Movement Control Tests For Lumbar Spine: Difference between revisions
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== Introduction == | == Introduction == | ||
Tests are considered positive if with cueing and demonstration the person can not perform correctly. | Tests<ref>Alrwaily M, Timko M, Schneider M, Stevans J, Bise C, Hariharan K, Delitto A. [https://academic.oup.com/ptj/article/96/7/1057/2864925 Treatment-based classification system for low back pain: revision and update.] Physical therapy. 2016 Jul 1;96(7):1057-66.</ref> are considered positive if with cueing and demonstration the person can not perform correctly<ref>Lehtola V, Luomajoki H, Leinonen V, Gibbons S, Airaksinen O. [https://link.springer.com/article/10.1186/s12891-016-0986-y Sub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: A randomized controlled trial.] BMC musculoskeletal disorders. 2016 Dec;17(1):1-9.</ref>. | ||
== Six Movement Control Tests == | == Six Movement Control Tests == | ||
Revision as of 14:16, 30 December 2022
Top Contributors - Carin Hunter, Rishika Babburu and Jess Bell
Introduction[edit | edit source]
Tests[1] are considered positive if with cueing and demonstration the person can not perform correctly[2].
Six Movement Control Tests[edit | edit source]
1. Waiter’s Bow:[3][edit | edit source]
Correct: Forward bending of the hips 50-70° without flexion of the low back.
Incorrect: Flexion occurring in the low back prior to 50° of hip flexion.
2. Sitting Knee Extension:[edit | edit source]
Correct: Upright sitting with lumbar lordosis; extension of the knee to within 50° of straight without movement of LB.
Incorrect: Low back moving in flexion prior to within 50° of straight.
3. Rocking backwards:[edit | edit source]
Correct: 120° of hip flexion without movement of the low back by transferring pelvis backwards.
Incorrect: Hip flexion causes flexion in the lumbar spine (typically the patient not aware of this).
4. Prone Lying Knee Flexion:[edit | edit source]
Correct: Active knee flexion at least 90° without extension movement of the low back and pelvis.
Incorrect: Low back does not stay neutral, but moves into extension
5. Posterior Pelvic Tilt:[edit | edit source]
Correct: Posterior pelvic tilt the pelvis while in standing by contracting the glute max while keeping the thoracic spine in neutral
Incorrect: Pelvis doesn't tilt or low back moves towards Ext./No gluteal activity/compensatory flexion in thoracic spine
6. Single-leg Stance:[edit | edit source]
Setup: Patient’s feet 12cm apart. Use a 20cm ruler and hold it on a stable object with the middle of the ruler lined up with the patient's umbilicus.
Correct: The patient’s umbilicus has <2cm difference side to side and <10 cm transfer on either foot.
Incorrect: Lateral transfer of belly button >2cm difference side to side or > 10 cm in either direction .
Articles:[edit | edit source]
- Luomajoki H, Kool J, De Bruin ED, Airaksinen O. Reliability of movement control tests in the lumbar spine. BMC musculoskeletal disorders. 2007 Dec;8(1):1-1.
- Meier R, Emch C, Gross-Wolf C, Pfeiffer F, Meichtry A, Schmid A, Luomajoki H. Sensorimotor and body perception assessments of nonspecific chronic low back pain: a cross-sectional study. BMC Musculoskeletal Disorders. 2021 Dec;22(1):1-0.
References[edit | edit source]
- ↑ Alrwaily M, Timko M, Schneider M, Stevans J, Bise C, Hariharan K, Delitto A. Treatment-based classification system for low back pain: revision and update. Physical therapy. 2016 Jul 1;96(7):1057-66.
- ↑ Lehtola V, Luomajoki H, Leinonen V, Gibbons S, Airaksinen O. Sub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: A randomized controlled trial. BMC musculoskeletal disorders. 2016 Dec;17(1):1-9.
- ↑ Luomajoki H, Kool J, De Bruin ED, Airaksinen O. Reliability of movement control tests in the lumbar spine. BMC musculoskeletal disorders. 2007 Dec;8(1):1-1.
