Treatment-based Classification System for Patients With Low Back Pain: The Movement Control Approach

Physical Therapy
Muhammad AlrwailyAnthony Delitto

Abstract

We present the movement control approach as part of the treatment-based classification system. This approach proposes a movement control schema that clarifies that movement control is a product of the interplay among multiple biopsychosocial components. The schema illustrates that for movement to occur in a dynamically controlled fashion, the lumbar spine requires both local mobility and global stability. Local mobility means that the lumbar spine and its adjacent regions possess adequate nerve and joint(s) mobility and soft tissue compliance (ie, the malleability of tissue to undergo elastic deformation). Global stability means that the muscles of the lumbar spine and its adjacent regions can generate activation that is coordinated with various joint movements and incorporated into activities of daily living. Local mobility and global stability are housed within the bio-behavioral and socio-occupational factors that should be addressed during movement rehabilitation. This schema is converted into a practical physical examination to help the rehabilitation provider to construct a clinical rationale as to why the movement impairment(s) exist. The examination findings are used to guide treatment. We suggest a treatment prioritiza...Continue Reading

References

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Dec 8, 2015·Physical Therapy·Muhammad AlrwailyAnthony Delitto

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Citations

Jan 23, 2020·The Journal of Manual & Manipulative Therapy·William H KolbEric Shamus
Dec 8, 2020·Disability and Rehabilitation·Karime MescoutoJenny Setchell
Jan 29, 2022·Physiotherapy Theory and Practice·Christopher JoyceRobert B Saper

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