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Weebiy week que AcHvity
eral Gueshors
e
at hom Vv
Aesessnient On partner
Yellow Flags Oe
& How 'S everyting
and work 7/ 0° YO5 eu
adel et al ui ;
‘Waddell et a (1993) + How do you view sick overcise)
Here are ome fe hngs which oer pains ave fold ws about hes pin Foreachsttement lense (neil physical, ae
ciecanimis i 0 omc yc sheng, ine wai Z secial life WKE
sania wea ra
awhats your s)v
= Sa “tate Edeir,o 028)
=” sno yellow tOS>
es eorerere ; 8 io 1 Questions
cy a ce aaa 7c vO
Sef i} $ Red Flags Gene
economia PE any weight 1055,
“The following statements are about how your normal work affects or would affect your back pain
‘Uaswe
‘Completely night sweats ,
se” Night pain,
‘
6 yp cmd yy we ery an ace a wa on text tO
: g pain not vela
a : Movement?
Tear wold ma Be ere aiaroe
~NO Red Fags neteol
oot hak hat Iwill ever be able og bck that werk.
Sci :
SO cacaridece tle soot wak—iea 609. u.12.15. Fear Avoidance
ae pebets at work present
‘Scale 2: fear-avoidance beliefs about physical
Source: Gordoa Waddell, Mary Newton Ii Heodersa, Douglas Semerille and Chis J Min, A Fas Avoidance Beliefs
Gee FAB) ed hel oer oc em co ck a sly, Pm 2,099) 157-18,
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2. Distractons (Supine vs Seateel Ste)? No
Waddell Siqns LBP none present
1 Supevficig) or ron-anatornical tenolerness? NO 4. Regional Disturbances (SMR)? No
5. Over reaction? \\o
3 Simulanen of pain with Axial leading? xoRe :
Red Flags (Face, Cancer, Infection, (auda equine )
Fever, Chills, recent in infection,
paclevial infechior? x
¥ Unvelenng Night pain) x
4 meaningful Wauma Vy
4 History of Osreqporcs!s ry
A fyogyessive motor or Sensory det
Xaddle anaestnesia, bilateral Sciatica
uvinating, fecal incontinence? x
& Unerplained woight 1055?
{ Yistovy or Strong Suspicion of canter? ,.
winary rack infection or SK
ict? x
ov leg weakness, difficulty
4 Immungsuppression>
& Intravenous dvug Use ? y
% Ciwonic oval Steroid use>v
x Supsrance Abuse? “
k ‘
Failure to improve after six weeks of Gnservahve therapy OePIOPSYChosccal Assessment
Weebly week two Acti ty
Yellow Flag Form
Scoring
Low risk of chronic disability - <55 points
Moderate risk of disability 55-5 points
High risk of chronic pain and disability
>65 points
Total Score = 25 *. Low Risk
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