Event Title

Treatment of low back pain utilizing stabilization exercises; a retrospective case stud of a 33 y/o female post stage III breast cancer.

Location

Hall of Governors

Start Date

7-4-2017 4:00 PM

End Date

7-4-2017 6:00 PM

Description

Background/purpose: Low back pain (LBP) has been deemed the single leading cause of disability across the globe. Cancer survivors have increased instances of LBP secondary to Radiation Fibrosis Syndrome (RFS).Currently, there is little research on the effects of a spinal stabilization program for LBP secondary to RFS. Interventions in this case study were based on examination findings and Clinical Prediction Rules (CPRs) for lumbar stabilization in an attempt to reduce lumbar pain and improve stabilization. Case Description: The patient was a 31-year old African American female experiencing chronic low back pain for six months secondary to radiation therapy for stage III breast cancer. Her lumbar pain was isolated to bilateral lumbar region with no radicular symptoms. Her symptoms occurred with sitting or standing for more than 5-6 minutes, bending motions, and social activities. The patient also expressed difficulty with cooking, cleaning, and ADLs.

Outcomes: The patient completed 4 outpatient treatment sessions and demonstrated significant improvements in core stability, pain, and functional abilities as evidence by improvements in manual muscle testing of the lower abdominals and self-reported pain on the Numeric Pain Rating Scale (NPRS).

Discussion: Decreased pain levels and increased functionality indicate improved core stability. Core stabilization exercises, Mechanical Diagnosis and Therapy (MDT), strengthening exercises, and body mechanics training contributed to improvements in functionality and decreases in pain. Future research should focus on the efficacy of stabilization programs for patients with LBP secondary to RFS.

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

Treatment of low back pain utilizing stabilization exercises; a retrospective case stud of a 33 y/o female post stage III breast cancer.

Hall of Governors

Background/purpose: Low back pain (LBP) has been deemed the single leading cause of disability across the globe. Cancer survivors have increased instances of LBP secondary to Radiation Fibrosis Syndrome (RFS).Currently, there is little research on the effects of a spinal stabilization program for LBP secondary to RFS. Interventions in this case study were based on examination findings and Clinical Prediction Rules (CPRs) for lumbar stabilization in an attempt to reduce lumbar pain and improve stabilization. Case Description: The patient was a 31-year old African American female experiencing chronic low back pain for six months secondary to radiation therapy for stage III breast cancer. Her lumbar pain was isolated to bilateral lumbar region with no radicular symptoms. Her symptoms occurred with sitting or standing for more than 5-6 minutes, bending motions, and social activities. The patient also expressed difficulty with cooking, cleaning, and ADLs.

Outcomes: The patient completed 4 outpatient treatment sessions and demonstrated significant improvements in core stability, pain, and functional abilities as evidence by improvements in manual muscle testing of the lower abdominals and self-reported pain on the Numeric Pain Rating Scale (NPRS).

Discussion: Decreased pain levels and increased functionality indicate improved core stability. Core stabilization exercises, Mechanical Diagnosis and Therapy (MDT), strengthening exercises, and body mechanics training contributed to improvements in functionality and decreases in pain. Future research should focus on the efficacy of stabilization programs for patients with LBP secondary to RFS.