Shirley Sahrmann's Lumbar Flexion Syndrome
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - Inga Balciuniene, Kim Jackson and Shaimaa Eldib
Introduction[edit | edit source]
There is rapidly growing acceptance among clinicians and researchers that the development of movement-based diagnostic frameworks is the way forwards in managing chronic and recurrent low back pain (LBP). The systems most supported by evidence are those that examine interrelationships between altered patterns of muscle recruitment and motor control strategies and establish a direction-based mechanism of provocation or relief of symptoms[1][2].In the lumbar spine this approach is now well established. In the management of non-specific low back pain the subgrouping and classification of patients’ symptoms based on the assessment of movement and motor control has become more important than trying to identify a pathology based diagnosis.[3][4]
A majority of spinal dysfunction is the result of cumulative microtrauma caused by impairments in alignment in stabilization and in movement patterns of the spine. In the properly functioning spine the balanced isometric support and control provided by the trunk muscles prevent these impairments.[3] One of the causes lumbar pain is lumbar flexion syndrome using S.Sharmann's classification. Lumbar flexion syndrome with and without radiating symptoms is more often found in men than women and in young individuals. Acutely herniated disk problems are most often associated with flexion[3].
Sub Heading 2[edit | edit source]
Physical treatment[edit | edit source]
The keys to preventing and alleviating spinal dysfunction are (1) to have the trunk muscles hold the vertebral column and pelvis in their optimal alignments and (2) to prevent unnecessary movement. To achieve these goals, the muscles must be the correct length and strength and be able to produce the correct pattern of activity. During movement of the extremities, optimal isometric contraction of the trunk muscles is needed to appropriately stabilize the proximal attachments of the limb muscles[3]. Also treatment includes patient education, analysis and correction of daily activities and prescription of specific exercises[5].
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ Luomajoki H, Kool J, de Bruin E.D, Airaksinen O. Improvement in low back movement control, decreased pain and disability, resulting from specific exercise intervention. Sports Medicine, Arthroscopy, Rehabilitation, Therapy and Technology 2010; 23 (2), 11.
- ↑ Van Dillen L.R, Maluf K.S, Sahrmann S.A. Further examination of modifying patient-preferred movement and alignment strategies in patients with low back pain during symptomatic tests. Manual Therapy 2009;14 (1), 52–60.
- ↑ 3.0 3.1 3.2 3.3 Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes. Mosby, 2002.
- ↑ Fritz J.M, Cleland J.A, Childs J.D. Subgrouping patients with low back pain: evolution of a classification approach to physical therapy. Journal of Orthopaedic and Sports Physical Therapy 2007; 37 (6), 290–302.
- ↑ Sahrmann S. Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines.Elsevier: Health Sciences, 2010.
