Lumbar

Question 1

Centraliser

Answer 1

Long 2004 - RCT; DP matched exercises had significant improvement in pain / medication use / function compared with non DP matches exercises
May 2018 - SR; centralisation and DP key positive prognostic indicators

Question 2

SIJ

Answer 2

Liddle - Cochrane review; moderate evidence that exercise good for reducing pelvic pain. Manual therapy: moderate quality evidence for pain and disability improvements

Question 3

Lumbar Symptomatic stiffness

Answer 3

Ford 2019 - RCT; individualised MT with advice more effective than advice alone

Question 4

Movement control impairment

Answer 4

O’Sullivan 2018 - CFT

Question 5

Acute LBP

Answer 5

Nice guidelines - screen red flags, start back to risk stratify, treat moderate to sever risk with exercise, manual therapy and psychological therapy. Do not offer acupuncture
ACC guidelines - Active (A), paracetamol / nsaids (A), manipulation for first 4-6 weeks only (A), MDT management (B), consider specialist 4-6/52

Question 6

Lumbar Radiculopathy

Answer 6

Nice guidelines - neuropathic meds, possibly cortisone and or spinal decompression