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Recommendations For Preventing And Managing Mechanical Low Back Pain With Occupational Therapy Clients

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1.  Low back pain affects approximately what percentage of the population? 25-30% 50-60% 75-80% 90-95%

2.  A herniated disc at the lumbar level can cause ___________________, a condition where lateral compression of a nerve root leads to pain, weakness, or sensory changes everywhere in the body. Plexopathy Radiculopathy Myelopathy Neuropathy

3.  According to AOTA, all of the following are back pain interventions that are supported by moderate to strong evidence (research) EXCEPT: Therapeutic exercise Use of lumbar braces Postural education Joint protection strategies

4.  A postural assessment that involves following landmarks to detect asymmetries is A numeric pain scale The COPM A workplace assessment A plumb line

5.  When screening lumbar range of motion, "normal" ROM for lumbar extension is approximately: 30-50 degrees 15-25 degrees 10-15 degrees 5 degrees or less

6.  When evaluating your patients with low back pain, posture should be assessed as your patient is completing which of the following? Sitting Lifting Sleeping All of the above

7.  While sleeping, what recommendations might you provide to your patient who is having complaints of low back pain? Sleep in prone Sleep in a reclining chair Sleep with a pillow between the knees Sleep with extra pillows beneath the head

8.  What is one lifting strategy to reinforce with patients with low back pain? Hold heavy objects further away from the body Contract core musculature when lifting to stabilize the lumbar region Hyperextend the lumbar region to offload stressful forces Rotate the lumbar region while lifting to maintain mobility

9.  All of the following are appropriate equipment recommendations for patients with low back pain who have work responsibilities that require prolonged standing EXCEPT: Stand on an ergonomically-sound mat Alternate placing one foot on a higher surface Work at a height-adjustable table/station Wear footwear that shifts body weight forward

10.  All of the following are appropriate recommendations for patients with low back pain who have work responsibilities that require prolonged sitting EXCEPT: Use a lumbar roll to encourage normal spine curvature Sit with legs extended out in front Sit with legs at 90-90-90 Avoid crossing legs as able