The Vest is used to :

A 77-year-old man presents with a 3-month history of progressively worsening right hip pain that now intermittently radiates into the lateral thigh and down to the foot. The patient’s referral is for right hip pain, with radiographs showing no fracture but moderate joint space narrowing. He reports the pain began as a deep ache in the hip but has recently been accompanied by intermittent numbness along the dorsum of the foot. He also feels weaker when stepping up onto curbs. Although he remains active with woodworking and gardening, he has begun avoiding lifting and prolonged walking due to his symptoms. On examination, his low back pain is reproduced with lumbar active range of motion. Right foot tingling increases with repeated lumbar extension and is relieved with lumbar flexion. He has a positive slump bilaterally, with decreased motion on the right compared to the left. He also reports concordant right hip pain during passive hip flexion, internal rotation, and external rotation. You defer the FADIR test because its component motions are already provoked. Knee active range of motion with overpressure is full and pain-free. Which region should be further investigated during your tests and measures to help clarify the diagnosis and guide your interventions?

An 85-year-old female presents to your clinic with a primary complaint of right hip pain. She has been referred from her primary care physician. She has had no recent trauma or falls. She takes anti-hypertensive medication and has diet controlled diabetes but is otherwise self-reported as “healthy as a horse.” Her hip pain has been present for many years but has recently gotten worse. She reports that it has begun to interfere with her ability to clean her house, go on walks with her dog, and volunteer at the soup kitchen where she loads the shelves with donated canned goods. Her only other report, during your thorough questioning, is that she used to play competitive baseball and was a “star pitcher” with The Rockford Peaches in The All American Girls Professional Baseball League from 1952-1954. Lumbar screening as part of systems review for this patient includes:

A 77-year-old man presents with a 3-month history of progressively worsening right hip pain that now intermittently radiates into the lateral thigh and down to the foot. The patient’s referral is for right hip pain, with radiographs showing no fracture but moderate joint space narrowing. He reports the pain began as a deep ache in the hip but has recently been accompanied by intermittent numbness along the dorsum of the foot. He also feels weaker when stepping up onto curbs. Although he remains active with woodworking and gardening, he has begun avoiding lifting and prolonged walking due to his symptoms. On examination, his low back pain is reproduced with lumbar active range of motion. Right foot tingling increases with repeated lumbar extension and is relieved with lumbar flexion. He has a positive slump bilaterally, with decreased motion on the right compared to the left. He also reports concordant right hip pain during passive hip flexion, internal rotation, and external rotation. You defer the FADIR test because its component motions are already provoked. Knee active range of motion with overpressure is full and pain-free. Which region should be further investigated during your tests and measures to help clarify the diagnosis and guide your interventions?

 The Vest is used to :

The patient is a 29-year-old male with a two-week history of right calf pain. He reports increased calf pain with prolonged sitting and with lumbar flexion in standing, and decreased calf pain—with increased low back pain—during repeated lumbar extension in standing and prone. A straight-leg raise is positive on the right. You have prescribed the exercise shown in the attached image, instructing the patient to repeatedly bend and straighten his elbows to extend the lumbar spine and then return to lying flat. Based on this presentation, which additional intervention is MOST likely indicated for his plan of care?

Which of the following should be charted after completing a postural drainage treatment? I.    Amount and consistency of sputum produced II. Patient tolerance of procedure III. Position(s) used (including time) IV. Any complications observed

Which of the following should be considered when selecting a bronchial hygiene strategy? Patient’s goals, motivation, and preferences Effectiveness and limitations of technique or method Patient’s age, ability to learn, tendency to fatigue Need for assistants, equipment, and cost

Proper instruction for a post-op appendectomy patient receiving incentive spirometry therapy would include: 1.         Deep inspirations 2.         Inspiratory hold 3.         Strong cough effort 4.         exhale as forcefully as possible

A 48-year-old male has chronic LBP for 2 years. He believes his spine is “fragile,” avoids exercise, and has no red flags. Which key pain neuroscience education message should be emphasized?