LBP) in industrial countries is at 84% (Hildebrandt et al., 2004). Approximately 85% of such back pain is classified as non-specific, which means that no structural change, no inflammation and no specific disease can be found as its cause (O'Sullivan, 2005).
What is chronic low back pain?
Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year.
Staging 6
Perhaps the most important aspect of identifying the best interventions for our patients is first properly “staging” them based on their symptoms and function.
Manipulation
To effectively use thrust manipulations, identifying the patients most likely to respond favorably is important. Following the current Clinical Prediction Rule (CPR) 7, which identifies 5 variables to assess, may be the best way to do that.
Stabilization
This is the category I most closely associate with the MSI approach I was taught in school; mostly based on the lower abdominal stabilization progression popularized by Dr. Shirley Sahrmann.
Direction Specific
While the “direction specific” category is not explicitly the McKenzie approach, for all intents and purposes that is what we’re talking about here.
What is TOAST classification?
The TOAST classification system describes five major stroke subtypes including large vessel atherosclerotic disease (LAA), small vessel occlusion (SVO), cardioembolic (CE), other determined cause, and incomplete evaluation. 4 Using this system, a model was developed and validated to predict the most likely stroke subtype given the diagnostic evaluation. 5 Different vascular territories typically segregate with specific stroke subtypes, for example internal carotid artery (ICA) territory strokes are commonly due to LAA, vertebrobasilar territory are associated with SVO, whereas CE strokes are common in the superior cerebellar artery (SCA) distribution.4
What are the different types of TIA?
These categories are cardioembolism, large-artery atherosclerosis, small-artery (lacunar) occlusion, stroke of other determined etiology, stroke of undetermined etiology, and events of multiple possible etiologies. The first four categories are also subdivided into probable or possible. Strokes in the undetermined group are classed as either completely or incompletely evaluated. The last category accommodates those in whom more than one established cause is present.
How much of clinical decisions involve laboratory results?
It has been roughly estimated that approximately 70% of all major clinical decisions involve consideration of laboratory results. In addition, approximately 40–94% of all objective health record data are laboratory results [1–3]. Undoubtedly, accurate test results are essential for major clinical decisions involving disease identification, classification, treatment, and monitoring. Factors that constitute an accurate laboratory result involve more than analytical accuracy and can be summarized as follows:
