Treatment-based Classification System for Low Back Pain

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Description

Treatment-based classification (TBC) of low back pain describes the model whereby the clinician makes treatment decisions based on the patient's clinical presentation.

First Level Classification

This step involves determining if the patient is appropriate for physical therapy services, or if a referral to other professionals is necessary.

Second Level Classification

This step involves a determination of the patient's level of severity and/or acuity.  For patients in need of intensive intervention (those presenting with severe or acute symptoms), the third stage of the classiciation will be undertaken to determine the best treatment to suit the patient.

Third Level Classification

The following are the main treatment groups indentified in the literature:

Directional Specific Exercise

• Flexion
• Extension
• Lateral Shift

Indication

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Clinical Presentation

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Key Evidence

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Resources / Media

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Case Studies

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References

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