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treatment technique in a patient in the pelvic region, and lumbar stabilization care plan aimed at
20
whose progress had plateaued exercises. A neurodynamic technique was improving function in
using impairment-based manual introduced at visit 5, supplemented with a 10 patients with low back and
physical therapy interventions similar self-treatment technique that was 0
lower extremity pain.
1 3 5 6 7 10 mo
for low back and lower included in the home program. Visit Number f/u
extremity pain.
Results: Symptom Frequency Clinical Relevance:
Subject:
Improvement of the patient’s symptoms 30
Patients with low back and
85 year-old female with plateaued by visit 4 with an ODI score of 36%. 25
lower extremity pain who
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t
it
si
F/
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of 7 days and the baseline score
Vi
lV
th
frequency of symptoms
al
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-M
Fi
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on the Modified Oswestry Low
10
improve with manual
Back Pain Disability physical therapy that
Questionnaire (ODI) was 42%. includes neurodynamic
Significant examination findings The patient’s lower extremity was placed in a straight leg raise position biased toward treatment techniques.
included positive neurodynamic adduction and internally rotation. The ankle was then passively dorsiflexed until the onset
of symptoms and held for 3-4 seconds. This was followed by a position of plantarflexion
signs. for the same duration. Ten repetitions of this maneuver were performed once each day for
approximately 10 days.