Orthopedic Case Studies

of the Lumbar Spine

Eric Robertson, PT, DPT, OCS, FAAOMPT
Jodi Young, PT, DPT, OCS, FAAOMPT

Not for reproduction or redistribution

Patient Management Framework: Guide
to PT Practice 3.0

• Examination
• History
• Systems review
• Tests and measures

Orthopedic Case Studies of the Lumbar Spine

Not for reproduction or redistribution Eric Robertson & Jodi Young, PT, DPT, OCS, FAAOMPT
Systems?
• Review of systems: part of history1 • Systems review: screening exam
– “Cardiovascular/pulmonary – CV/P
systems – Integ
– Endocrine system – MSK
– Eyes, ears, nose, or throat – Neuro
– Gastrointestinal system – Communication
– Genitourinary/reproductive
systems
– Hematologic/lymphatic systems
– Integumentary system
– Neurologic/musculoskeletal
systems”

1. Excerpt from Guide to Physical Therapist Practice. iBooks.

Orthopedic Case Studies of the Lumbar Spine

Not for reproduction or redistribution Eric Robertson & Jodi Young, PT, DPT, OCS, FAAOMPT
 Evidence for Traction
Lumbar Radiculopathy

Orthopedic Case Studies of the Lumbar Spine

Not for reproduction or redistribution Eric Robertson & Jodi Young, PT, DPT, OCS, FAAOMPT
Traction Evidence

• A sub-group of patients responsive to traction may exist

• Sub-group may be defined as patients with leg pain,
signs of nerve root compression and
– Peripheralize with extension movements
– Positive crossed SLR test

Fritz et al.

Orthopedic Case Studies of the Lumbar Spine

Not for reproduction or redistribution Eric Robertson & Jodi Young, PT, DPT, OCS, FAAOMPT
Orthopedic Case Studies of the Lumbar Spine

Bibliography
MedBridge
Orthopedic Case Studies of the Lumbar Spine
Eric Robertson, PT, DPT, OCS, FAAOMPT
Jodi Young, PT, DPT, OCS, FAAOMPT

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