Publication Date

Spring 2015

Document Type

Project Summary

Degree Name

Doctor of Physical Therapy


Physical Therapy

First Advisor

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

Second Advisor

David Diers, Ed.D., MHS, PT, ATC

Third Advisor

Russell E. Carter, PT, Ed.D.


Background and Purpose: The purpose of this case report is to describe the outcome of a McKenzie-based intervention plan combined with functional training for a patient with low back pain and multiple sclerosis.

Case Description: CS was a 58-year-old female who presented to therapy with primary complaints of low back and calf pain. Also, the patient was diagnosed with relapsing-remitting multiple sclerosis in 2009. The patient ambulates with a significantly increased base of support. A CT-scan in 2012 revealed a bulging disc at the L5-S1 vertebral junction. The patient swims 3x a week for 30 minutes.

Outcomes: All of the patient’s impairments improved except for the pain in her calves. According to the Revised Oswestry Index, CS was classified as mildly disabled by the end of treatment, but was initially found to be severely disabled.

Discussion: Pain and functional improvement can be made regardless of being hindered by MS, an incurable disease. MDT is an effective method treating back related impairments. However, it appears to have no effect regarding pains caused by MS.