what form of exercise is a great choice of treatment when it comes to acute phase LBP
walking!
when (in relation to onset of pain) is manual therapy MOST beneficial for LBPs w/o radiating sx
when used early on
in chronic LBP, our goal is to maximize _______ and encourage _______
function
exercise
primary vs secondary hyperalgesia
1* = when you get injured, your body sends pain signals, PROTECTIVE
2* = chronic pain vibes, adaptations in CNS, psychological
pain is an output of WHICH body system
CNS
can you manip a pt who has an acute injury with low irritability?
yep! only time you can’t is when they have HIGH irritability
grade mobs for pain
1 + 2
grade mobs for ROM
3, 4, 5
what vertebral level is level with the iliac crest
L4
what is the million dollar (chicago) roll targeting
lumbosacral/SI joint area)
define aberrant movements
abnormal movements when getting into or out of positions (ex: lumbar flex/ext)
if sx centralize with lumbar extension and pt is young, what “bucket” do you put them in for treatment
direction-specific: extension
how long does fixing a lateral shift take? what happens next?
around 2 weeks
reassess to put them into another “bucket”
what pt injury population is typically seen with a lateral shift
acute disc pathology
what do the McKenzie direction-specific exercises rely on for success
repeated movements testing + re-assessment
typical prescription for extension specific exercises
20 reps per hour
typical prescription for flexion specific exercises
6-10 reps per hour
when is traction typically used on people
- peripheralization of symptoms with extension
- crossed SLR
