Common lumbar spine conditions - Non-specific LBP

Question 1

Mobility Deficit

Answer 1

S&S:
- Acute low back/buttock pain
- Onset of symptoms is often linked to a recent unguarded/awkward movement or position
- Lumbar ROM limitation
- Restricted thoracic – Lumbar segmental mobility

CA:
1. Limited and painful end range active/passive ROM
2. Fingertip to floor test ; modified Schober test
3. Spring test
4. Mechanical Diagnosis (symptoms changes in response to repeated direction- specific movements)!!

Question 2

Movement Coordination Impairment (Instability)

Answer 2

S&S:
- Chronic, recurring LBP and associated (referred) lower extremity pain
- Pain at rest or reproduced with initial to mid-range movements
- Pain worsens with sustained end-range movements or position

CA:
1. Prone instability t
2. Aberrant movement
- Painful arc with FL or return from FL
- Instability catch sign (active flexion test)
- Gower’s sign
- Inverted lumbopelvic rhythm
3. Endurance testing: supine & prone bridge test

Question 3

Persistent LBP

Answer 3

S&S:
- LB and/or LB-related lower extremity pain with symptom duration of more than 3 months
- Generalized pain not consistent with other impairment-based classification criteria
- Influence of behavioral, cognitive, and effective factors such as depression, fear-avoidance beliefs, and/or pain catastrophizing

CA:
- Catastrophizing scale
- Fear-Avoidance Beliefs Questionnaire