Event Title

Effects of utilizing directional preference influenced strengthening exercises and core stabilization program on patient with acute LBP and sciatica: A Case Report

Location

Hall of Governors

Start Date

7-4-2017 4:00 PM

End Date

7-4-2017 6:00 PM

Description

Background and purpose: One of the most common diagnoses expected to be seen in the physical therapy setting are of patients with complaints of low back pain. The largest group who reports low back is the older adult population, which is expected for grow from 43 million to 84 million by 2050. Currently, there exists disagreement in the literature as to the best treatment approach and interventions in treating patients with acute LBP with sciatica. The purpose of this case report is to describe the outcomes of a patient with acute LBP with accompanying sciatica with a treatment focused on utilizing the patient's directional preference as well as core stabilization exercises.

Case description: The patient was a 75 year old retired male who had no prior complaints of low back pain or sciatic symptoms. The patient presented with severe radiating pain, limiting activity tolerance secondary to pain, disrupted sleep, and gait abnormalities. The plan of care was driven by findings from the initial evaluation and focused on core stabilization exercises as well as strengthening exercises in the patient's directional preference, which was flexion. Outcomes: All of the patient's functional outcomes improved by the end of the plan of care and he was able to return to his prior level of functioning at time of discharge.

Discussion: The use of utilizing directional preference strengthening exercises and core stabilization may result in positive outcomes for patients with acute onset low back pain and sciatica.

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Apr 7th, 4:00 PM Apr 7th, 6:00 PM

Effects of utilizing directional preference influenced strengthening exercises and core stabilization program on patient with acute LBP and sciatica: A Case Report

Hall of Governors

Background and purpose: One of the most common diagnoses expected to be seen in the physical therapy setting are of patients with complaints of low back pain. The largest group who reports low back is the older adult population, which is expected for grow from 43 million to 84 million by 2050. Currently, there exists disagreement in the literature as to the best treatment approach and interventions in treating patients with acute LBP with sciatica. The purpose of this case report is to describe the outcomes of a patient with acute LBP with accompanying sciatica with a treatment focused on utilizing the patient's directional preference as well as core stabilization exercises.

Case description: The patient was a 75 year old retired male who had no prior complaints of low back pain or sciatic symptoms. The patient presented with severe radiating pain, limiting activity tolerance secondary to pain, disrupted sleep, and gait abnormalities. The plan of care was driven by findings from the initial evaluation and focused on core stabilization exercises as well as strengthening exercises in the patient's directional preference, which was flexion. Outcomes: All of the patient's functional outcomes improved by the end of the plan of care and he was able to return to his prior level of functioning at time of discharge.

Discussion: The use of utilizing directional preference strengthening exercises and core stabilization may result in positive outcomes for patients with acute onset low back pain and sciatica.