Jan 4, 2013 · Leave a Reply

Applying the Critical Prediction Rule for Lumbar Spine Manipulation to a Non Thrust Technique

By AJ Montpetit @ajmontpetit

At the American Physical Therapy Association's Combined Sections Meeting 2012, Mayo Clinic's Mark Jensen, showcased his research into spinal manipulation for patients with lower-back pain. His case study focused on a 48-year-old female patient who presented to physical therapy with a seven-day onset of right lumbosacral and buttock pain. During that time, she had been unable to work and unable to participate in her usual exercise routine, which was focused on walking.

The patient's treatment schedule consisted of manual therapy with the Muscle Energy Technique to focus restriction at left S1 joint and right L5, and 10 repetitions of prone press-ups were performed. In addition, patient education was given, discussing the prevalence of back pain, and recommending physical activity, as well as reassuring a healthy recovery. A home exercise program included walking, prone press-ups (extensions), and a return to fitness routine.

Improvement in pain and disability was clearly seen by the patient after one physical therapy session. This allowed for a quicker return to work. Studies indicate a return to work within four weeks results in a lowered risk of chronic disability and work restriction.

View the poster outlining Jensen's Research.

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