Libby,
here is an excellent site that will tell you all about Yellow flags and more
www.nzgg.org.nz/library/gl_complete/backpain2/
Di Howell
Physio
Libby MacGregor wrote:
> Dear List
> At risk of being shot down or atleast regarded as stupid, could someone
> please explain where the term Yellow Flags came from and exactly what they
> are?
> Many thanks
> Libby
> ----- Original Message -----
> From: crm3a <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Saturday, March 25, 2000 7:59 AM
> Subject: Re: Yellow flags - how to use them
>
> > Just to muddy the waters abit....
> >
> > The idea of yellow flags is all very well and another nice theory that we
> > have become fond of in the last few years. Interestingly enough the kappa
> > value for Waddells signs of nonorganic back pain have been listed as low
> as
> > .3 . This is about the same as having little or no agreement between
> > examiners. If the test is unreliable what action should you be taking
> with
> > respect to your patients?. Perhaps we are playing "pop psychologist" and
> we
> > should think twice about the validity of using these guidelines to
> influence
> > patient care.
> >
> > Cheers, Ross.
> >
> >
> > ----- Original Message -----
> > From: Paul Sumner <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Friday, March 24, 2000 7:15 AM
> > Subject: Re: Yellow flags - how to use them
> >
> >
> > > Carol,
> > > Have you directed your colleagues to the excellant articles, that cover
> > some of these fears/questions that you described, in Physiotherapy vol 85,
> > No 10.October 1999 "Psychosocial assessment.& ""Back pain"- assessment of
> > psychological distress in patients with LBP.
> > >
> > > >>> Carol David <[log in to unmask]> 03/10/00 06:08PM >>>
> > > Along the lines of spinal psychology - my acute OPD colleagues are
> > > starting to get very interested in yellow flags here and aim to prevent
> > > their patients ending up on my chronic pain management books.
> > > They seem to assume I know all about it as I work with a psychologist,
> > > but I haven't a clue when it comes to acute stuff.
> > >
> > > So a few questions from them -
> > >
> > > 1. If you have an acute patient, and you're identifying yellow flags,
> > > what do you do about it - apart from realising that your patient is not
> > > going to be "cured" in a hurry?
> > >
> > > 2. Also, does anyone have any ideas about how to screen for patients who
> > > need more than the usual acute OPD treatment without subjecting them to
> > > a battery of psychological tests? We're looking into a flow chart which
> > > involves various questionnaires at various stages of a patient's
> > > progress, but so far it looks like they're going to spend more time
> > > analysing the paperwork than treating the patient (who is going to spend
> > > more time filling in questionnaires than they spend with the physio.)
> > >
> > > 3. The other issue is that staff are a bit concerned about becoming
> > > "amateur psychologists" and feel that standard physio training doesn't
> > > adequately equip them to deal with some of the issues. Should we be
> > > saying that junior physios shouldn't treat backs because of the complex
> > > psychology of back pain, and they could be doing more harm than good by
> > > perpetuating fear of movement etc? or is there a quick way to get the
> > > important information over to them so they treat their patients more
> > > effectively earlier in their career?
> > >
> > > Sorry if this sounds a bit woffly but acute practice isn't my forte, and
> > > I know that some of you out there are experts in this sort of thing.
> > >
> > > Regards,
> > >
> > > Carol David
> > >
> > >
> >
> >
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