Publication Date

Spring 2015

Document Type

Project Summary

Degree Name

Doctor of Physical Therapy

Department

Physical Therapy

First Advisor

Roberta O'Shea, PT, DPT, Ph.D.

Second Advisor

Dale Schuit, PT, Ph.D., MS

Third Advisor

Rebecca K. Wojcik, PT, Ed.D., GCS

Abstract

Background and Purpose: Although low back pain is a common diagnosis treated in physical therapy clinics, there is disagreement in the literature as to the preferred interventions for this patient population. The purpose of this case report is to describe the outcome of a patient with acute onset of low back and sciatica pain with a treatment directed towards Functional Manual Therapy and a strengthening program based on initial examination findings.

Case Description: The patient was a 41 year-old female secretary with four day history of low back and sciatica pain that initiated after straining during a bowel movement. The client presented with pain, decreased ROM, decreased strength, and functional disability. Intervention was directed by initial examination findings and consisted of components including Functional Manual Therapy and a strengthening program.

Outcomes: All of the patient’s impairments improved and she was able to return to work at the beginning of the final week of treatment without any functional difficulties.

Discussion: Use of Functional Manual Therapy and a strengthening program may result in positive outcomes related to pain and functional disability in patients with acute onset of low back and sciatica pain.

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