Document Detail

Classification, intervention, and outcomes for a person with lumbar rotation with flexion syndrome.
MedLine Citation:
PMID:  15794704     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: The purpose of this case report is to describe the classification, intervention, and outcomes for a patient with lumbar rotation with flexion syndrome. CASE DESCRIPTION: The patient was a 22-year-old man with a medical diagnosis of low back strain. Impairments in lumbar flexion and right rotation and lateral bending were identified. Daily activities and positions associated with these actions were associated with increased low back pain (LBP). Instruction focused on modifying lumbar rotation and flexion movements and alignments in daily activities. Exercises to address the direction-specific impairments were prescribed. OUTCOMES: The patient participated in 4 visits and completed a questionnaire 1 year after intervention. The patient reported a decrease in symptoms, disability, and frequency of recurrences. DISCUSSION: Repetition of specific strategies (alignment and movement) during activities may result in specific impairments that contribute to LBP. Modification of the strategies and exercises to change contributing factors are proposed to help alleviate symptoms, disability, and recurrences.
Linda R Van Dillen; Shirley A Sahrmann; Joanne M Wagner
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Physical therapy     Volume:  85     ISSN:  0031-9023     ISO Abbreviation:  Phys Ther     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-03-29     Completed Date:  2005-05-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  336-51     Citation Subset:  AIM; IM    
Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, St Louis, MO 63110, USA.
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MeSH Terms
Activities of Daily Living
Low Back Pain / classification*,  physiopathology,  rehabilitation*
Lumbar Vertebrae / physiopathology*
Movement / physiology
Patient Education as Topic
Physical Examination
Physical Therapy Modalities*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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