TY - JOUR
T1 - Classification, treatment and outcomes of a patient with lumbar extension syndrome
AU - Harris-Hayes, Marcie
AU - Van Dillen, Linda R.
AU - Sahrmann, Shirley A.
N1 - Funding Information:
Accepted for publication 14 September 2004. This study was approved by the Human Studies Committee of Washington University Medical School, and funded in part by the National Institutes of Health, National Institute of Child Health and Human Development, National Center for Medical Rehabilitation Research, Grant #5-K01HD-01226-01A1. Address correspondence to Marcie Harris Hayes, 4444 Forest Park Blvd., Box 8502, Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO 63108, USA. E-mail: harrisma@msnotes.wustl.edu
PY - 2005/9
Y1 - 2005/9
N2 - The purpose of the current report is to describe the classification, treatment, and outcomes of a patient with lumbar extension syndrome. The patient was a 40-year-old female with an 18-month history of mechanical low back pain (LBP). The patient reported a history of daily, intermittent pain (mean intensity of 9/10) that limited her ability to sit, stand, walk, and sleep, as well as perform work-related activities. Symptom-provoking movement and alignment impairments associated with the direction of lumbar extension were identified and modification of these impairments consistently resulted in a decrease in pain. Treatment was provided in 3 sessions over a 2-month period. Priority of treatment was to train the patient to restrict lumbar extension-related alignments and movements during symptom-provoking functional activities. Exercises to address the extension-related impairments also were prescribed. The primary change in outcome was a decrease in the mean intensity (2 months: 2/10; 6 months: 1/10) and frequency of pain (2 months: decreased pain with standing and walking; 6 months: additional decrease with sitting, standing and walking). She also reported a decreased duration and number of LBP episodes. Classification directed treatment resulted in improvement in short and long term impairment and functional-level outcomes.
AB - The purpose of the current report is to describe the classification, treatment, and outcomes of a patient with lumbar extension syndrome. The patient was a 40-year-old female with an 18-month history of mechanical low back pain (LBP). The patient reported a history of daily, intermittent pain (mean intensity of 9/10) that limited her ability to sit, stand, walk, and sleep, as well as perform work-related activities. Symptom-provoking movement and alignment impairments associated with the direction of lumbar extension were identified and modification of these impairments consistently resulted in a decrease in pain. Treatment was provided in 3 sessions over a 2-month period. Priority of treatment was to train the patient to restrict lumbar extension-related alignments and movements during symptom-provoking functional activities. Exercises to address the extension-related impairments also were prescribed. The primary change in outcome was a decrease in the mean intensity (2 months: 2/10; 6 months: 1/10) and frequency of pain (2 months: decreased pain with standing and walking; 6 months: additional decrease with sitting, standing and walking). She also reported a decreased duration and number of LBP episodes. Classification directed treatment resulted in improvement in short and long term impairment and functional-level outcomes.
UR - http://www.scopus.com/inward/record.url?scp=27244448306&partnerID=8YFLogxK
U2 - 10.1080/09593980500212987
DO - 10.1080/09593980500212987
M3 - Article
C2 - 16389699
AN - SCOPUS:27244448306
SN - 0959-3985
VL - 21
SP - 181
EP - 196
JO - Physiotherapy Theory and Practice
JF - Physiotherapy Theory and Practice
IS - 3
ER -