The traditional approach toward treatment of low back
pain (LBP) fails many LBP patients1)
. The movement-
impairment system based on kinesiopathology is an
evidence-based method that defines the cause and provides
solutions to LBP. LBP is categorized into five syndromes:
lumbar-flexion, lumbar-extension, lumbar-rotation, lumbar-
flexion-rotation, and lumbar-extension-rotation. Recently, a
patient-centered approach to LBP treatment has been recom-
mended1–3)
. Classification systems seek to categorize LBP
patients into homogenous subtypes for which appropriate
treatment strategies have been developed4)
. The lumbar-
flexion-rotation and lumbar-extension-rotation syndromes
are the most prevalent forms of LBP4)
. Here, we developed
a patient-centered approach, thoracic movement-mediated
training (TMMT), for an LBP patient with lumbar flexion
rotation syndrome. We investigated the effect of such train-
ing on back pain and trunk range of motion (ROM).
The traditional approach toward treatment of low back pain (LBP) fails many LBP patients1). The movement-impairment system based on kinesiopathology is an evidence-based method that defines the cause and provides solutions to LBP. LBP is categorized into five syndromes: lumbar-flexion, lumbar-extension, lumbar-rotation, lumbar-flexion-rotation, and lumbar-extension-rotation. Recently, a patient-centered approach to LBP treatment has been recom-mended1–3). Classification systems seek to categorize LBP patients into homogenous subtypes for which appropriate treatment strategies have been developed4). The lumbar-flexion-rotation and lumbar-extension-rotation syndromes are the most prevalent forms of LBP4). Here, we developed a patient-centered approach, thoracic movement-mediated training (TMMT), for an LBP patient with lumbar flexion rotation syndrome. We investigated the effect of such train-ing on back pain and trunk range of motion (ROM).
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