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Classification, Intervention, and Outcomes for a Person With Lumbar Rotation With Flexion Syndrome

LR Van Dillen, PT, PhD, is Assistant Professor, Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, St Louis, MO 63110 (USA) (vandillenl{at}msnotes.wustl.edu)
SA Sahrmann, PT, PhD, FAPTA, is Professor and Associate Director for Doctoral Studies, Program in Physical Therapy, Washington University School of Medicine
JM Wagner, PT, MSPT, ATC, is a doctoral candidate, Movement Sciences, Program in Physical Therapy, Washington University School of Medicine

Address all correspondence to Dr Van Dillen. Reprints will not be available from the corresponding author

Background and Purpose. The purpose of this case report is to describe the classification, intervention, and outcomes for a patient with lumbar rotation with flexion syndrome. Case Description. The patient was a 22-year-old man with a medical diagnosis of low back strain. Impairments in lumbar flexion and right rotation and lateral bending were identified. Daily activities and positions associated with these actions were associated with increased low back pain (LBP). Instruction focused on modifying lumbar rotation and flexion movements and alignments in daily activities. Exercises to address the direction-specific impairments were prescribed. Outcomes. The patient participated in 4 visits and completed a questionnaire 1 year after intervention. The patient reported a decrease in symptoms, disability, and frequency of recurrences. Discussion. Repetition of specific strategies (alignment and movement) during activities may result in specific impairments that contribute to LBP. Modification of the strategies and exercises to change contributing factors are proposed to help alleviate symptoms, disability, and recurrences.

Key Words: Classification • Low back pain • Recurrence

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