Which Patients with Low Back Pain will Respond to a Stabilization Exercise Program?
When treating patients with low back pain, it is sometimes difficult to predict who may benefit from a lumbar stabilization exercise program. Researchers have come up with a list of prediction rules that can help with a physical therapist's decision. Over time, the overall reliability and validity of these rules will be proven to a greater degree.
These clinical prediction rules include:
- age less than 40
- history of frequent prior episodes, with increasing frequency
- frequent manipulation resulting in short-term dramatic results
- history of trauma or spinal surgery
- pregnancy related lumbo-pelvic pain
- radiographic diagnosis of spondylolysis or spondylolisthesis
- reports of "catching" pain and/or painful arc on forward bending or when lifting
- "thigh climbing" upon returning from forward bending
- general hyper-mobility during passive intervertebral motion testing
- reports of feeling "unstable" in the spine during functional activities or when lifting
- straight leg raise test bilaterally greater than 90 degrees
- positive prone instability test
Hicks, Fritz, Delitto, McGill. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005 Sep;86(9):1753-62.
These clinical prediction rules include:
- age less than 40
- history of frequent prior episodes, with increasing frequency
- frequent manipulation resulting in short-term dramatic results
- history of trauma or spinal surgery
- pregnancy related lumbo-pelvic pain
- radiographic diagnosis of spondylolysis or spondylolisthesis
- reports of "catching" pain and/or painful arc on forward bending or when lifting
- "thigh climbing" upon returning from forward bending
- general hyper-mobility during passive intervertebral motion testing
- reports of feeling "unstable" in the spine during functional activities or when lifting
- straight leg raise test bilaterally greater than 90 degrees
- positive prone instability test
Hicks, Fritz, Delitto, McGill. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005 Sep;86(9):1753-62.
posted by Tom and Len | 10:06 PM
5 Comments:
I found some information about spondylolisthesis. Check it out!
Interesting post. I think there needs to be more readily available guides or rules that therapists can follow when deciding on which is the most appropriate treatment for their patients. At Mavenlive we are trying to develop physio software which does just that. Leads therapists through a best practice assessment and suggests the most effective treatment based on rules stored in the system. Check it out!
Thanks for the great post :)
Hi, Tom!
My mom also had back pain before. We were surprised on the day she felt pain because she looks healthy and she actually has good body posture.
My mother's sister suggested to try to consult a good family chiropractic. Brooklyn Park (MN), where we live, luckily has a good chiropractor (Brooklyn Park, MN-based).
Mom had undergone a massage therapy and she said that during her therapy, she felt a great relaxation to her back. When she has completed her session, her doctor advised her to eat healthy food like veggies and fruits, and to drink milk for her bones. He also advised her to find time for exercise.
hi, its very informative, Knee Physical Therapy , thanks
everybody taking a lot benefits from such therapy treatment in order to get more benefits as compared to the medicen.
therapy software
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