Regis Mccracking Aaompt Poster 2008

40 30 20 10 0

1

3

Results:

5 Visit Number

6

7

10 mo f/u

Symptom Frequency

25 20 15 10 5

10 -M

on

th

F/

is it

u

0 na lV

Improvement of the patient’s symptoms plateaued by visit 4 with an ODI score of 36%. On visits 6 and 7 the ODI score was 27% and 18%, respectively. At 10-month follow-up the ODI score remained at 18% and frequency of symptoms was 2 days per month.

30

Fi

85 year-old female with atraumatic onset of low back and posterolateral thigh pain approximately 1 year prior to her initial visit. Frequency of symptoms was reportedly 5 out of 7 days and the baseline score on the Modified Oswestry Low Back Pain Disability Questionnaire (ODI) was 42%. Significant examination findings included positive neurodynamic signs.

The patient was seen 7 times over 4 weeks. Treatment included manipulation for lumbar hypomobility, targeted flexibility exercises in the pelvic region, and lumbar stabilization exercises. A neurodynamic technique was introduced at visit 5, supplemented with a similar self-treatment technique that was included in the home program.

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it i al Vi si t

Subject:

Discussion:

Oswestry

In

The objective of this case study is to illustrate the benefits of introducing a neurodynamic treatment technique in a patient whose progress had plateaued using impairment-based manual physical therapy interventions for low back and lower extremity pain.

Procedures:

Percent

Purpose:

Days Per Month

Manual Therapy Fellowship

THE LONG-TERM EFFECTS OF A NEURODYNAMIC TREATMENT TECHNIQUE USING A TREATMENT-BASED CLASSIFICATION APPROACH TO LOW BACK PAIN: A CASE REPORT McCracking HV, Do DT School of Physical Therapy, Regis University, Denver, CO

The patient’s lower extremity was placed in a straight leg raise position biased toward adduction and internally rotation. The ankle was then passively dorsiflexed until the onset of symptoms and held for 3-4 seconds. This was followed by a position of plantarflexion for the same duration. Ten repetitions of this maneuver were performed once each day for approximately 10 days.

Neurodynamic treatment techniques may be a key element in a manual therapy care plan aimed at improving function in patients with low back and lower extremity pain.

Clinical Relevance: Patients with low back and lower extremity pain who present with positive neurodynamic signs may represent a subgroup of individuals whose functional ability and frequency of symptoms improve with manual physical therapy that includes neurodynamic treatment techniques.