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Clinical SeminarDemonstration of an examination for Movement System Low Back SyndromeShirley Sahrmann, PT, PhD, FAPTAThis seminar will use either a video or a volunteer subject to demonstrate the complete examination for a low back syndrome. The examination consists of a series of tests of movements of the lumbar spine of the limbs and how they affect the lumbar spine. The primary test is one in which the patient performs the movement in his/her preferred manner while both the symptoms and the precision of performance is noted. The secondary test is one in which the patient is shown how to perform the movement correctly and the effect on the symptoms is noted. The tests are performed in standing, supine, sidelying, prone, quadruped and sitting. The tests are used to indicate the movement direction that most consistently causes pain and when corrected decreases or eliminates the pain. The identified movement direction is designated as the patient’s movement system diagnosis. The examination not only provides the diagnosis but also identifies the contributing factors, tissue adaptations, and the specific exercises that will be the basis of the patient’s treatment. The examination also enables the patient to learn the movements that cause pain and how to minimize or eliminate the pain. The results of the examination also provide indicators of the way the patient performs his daily activities that are contributing to his/her pain problem. Correction of the way the patient performs his daily activities is an important part of the treatment program. Upon completion of this seminar the participant will be able to describe the 1) examination for movement system low back syndromes, 2) development of the diagnosis, 3) contributing factors and 4) treatment program. Take home messages from this seminar:
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