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Terry Pratt, PT, MS, COMT, FAAOMPTFaculty for the North American Institute of Orthopaedic Manual Therapy Clinical Director, Greater Brunswick Physical TherapyTopsham, Maine
Evaluation and Treatment Strategies for Care of the Injured Lumbar Spine After a Motor Vehicle Accident
Independent Study Course 25.1.2
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1. CDC. Vital Signs: Nonfatal, motor vehicle-occupant injuries (2009) and seat belt use (2008) among adults—United States. MMWRMorb Mortal Wkly Rep. 2011;59(51):1681-1686.
2. Naumann RB, Dellinger AM, Zaloshnja E, Lawrence BA, Miller TR. Incidence and total lifetime costs of motor vehicle-related fataland nonfatal injury by road user type, United States, 2005. TrafficInj Prev. 2010;11(4):353-360.
3. National Center for Health Statistics. Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD.NCHS 2011:231-233.
4. Fritz JM, George SZ, Delitto A. The role of fear-avoidance beliefsin acute low back pain: relationships with current and futuredisability and work status. Pain. 2001;94(1):7-15.
5. Taylor JR, Twomey LT, Corker M. Bone and soft tissue injuriesin post-mortem lumbar spines. Paraplegia. 1990;28(2):119-129.
6. O’Sullivan P. It’s time for change with the management of non-specific chronic low back pain. Br J Sports Med. 2012;46(4):224-227.
7. Intas G, Stergiannis P. Seat belt syndrome: a global issue. Heal Sci J. 2010;4(4):202-209.
8. Ball ST, Vaccaro AR, Albert TJ, Cotler JM. Injuries of thethoracolumbar spine associated with restraint use in head-onmotor vehicle accidents. J Spinal Disord. 2000;13(4):297-304.
9. National Highway Traffic Safety Administration. Traffic SafetyFacts: 2010 Data. US Dep Transp. 2012;(February):1-6.
10. Richards D, Carhart M, Raasch C, Pierce J, Steffey D, OstarelloA. Incidence of thoracic and lumbar spine injuries for restrainedoccupants in frontal collisions. Annu Proc Assoc Adv AutomotMed. 2006;50:125-139.
11. Thongtrangan I, Le H, Park J, Kim DH. Cauda equina syndromein patients with low lumbar fractures. Neurosurg Focus.2004;16(6):e6..
12. Bogduk N, Twomey LT. Clinical Anatomy of the Lumbar Spine.Second. Singapore: Churchill Livingstone; 1994:11-29.
13. Boyling JD, Jull GA. Grieve’s Modern Manual Therapy TheVertebral Column. 3rd ed. London: Churchill Livingstone; 2004.
14. International Spine & Pain Institute. A Scientific Rationale forTreating Lumbar Facet Joint Dysfunction with Physical Therapy.
2008:1-8.
15. Bogduk N. Clinical Anatomy of the Lumbar Spine and Sacrum. 3rd
ed. Edinburgh, Scotland: Churchill Livingstone; 1997.
16. Aihara T, Takahashi K, Yamagata M, Moriya H, Shimada Y. Does
the iliolumbar ligament prevent anterior displacement of the
fifth lumbar vertebra with defects of the pars? J Bone Joint Surg.
2000;82(6):846-850.
17. Fujiwara A, Tamai K, An HS, Shimizu K, Yoshida H, Saotome K. The
interspinous ligament of the lumbar spine. Magnetic resonance
images and their clinical significance. Spine. 2000;25(3):358-
363.
18. DeVries H, Vlemming A, Ronchetti I. Pelvic Girdle Pain-Sensivity
and Specificity. In: 6th Interdisciplinary World Congress on Low
Back Pain. Rotterdam; 2007:488-492.
19. Panjabi MM. The stabilizing system of the spine. Part I. Function,
dysfunction, adaptation, and enhancement. J Spinal Disord.
1992;5(4):383-389.
20. Roland MO. A critical review of the evidence for a pain-spasm-
pain cycle in spinal disorders. Clin Biomech. 1986;1(2v):102-109.
21. van Dieën JH, Cholewicki J, Radebold A. Trunk muscle recruitment
patterns in patients with low back pain enhance the stability of
the lumbar spine. Spine. 2003;28(8):834-841.
22. Hebert J, Koppenhaver SL, Teyhen DS, Walker BF, Fritz JM. The
evaluation of lumbar multifidus muscle function via palpation:
reliability and validity of a new clinical test [published online
aahead of print October 4, 2013]. Spine J. doi: 10.1016/j.
spine.2013.08.056.
23. Hodges PW. Pain and motor control: from the laboratory to
rehabilitation. J Electromyogr Kinesiol. 2011;21(2):220-228.
24. O’Sullivan P. Diagnosis and classification of chronic low back pain
disorders: maladaptive movement and motor control impairments
as underlying mechanism. Man Ther. 2005;10(4):242-255.
25. Childs JD, Flynn TW. Clinical decision making for low back pain: a
step in the right direction. J Orthop Sport Phys Ther. 2014;44(1):1-
2.
26. Key J, Clift A, Condie F, Harley C. A model of movement dysfunction
provides a classification system guiding diagnosis and therapeutic
care in spinal pain and related musculoskeletal syndromes: a
paradigm shift-Part 1. J Bodyw Mov Ther. 2008;12(1):7-21.
REFERENCES
Ort
hopa
edic
Sec
tion,
APT
A, I
nc.
Dow
nloa
ded
from
ww
w.o
rtho
ptle
arn.
org
at th
e O
rtho
paed
ic S
ectio
n on
Sep
tem
ber
26, 2
018.
For
per
sona
l use
onl
y. N
o ot
her
uses
with
out p
erm
issi
on.
Cop
yrig
ht ©
201
5 O
rtho
paed
ic S
ectio
n, A
PTA
, Inc
. All
righ
ts r
eser
ved.
30
27. Pettman E. Assessment and Treatment of the TL Junctin: The
Missing Link. A presentation at the North American Institute of
Orthopaedic Manual Therapy Annual General Meeting, June 8,
2013; Seattle, Washington.
28. Roudsari B, Jarvik JG. Lumbar spine MRI for low back pain:
indications and yield. AJR Am J Roentgenol. 2010;195(3):550-
559.
29. George SZ. Psychological screening and the management of eht
patient with low back pain. Orthopaedic Section Independent
Study Course 18.1.4–Low Back Pain and the Evidence
for Effectiveness of Physical Therapy Interventions. 2008.
Orthopaedic Section, APTA, Inc.
30. Al-Obaidi SM, Nelson RM, Al-Awadhi S, Al-Shuwaie N. The role
of anticipation and fear of pain in the persistence of avoidance
behavior in patients with chronic low back pain. Spine.
2000;25(9):1126-1131.
31. Moseley G. A pain neuromatrix approach to patients with chronic
pain. Man Ther. 2003;8(3):130-140.
32. Cook G. Reconsidering how we look at movement: screening,
testing and assessing movement patterns. In: IFOMPT 2012 –
Rendezvous of Hands and Minds; 2012.
33. Daykin AR, Richardson B. Physiotherapists’ pain beliefs and their
influence on the management of patients with chronic low back
pain. Spine. 2004;29(7):783-795.
34. Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K,
Vlaeyen JW. The fear-avoidance model of musculoskeletal pain:
current state of scientific evidence. J Behav Med. 2007;30(1):77-
94.
35. George SZ, Valencia C, Beneciuk JM. A psychometric investigation
of fear-avoidance model measures in patients with chronic low
back pain. J Orthop Sports Phys Ther. 2010;40(4):197-205.
36. Molloy G. Level II: Intermediate Lower Quadrant (Part B). Course
Manual published by the North American Institute of Orhopaedic
Manual Therapy. Newton, MA: 2010.
37. Cyriax J. Textbook of Orthopaedic Medicine: Vol. 1: Diagnosis of
Soft Tissue Lesions. 8th ed. Elsevier Health Sciences; 1982.
38. Fritz JM, Delitto A, Erhard RE. Comparison of classification-
based physical therapy with therapy based on clinical practice
guidelines for patients with acute low back pain: a randomized
clinical trial. Spine. 2003;28(13):1363-1372.
39. Underwood M. Low back pain: early management of persistent
non-specific low. Natl Inst Healh Care Excell. 2009;(May).www.
nice.org.uk/guidance/cg88/resources/guidance-low-back-pain-
pdf. Accessed May 27, 2014.
40. Mangione MP, Crowley-Matoka M. Improving pain management
communication: how patients understand the terms “opioid” and
“narcotic.” J Gen Intern Med. 2008;23(9):1336-1338.
41. Browder DA, Childs JD, Cleland JA, Fritz JM. Effectiveness of an
extension-oriented treatment approach in a subgroup of subjects
with low back pain: a randomized clinical trial. Phys Ther.
2007;87(12):1608-1618.
42. Fortin JD, Falco FJ. The Fortin finger test: an indicator of sacroiliac
pain. Am J Orthop. 1997;26(7):477-480.
43. Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW,
Perez RS. Diagnostic validity of criteria for sacroiliac joint pain: a
systematic review. J Pain. 2009;10(4):354-368.
44. Ross MD, Bayer E. Cancer as a Cause of Low Back Pain in a
Therapy Setting. J Orthop Sports Phys Ther. 2005;35(10):651-658.
45. Henschke N, Maher CG, Refshauge KM. Screening for malignancy
in low back pain patients: a systematic review. Eur Spine J.
2007;16(10):1673-1979.
46. Deyo RA, Diehl AK. Cancer as a cause of back pain: frequency,
clinical presentation, and iagnostic strategies. J Gen Intern Med.
1988;3(3):230-238.
47. Picavet HS, Vlaeyen JW, Schouten JS. Pain catastrophizing
and kinesiophobia: predictors of chronic low back pain. Am J
Epidemiol. 2002;156(11):1028-1034.
48. American Physical Therapy Association. Today’s physical therapist:
a comprehensive review of a 21st-century health care profession.
2011;(January). www.apta.org/uploadedFiles/APTAorg/Practice_
and_Patient_Care/PR_and_Marketing/Market_to_Professionals/
TodaysPhysicalTherapist.pdf. Accessed October 27, 2014.
49. Webb R, Brammah T, Lunt M, Urwin M, Allison T, Symmons
D. Prevalence and predictors of intense, chronic, and disabling
neck and back pain in the UK general population. Spine.
2003;28(11):1195-1202.
50. Loney PL, Stratford PW. The prevalence of low back pain in
adults: a methodological review of the literature. Phys Ther.
1999;79:384-396.
51. Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal
magnetic-resonance scans of the lumbar spine in asymptomatic
subjects. A prospective investigation. J Bone Joint Surg Am.
1990;72(3):403-408.
52. Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT,
Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar
spine in people without back pain. N Engl J Med. 1994;331(2):69-
73.
53. Webster BS, Cifuentes M. Relationship of early magnetic
resonance imaging for work-related acute low back pain with
disability and medical utilization outcomes. J Occup Environ
Med. 2010;52(9):900-907.
54. Pincus T, Santos R, Breen A, Burton AK, Underwood M;
Multinational Musculosketal Inception Cohort Study
Collaboration. A review and proposal for a core set of factors
for prospective cohorts in low back pain: a consensus statement.
Arthritis Rheum. 2008;59(1):14-24.
55. Flynn TW. Wrinkles on the inside – Part 1. EIM Blog. 2012:July.
www.evidenceinmotion.com/about/blog/2012/07/wrinkles-on-
the-inside. Accessed October 27, 2014.
56. Maher C, Adams R. Reliability of pain and stiffness assessments
in clinical manual lumbar spine examination. Phys Ther.
1994;74(9):801-809.
57. Spring F, Gibbons P, Tehan P. Intra-examiner and inter-examiner
reliability of a positional diagnostic screen for the lumbar spine. J
Osteopath Med. 2001;4(2):47-55.
58. Williams R, Binkley J, Bloch R, Goldsmith CH, Minuk T. Reliability
of the modified-modified Schöber and double inclinometer
methods for measuring lumbar flexion and extension. Phys Ther.
1993;73(1):33-44.
59. Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL,
Calin A. Defining spinal mobility in ankylosing spondylitis (AS).
The Bath AS Metrology Index. J Rheumotol. 1994;21(9):1694-
1698.
60. Gregory J, Wood S, Proske U. An investigation into mechanisms of
reflex reinforcement by the Jendrassik manoeuvre. Exp Brain Res.
2001;138(3):366-374.
Ort
hopa
edic
Sec
tion,
APT
A, I
nc.
Dow
nloa
ded
from
ww
w.o
rtho
ptle
arn.
org
at th
e O
rtho
paed
ic S
ectio
n on
Sep
tem
ber
26, 2
018.
For
per
sona
l use
onl
y. N
o ot
her
uses
with
out p
erm
issi
on.
Cop
yrig
ht ©
201
5 O
rtho
paed
ic S
ectio
n, A
PTA
, Inc
. All
righ
ts r
eser
ved.
31
61. Magee DJ. Orthopedic Physical Assessment. 4th ed. Canada: Elsevier Ltd; 2006.
62. Geusens E, Van Breuseghem I, Pans S, Brys P. Imaging in trauma of the pelvis and hip region. JBR-BTR. 2004;87(4):190-202.
63. Bisschop P, Van Ooteghem P. Low back pain: clinical evidence for “the dural concept.” In: Ombregt L, Bisschop P, ter Veer HJ, eds. A System of Orthopaedic Medicine. 2nd ed. Churchill Livingstone; 2003.
64. Meadows JTS. Orthopedic Differential Diagnosis in Phyiscal Therapy: A Case Study Approach. New York, NY: McGraw-Hill; 1999.
65. Lee D. The Pelvic Girdle: An Approach to the Examination and Treatment of the Lumber-Pelvic-Hip Region. 2nd ed. Edinburgh, Scotland: Churchill Livingstone; 1999.
66. Leone A, Guglielmi G, Cassar-Pullicino VN, Bonomo L. Lumbar intervertebral instability: a review. Radiology. 2007;245(1):62-77.
67. Butler DS. Adverse mechanical tension in the nervous system: a model for assessment and treatment. Aust J Physiother. 1989;35(4):227–238.
68. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005;10(3):207-218.
69. Fischer P. Clinical measurement and significance of leg length & iliac crest height discrepancies. JMMT. 1997;5(2):57-60.
70. Fowler C. Portland Test. NAIOMT Newsl. 2004;IX(1).71. Lee DL. The one-leg standing test and the active straight leg raise
test : a clinical interpretation of two tests of load transfer through the pelvic girdle. Can Orthop Div Rev. 2005. Dianelee.ca/articles/LoadTransfertests.pdf. Accessed October 27, 2014.
72. Freburger JK, Riddle DL. Using published evidence to guide the examination of the sacroiliac joint region. Phys Ther. 2001;81(5):1135-1143.
73. Riddle DL, Freburger JK. Evaluation of the presence of sacroiliac joint region dysfunction using a combination of tests: a multicenter intertester reliability study. Phys Ther. 2002;82(8):772-781.
74. Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion- and pain provocation tests for the sacroiliac joint. Man Ther. 2007;12(1):72-79.
75. Pettman E. NAIOMT. In: Level III Advanced Lower Quadrant. Course Manual published by the North American Institute of Orhopaedic Manual Thearpy. Berrien Springs, MI; 2001.
76. Behrsin JF, Andrews, FJ. Lumbar segmental instability: manual assessment findings supported by radiological measurement (A case study). Aust J Physiother. 1991;37(3):171-173.
77. Hodges P, Holm AK, Hansson T, Holm S. Rapid atrophy of the lumbar multifidus follows experimental disc or nerve root injury. Spine. 2006;31(25):2926-2933.
78. Danneels L a, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2000;9(4):266-272.
79. Fortin M, Macedo LG. Multifidus and paraspinal muscle group cross-sectional areas of patients with low back pain and control patients: a systematic review with a focus on blinding. Phys Ther. 2013;93(7):873-888.
80. Cook G. The 10 Movement Principles. First. Santa Cruz, CA: On Target Publications; 2010.
81. McGill S. Core training: Evidence translating to better performance
and injury prevention. Strength Cond J. 2910;32(3):33-46.
82. Butler D. Graded Motor Imagry Short Course. In: IFOMPT 2012
– Rendezvous of Hands and Minds. Quebec City, Canada: NOI
Institute; 2012:1–24.
83. Kendall NAS, Linton SJ, Main CJ. Guide to Assessing Psychosocial
Yellow Flags in Acute Low Back Pain: Risk Factors for Long-term
Disability and Work Loss. Wellington, New Zealand: Accident
Rehabilitation and Compensation Insurance Corporation of New
Zealand and the National Health Committee, Ministry of Health;
1997.
84. Pincus T, Burton AK, Vogel S, Field AP. A systematic
review of psychological factors as predictors of chronicity/
disability in prospective cohorts of low back pain. Spine.
2002;27(5):E109-E120.
85. Burton AK, McClune TD, Clarke RD, Main CJ. Long-term follow-
up of patients with low back pain attending for manipulative care:
outcomes and predictors. Man Ther. 2004;9(1):30-35.
86. Stanton TR, Hancock MJ, Maher CG, Koes BW. Critical appraisal of
clinical prediction rules that aim to optimize treatment selection
for musculoskeletal conditions. Phys Ther. 2010;90(6):843-854.
87. Childs JD, Fritz JM, Flynn TW, et al. A clinical prediction rule
to identify patients with low back pain most likely to benefit
from spinal manipulation: a validation study. Ann Intern Med.
2004;141(12):920-928.
88. May S, Greasley A, Reeve S, Withers S. Expert therapists use
specific clinical reasoning processes in the assessment and
management of patients with shoulder pain: a qualitative study.
Aust J Physiother. 2008;54(4):261-266.
89. Rabin A, Shashua A, Pizem K, Dickstein R, Dar G. A clinical
prediction rule to identify patients with low back pain who
are likely to experience short-term success following lumbar
stabilization exercises: a randomized controlled validation study.
J Orthop Sports Phys Ther. 2014;44(1):6-B13.
90. Urquhart DM, Hodges PW, Allen TJ, Story IH. Abdominal muscle
recruitment during a range of voluntary exercises. Man Ther.
2005;10(2):144-153.
91. Rollins CA, Robinson JL. Evaluation of undergraduate physical
therapy students’ comprehension of Maitland’s grades (I-IV) for
posterior mobilization of the glenohumeral joint. J Orthop Sports
Phys Ther. 1980;1(4):214-221.
92. Fritz J, Wainner R, Hicks G. The use of nonorganic signs and
symptoms as a screening tool for return-to-work in patients with
acute low back pain. Spine. 2000;25(15):1925-1931.
93. Kilbreath SL, Perkins S, Crosbie J, McConnell J. Gluteal taping
improves hip extension during stance phase of walking following
stroke. Aust J Physiother. 2006;52(1):53-56.
94. Dagenais S, Mayer J, Haldeman S, Borg-Stein J. Evidence-informed
management of chronic low back pain with prolotherapy. Spine
J. 2008;8(1):203-212.
95. Crossley K, Cowan SM, Bennell KL, McConnell J. Patellar taping:
is clinical success supported by scientific evidence? Man Ther.
2000;5(3):142-150.
96. French SD, McKenzie JE, O’Connor DA, et al. Evaluation of a theory-
informed implementation intervention for the management of
acute low back pain in general medical practice: the IMPLEMENT
cluster randomised trial. PloS ONE 2013;8(6):e65471.
97. Ponte DJ, Jensen GJ, Kent BE. A preliminary report on the use of
the McKenzie protocol versus Williams protocol in the treatment
of low back pain. J Orthop Sports Phys Ther. 1984;6(2):130-139.
Ort
hopa
edic
Sec
tion,
APT
A, I
nc.
Dow
nloa
ded
from
ww
w.o
rtho
ptle
arn.
org
at th
e O
rtho
paed
ic S
ectio
n on
Sep
tem
ber
26, 2
018.
For
per
sona
l use
onl
y. N
o ot
her
uses
with
out p
erm
issi
on.
Cop
yrig
ht ©
201
5 O
rtho
paed
ic S
ectio
n, A
PTA
, Inc
. All
righ
ts r
eser
ved.
32
98. Al-Obaidi SM, Al-Sayegh NA, Nakhi H Ben, Skaria N. Effectiveness
of McKenzie intervention in chronic low back pain: a comparison
based on the centralization phenomenon utilizing selected
bio-behavioral and physical measures. Int J Phys Med Rehabil.
2013;1(4):1-8.
99. Pettman E. Progression of Treatment in Chronic Lumbar Dysfunction
Complicated by Sacro-Iliac Fixatoin. Course Manual published by
the North American Institute of Orthopaedic Manual Therapy.
Berrien Springs, MI; 2001:1-5.
100. McConnell J. The physical therapist’s aproach to patellofemoral
disorders. Clin Sports Med. 2002;(21):363-387.
101. Maitland G. Vertebral Manipulation. 5th ed. Boston, MA:
Butterworth-Heinemann Ltd; 1994.
Ort
hopa
edic
Sec
tion,
APT
A, I
nc.
Dow
nloa
ded
from
ww
w.o
rtho
ptle
arn.
org
at th
e O
rtho
paed
ic S
ectio
n on
Sep
tem
ber
26, 2
018.
For
per
sona
l use
onl
y. N
o ot
her
uses
with
out p
erm
issi
on.
Cop
yrig
ht ©
201
5 O
rtho
paed
ic S
ectio
n, A
PTA
, Inc
. All
righ
ts r
eser
ved.