Lumbar Lateral Shift: Difference between revisions
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== Definition == | == Definition == | ||
A lateral shift is a pathology in which the superior spinal segment moves in the frontal plane causing the shoulders to go to one direction and the hips in the opposite. The exact cause is speculated but believed to be either caused by muscle spasms, the body avoiding irritation of a spinal nerve, or disc material displacement. There can also be cases in which internal implants have shifted causing a lateral shift. It is typically named for the direction that the shoulders are going ie, left lateral shift the shoulders are to the left, the hips are to the right. | A lateral shift is a pathology in which the superior spinal segment moves in the frontal plane causing the shoulders to go to one direction and the hips in the opposite. The exact cause is speculated but believed to be either caused by [[muscle spasms]], the body avoiding irritation of a [[spinal nerve]], or [[Disc Herniation|disc]] material displacement. There can also be cases in which internal implants have shifted causing a lateral shift. It is typically named for the direction that the shoulders are going ie, left lateral shift the shoulders are to the left, the hips are to the right. | ||
A lateral shift is often seen with an acute onset of back pain with or without radicular symptoms. The shift can occur towards the side of pain (ipsilateral) or away from the side of pain (contralateral). It is most visible when the patient is standing and corrects in an unloaded position such as laying down. | A lateral shift is often seen with an acute onset of back pain with or without radicular symptoms. The shift can occur towards the side of pain (ipsilateral) or away from the side of pain (contralateral). It is most visible when the patient is standing and corrects in an unloaded position such as laying down. | ||
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Definition[edit | edit source]
A lateral shift is a pathology in which the superior spinal segment moves in the frontal plane causing the shoulders to go to one direction and the hips in the opposite. The exact cause is speculated but believed to be either caused by muscle spasms, the body avoiding irritation of a spinal nerve, or disc material displacement. There can also be cases in which internal implants have shifted causing a lateral shift. It is typically named for the direction that the shoulders are going ie, left lateral shift the shoulders are to the left, the hips are to the right.
A lateral shift is often seen with an acute onset of back pain with or without radicular symptoms. The shift can occur towards the side of pain (ipsilateral) or away from the side of pain (contralateral). It is most visible when the patient is standing and corrects in an unloaded position such as laying down.
Prevalence[edit | edit source]
There is not consensuses on the exact percentage of patients with back pain experienced but it has been stated to be between 5.6% to 80%[1][2][3]. It is believed that if someone presents with a lateral shift, the prognosis is poor with conservative care[4] . However, the prognosis improves if the shift is contralateral and the patient is able to correct the shift with a manual procedure[5].
Treatment[edit | edit source]
Mechanical Diagnosis and Therapy or the McKenzie Method is the most commonly used method in the treatment of a lateral shift. Shifts can be corrected either by the patient, through repeated or sustained side glide movement, but in many cases the patient is unable to correct the shift themselves and requires a manual shift correction.
Manual Shift correction[edit | edit source]
Self Shift correction[edit | edit source]
Resources[edit | edit source]
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References[edit | edit source]
- ↑ Peterson, S., & Hodges, C. (2016). Lumbar lateral shift in a patient with interspinous device implantation: a case report. The Journal of manual & manipulative therapy, 24(4), 215–222. https://doi.org/10.1179/2042618615Y.0000000019
- ↑ Fritz, J. M., & George, S. (2000). The use of a classification approach to identify subgroups of patients with acute low back pain. Interrater reliability and short-term treatment outcomes. Spine, 25(1), 106–114. https://doi.org/10.1097/00007632-200001010-00018
- ↑ Kilpikoski, S., Airaksinen, O., Kankaanpää, M., Leminen, P., Videman, T., & Alen, M. (2002). Interexaminer reliability of low back pain assessment using the McKenzie method. Spine, 27(8), E207–E214. https://doi.org/10.1097/00007632-200204150-00016
- ↑ Porter, R. W., & Miller, C. G. (1986). Back pain and trunk list. Spine, 11(6), 596–600. https://doi.org/10.1097/00007632-198607000-00011
- ↑ May, S., & Donelson, R. (2008). Evidence-informed management of chronic low back pain with the McKenzie method. The spine journal : official journal of the North American Spine Society, 8(1), 134–141. https://doi.org/10.1016/j.spinee.2007.10.017
