Howard maple leaf: recovery
After decades of rapid development, modern western medicine has entered the era of evidence-based medicine. Compared with previous empirical medicine, evidence-based medicine has solid evidence and is easy to spread and learn. Let's take a look at what resources are available in Canada to promote low back pain prevention and treatment.
The first is the level of family doctors (Canada has a hierarchical medical system). They are the first medical staff to contact patients, and they need to conduct the initial diagnosis of patients, which naturally causes great pressure. It is also said to be the medical group with the highest complaint rate. Therefore, the provincial health education departments attach great importance to the continuing education and training of family doctors. Take alberta as an example. The mission of top(towards optimized practice) is to help family doctors better follow evidence-based medical evidence and improve patient satisfaction. The organization collates and provides evidence-based medical evidence for a variety of diseases and produces brochures for health care workers or patients. The old editor felt that the foreign materials made by the meticulous novel, it is worth the domestic peer learning. Take a look at what they have to offer about low back pain.
1) evidence-informed primary care management of low back pain
2) evidence-informed primary care management of low back pain (guideline)
3) management of psychosocial yellow flags (tools)
4) clinical assessment of psychosocial yellow flags (tools)
A) introduces the examination process and Outlines the major steps and key considerations inspection process and the main steps and critical thinking
A) viewers through the examination in detail
C) reviews the examination, ignore key elements and ignore key elements
The second is a variety of materials for patients including:
1) patient pain manual for patients suffering from acute back pain
2) patient handout chronic low back pain manual
A) what to do with acute low back pain? Get back at it! How should acute lumbar backache attack do?
B) living well with chronic low back pain
C) self-management for chronic pain
4) teaching for back pain (Chinese)
Finally, training courses for specialist staff such as physiotherapists
CPA (Canada physiotherapy association) offers extensive online training courses (see figure 1), mainly for evidence-based medicine, while for practical methods, physiotherapists have to sign up for various kinds of physiotherapy courses at work and pay for them at their own expenses. An online continuation course for back pain, for example, consists of four blocks and six weeks of self-study (figure 2)
1. Section one: lumbar spine anatomical and functional anatomy and function lumbar spine
2. Section two: lumbar the conditions lumbar disease
3. Section three: lumbopelvic examination
Section four: LBP management of back pain
The specific contents are not one by one, just the first module as an example. There are three test such as on lumbar spine anatomy, everybody can do so, can do a few?
1. The body of a typical lumbar vertebra is larger than cervical or thoracic vertebra with a transverse diameter greater than the anteroposterior diameter and greater than the height, according to is this? The typical lumbar vertebrae in human body are all larger than the cervical vertebra and lumbar vertebra, showing that the transverse process radius is much larger than the anterior and posterior radius and the height of vertebrae is thicker. Why? (radio)
A) it must for allowing large ranges of movement into flexion and extension.
B) the vertebral bodies happens in size as they go from cervical to lumbar areas. From the cervical vertebra to the lumbar spine, vertebral body size has been increased.
C) it needs to support compressive loads under caused by body weight, the ground reaction forces and muscle contraction. The need for weight loss, the ground reaction force and muscle contraction force caused by extrusion load support
D) the vertebral body must be large to accommodate the space that the spinal cord. The requires to have greater vertebral bodies to give the space required for the spinal cord
2. The collagen fibres of adjacent lamellae in the anulus fibrosus are orientated in opposite directions at 120 degrees to each other. According to is this? Why the collagenous fibers between adjacent lamellar layers in the annulus fibrosus are 120 to each other? Reverse distribution? (radio)
A) it makes it strong enough to keep the nucleus pulposus in place
C)it allows the disc to be compressed without damage
C) it enables the anulus fibrosus to resist tensile forces in a medio – lateral direction. The tension of fiber ring can resist lateral direction.
D) it enables the anulus fibrosus to resist tensile forces in nearly all directions. It can make the fiber ring tension resistance to almost all direction
3. Over the orientation may than, the majority of facet joints in the lumbar spine have a curved structure that is biplanar in orientation, The anterior aspect is in the frontal plane and the posterior aspect is closer to the sagittal plane. Which of the following statements is true about the facet joints? Although the direction may vary, most facet joints of the lumbar spine are biplane curved, with the frontal plane in front and the sagittal plane behind. Which of the following statements about facet joints are true? (pops)
A)the frontal orientation allows a great range of flexion and extension.
B) the sagittal orientation provides to hold to rotation. Rotation resistance sagittal direction
C) the frontal plane orientation provides resistance to front shear.
D) the sagittal orientation allows a great range of flexion and extension, in the sagittal direction allows a wider range of flexing and stretching.
E) the biplanar orientation protects the intervertebral disc. The structure of the double planar protect the intervertebral disc.