Low Back Pain Classification Essay
We all are familiar with, and more or less skilled in various intervention techniques such as manipulation, mobilization, stabilization, specific exercises, traction, and electric modalities for a low back pain (LBP). But, the article "Subgrouping Patients with Low Back Pain: Evolution of a Classification Approach to Physical Therapy" by Fritz, Cleland, and Childs (2007), itself is a new piece of information. According to Fritz et al. (2007), the research evidence represents that a classification approach to physical therapy in patients with LBP is more beneficial than the alternative approach. A classification approach system is divided into 4 classifications of patients with LBP based upon intervention techniques including manipulation,
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For the manipulation classification, "the CPR included five factors including current symptom duration of less than 16 days, a score on the work subscale of the Fear-Avoidance Beliefs Questionnaire (FABQ) of less than 19, hypomobility of the lumbar spine as assessed with posterior-to-anterior pressure, internal rotation of at least 1 hip greater than 35°, and symptoms not extending distal to the knee" (Fritz et al., 2007, p. 293). When four out of five factors are positive on CPR in the patient with LBP, chances of improvement is greater with manipulation in both short-term and long term duration. But, patients with 2 or fewer CPR factors are less likely to get benefit from manipulation alone and require an alternative treatment. However, research shows that the CPR tool is not as beneficial to stabilization classification as manipulation classification. Treatment plan in the stabilization classification system focuses mainly on stabilizing spinal muscles that are shifted instead of controlling specific movement and retraining especially deep muscles of the
For the manipulation classification, "the CPR included five factors including current symptom duration of less than 16 days, a score on the work subscale of the Fear-Avoidance Beliefs Questionnaire (FABQ) of less than 19, hypomobility of the lumbar spine as assessed with posterior-to-anterior pressure, internal rotation of at least 1 hip greater than 35°, and symptoms not extending distal to the knee" (Fritz et al., 2007, p. 293). When four out of five factors are positive on CPR in the patient with LBP, chances of improvement is greater with manipulation in both short-term and long term duration. But, patients with 2 or fewer CPR factors are less likely to get benefit from manipulation alone and require an alternative treatment. However, research shows that the CPR tool is not as beneficial to stabilization classification as manipulation classification. Treatment plan in the stabilization classification system focuses mainly on stabilizing spinal muscles that are shifted instead of controlling specific movement and retraining especially deep muscles of the