Comp 1 Cases

Question 1

Lumbar Case 1 Subjective

Answer 1

38 y/o male w/ LBP from planting shrubs 2 weeks ago
R side dull ache pain
Current Pain 8/10
Decreases 3/10 with lying on back
PE Teacher not working
Ibuprofen and couch

Question 2

Lumbar Case 1 Benchmark Tasks & Screens

Answer 2

Stand to Sit to Supine
Static Posture
No Neuro Involvement

Question 3

Lumbar Case 1 Tests and Measures

Answer 3

AROM Lumbar Extension/Flexion, Lateral Flexion & Rotation
PROM Hip IR
PAVIM
MMT Glute Med
Muscle Length: Hamstrings, Thomas Test
Special: PIT & SIJ

Question 4

Lumbar Case 1 Impairments

Answer 4

Pain with Lumbar Extension
Decreased R Lateral Flexion & Rotation
Limited R Hip IR
Poor TA and Multifidi Activation
Negative PIT and SIJ Thigh Thrust

Question 5

Lumbar Case 1 Health Condition

Answer 5

LBP with Mobility Deficits Secondary to Facet Joint Dysfunction

LBP w/ Coordination Deficits secondary to sprain or strain of mm

Question 6

Lumbar Case 1 Manual Therapy

Answer 6

Central and Unilateral Passive Accessory Intervertebral Motion L3-L5
Grades III-IV
3-5 x 60-90 sec

Supine LumboPelvic Manip or Sidelying Rotational Manip to Increase Mobility 1-2 reps

Question 7

Lumbar Case 1 Exercise

Answer 7

Quadruped Multifidus Loading Progression of Isometrics with isolation for mm activation 2 x 20+
Clamshell 3 x 8-10 for strength of GM