Article

Several physical therapy classification systems
exist for low back pain (LBP). Little is known about how these systems could be
integrated in clinical practice. This case report describes an episode of care
utilizing elements of the mechanical diagnosis and therapy (MDT), movement system
impairment (MSI) and treatment-based classification (TBC) systems. CASE DESCRIPTION: Patient History - the patient was a 40-year-old male presenting to
an outpatient musculoskeletal clinic with a complaint of chronic LBP. Examination
and diagnosis - there was moderate loss of lumbar extension ROM and joint
mobility, and excessive lumbar flexion and rotation with active movement tests.
Modified Oswestry Disability Index score = 8%. Worst pain was described as 6/10.
Intervention - the patient was treated once per week for seven consecutive weeks.
Intervention focused on sitting postural corrections (MSI), functional movement
corrections (MSI), lumbar mobilization (TBC) and extension-based exercise (MDT).
Outcomes - at discharge, the patient reported a decrease in pain intensity (worst
pain 0 to 1 out of 10) and demonstrated an improvement in the quality of lumbar
movement and overall function. DISCUSSION: Symptomatic response to active
movement, observations of quality of movement and joint mobility assessment were
key factors in directing a therapeutic program that was successful in helping the
patient meet his treatment goals.

Langue : ANGLAIS