Low Back Pain

Low Back Pain

Acute Pain (<12 weeks)

No Symptoms Distal to the Knee
Recent Onset of Symptoms (<16 days)
Low FABQ Score (<19)
Hypomobility of the lumbar spine with PA testing
Hip Internal Rotation >=35 degrees for at least 1 hip

Symptoms Distal to the Buttock
Symptoms Centralize with Extension
Symptoms Peripheralize with Flexion
Patient Prefers Extended Postures

Over Age 50
Imaging of Lumbar Spinal Stenosis
Prefers Flexion

Lateral Shift
Preference for positions in lateral shift

Younger than 40
Hypermobile
Positive Prone Instability Test
Instability Catch / Aberrant Movements

Reference:

http://vompti.com/wp-content/uploads/2014/04/Subgrouping-Patients-With-Low-Back-Pain-Evolution-of-a-Classification-Approach-to-Physical-Therapy_Fritz_Cleland.pdf

Chronic Pain (>12 weeks)

Lumbar Spine
1) Lumbar Flexion Syndrome
2) Lumbar Extension Syndrome
3) Lumbar Rotation Syndrome
4) Lumbar Rotation with Flexion Syndrome
5) Lumbar Rotation with Extension Syndrome

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s