A Movement system impairment approach to evaluation and treatment of a person with lumbar radiculopathy: A case report

Background and Purpose: There are several systems of classification and treatment of patients with low back pain (LBP) based on assessment of the effect of lumbar postures and movements on symptoms. The efficacy of one of these systems, The Movement System Impairment (MSI) method, has not yet been demonstrated in the literature. The purpose of this case report is to describe the approach of the MSI method for an individual with lumbar radiculopathy. Case Description: A 79-year-old woman with a history of chronic LBP was referred to PT with a physician’s diagnosis of sciatica. The patient was classified utilizing a standardized MSI evaluation. She was instructed to modify her daily postures and movements, as well as perform specific exercises to address these impairments. Outcomes: Her Oswestry LBP disability score improved by over 30% and pain level per the NPRS improved by 3 out of 10 points. Discussion: Despite the challenges of advanced joint degeneration and neurological involvement, this approach of identifying and addressing specific movement impairments appeared helpful for this older individual.