Back Pain (L4/L5)

Question 1

General Interventions for back pain

Answer 1

Patient education and counseling

Progressive endurance and fitness training

Manual therapy target mobility deficits and buttock/thigh pain

Trunk coordination, strengthening & endurance exercises movement coordination impairments & post lumbar microdiscectormy

Centralized & directional preference exercises & procedures mobility deficits & referred LE pain; chronic LBP

Question 2

Three Syndromes in McKenzie Treatment

Answer 2

1. Postural Syndrome
2. Dysfunction Syndrome
3. Derangement Syndrome

Question 3

Postural Syndrome

Answer 3

Focus on postural education in sitting, standing, lying and sleeping

Incorporate education on body mechanics and ergonomics (static and dynamic)

Maintain a ‘neutral spine’

Question 4

Dysfunction Syndrome

Answer 4

Focus on postural education

Stretch shortened tissues

Strengthen weak muscles superficial/deep core and extremities

Question 5

Which muscles should you emphasize first in dysfunction syndrome?

Answer 5

EXTENSORS before flexors

Question 6

Derangement Syndrome

Answer 6

Frequent repetitions of movements that centralize or reduce symptoms…. EXTENSION

Prone lying, press-ups (allow lower back to sag)

Mobilizations and manipulations

Question 7

Assumptions of the McKenzie Method

Answer 7

Spinal extension can “centralize” pain

Intervention should focus on the patient’s self-awareness of the dysfunction and self-treatment (as appropriate).

Question 8

Goals of the McKenzie Method

Answer 8

Independent management of pain using exercise and other strategies

Reduce pain quickly

Return to daily activities

Minimize risk of recurring pain

Question 9

Predisposing factors to back pain (McKenzie)

Answer 9

Sitting posture

Loss of extension range

Frequency of flexion

Question 10

Exercises for Back Pain (McKenzie)

Answer 10

Prone lying, sustained extension, extension in standing

Prone lying in extension&raquo_space; active extension&raquo_space; belt fixation

Question 11

The Feldenkrais Method assumes what?

Answer 11

The CNS can be retrained to replace inefficient movement with efficient movement

Question 12

The goals of Feldenkrais are:

Answer 12

Become aware of habitual & limited movement patterns

Gain full physical functioning through movement

Question 13

Feldenkrais is taught in two formats:

Answer 13

Awareness Through Movement (ATM)

Functional Integration (FI)

Question 14

Is yoga effective in reducing back pain?

Answer 14

Yoga is effective in reducing back pain, but is no better than physical therapy