Orthopaedic CPG Classification (linked to ICF) for LBP

Question 1

What are the 6 classifications of LBP from the Orthopaedic CPG Classification?

Answer 1

• Acute or subacute low back pain with mobility deficits
• Acute, subacute, or chronic low back pain with movement coordination impairments
• Acute low back pain with related (referred) lower extremity pain
• Acute, subacute, or chronic low back pain with radiating pain
• Acute or subacute low back pain with related cognitive or affective tendencies
• Chronic low back pain with related generalized pain

Question 2

With the Orthopaedic CPG Classification of LBP, what is the timeline for:

Acute

Subacute

Chronic

Answer 2

Acute: 1 month or less

Subacute: 1-3 months

Chronic: 3+ months

Question 3

What is the main finding of Acute or subacute low back pain with mobility deficits?

Answer 3

Restricted lumbar range of motion and segmental mobility

Question 4

What are the main findings of Acute, subacute, or chronic low back pain with movement coordination impairments? (5)

Answer 4

• Acute or subacute or chronic exacerbation of recurring low back pain that is commonly associated with referred lower extremity pain
• Movement coordination impairments of the lumbopelvic region with low back flexion and extension movements
• Lumbar segmental hypermobility may be present
• Mobility deficits of the thorax and pelvic/hip regions may be present
• Diminished trunk or pelvic region muscle strength and endurance

Question 5

What are the main findings of Acute low back pain with related (referred) lower extremity pain? (3)

Answer 5

• Low back pain, commonly associated with r_eferred buttock, thigh, or leg pain_, that worsens with flexion activities and sitting
• Low back and lower extremity pain that can be centralized and diminished with positioning, manual procedures, and/ or repeated movements
• Lateral trunk shift, reduced lumbar lordosis, limited lumbar extension mobility

Question 6

What are the main findings for Acute, subacute, or chronic low back pain with radiating pain? (4)

Answer 6

• Low back pain with associated radiating pain in the involved lower extremity
• Lower extremity paresthesias, numbness, and weakness may be reported
• Symptoms are reproduced or aggravated with lower limb tension/straight leg raising, and/or slump tests
• Signs of nerve root involvement (sensory, strength, or reflex deficits) may be present