Application of clinical practice guidelines for patients with low back pain: a retrospective case series
Type of Presentation
Poster Session
Start Date
4-12-2019 4:00 PM
End Date
4-12-2019 6:00 PM
Abstract
Background and Purpose: The purpose is to illustrate the utilization of the Clinical Practice Guidelines for two cases of LBP that were managed differently according to classifications provided by the CPG.
Case Descriptions: Patient A was a 64-year-old female who presented with primary complaints of low back pain and sciatica. She experienced pain in the lumbar area radiating into her left buttock, with radicular symptoms of numbness and tingling that encompassed her entire L LE. Using the MDT classification of derangement, specific interventions were based on her preferential direction and her symptoms response to directional preference. Patient B was a 49-year-old African American man who presented with low back pain. His back pain was located in the lumbar area and radiated bilaterally to the gluteal region. This patient demonstrated impairments consistent with the stabilization classification. Physical therapy interventions were implemented to manage those impairments.
Outcomes: Both patients with the primary symptom of LBP, however clinically fit different classification schemes and therefore required a tailored physical therapy intervention. Management of each patient’s respective impairments were successful, both patients saw improvement with their individual treatment plans.
Discussion: This comparison of treatment approaches is meant to highlight the fact that different patients with a similar primary symptom of LBP may, on examination, present with different impairments. These impairments need to be managed on an individual basis for successful outcomes to occur. Classification of impairments based on existing guidelines may also help in the successful management of patients with similar primary symptoms.
Faculty / Staff Sponsor
Dr. Dale Schuit
Presentation File
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Application of clinical practice guidelines for patients with low back pain: a retrospective case series
Background and Purpose: The purpose is to illustrate the utilization of the Clinical Practice Guidelines for two cases of LBP that were managed differently according to classifications provided by the CPG.
Case Descriptions: Patient A was a 64-year-old female who presented with primary complaints of low back pain and sciatica. She experienced pain in the lumbar area radiating into her left buttock, with radicular symptoms of numbness and tingling that encompassed her entire L LE. Using the MDT classification of derangement, specific interventions were based on her preferential direction and her symptoms response to directional preference. Patient B was a 49-year-old African American man who presented with low back pain. His back pain was located in the lumbar area and radiated bilaterally to the gluteal region. This patient demonstrated impairments consistent with the stabilization classification. Physical therapy interventions were implemented to manage those impairments.
Outcomes: Both patients with the primary symptom of LBP, however clinically fit different classification schemes and therefore required a tailored physical therapy intervention. Management of each patient’s respective impairments were successful, both patients saw improvement with their individual treatment plans.
Discussion: This comparison of treatment approaches is meant to highlight the fact that different patients with a similar primary symptom of LBP may, on examination, present with different impairments. These impairments need to be managed on an individual basis for successful outcomes to occur. Classification of impairments based on existing guidelines may also help in the successful management of patients with similar primary symptoms.