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Luomajoki Lumbar Movement Control Dysfunction Screening - YouTube
Channel: Physiotutors
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in this video we are going to cover the
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test battery by luma Oki to assess
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movement control dysfunction in patients
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with nonspecific low back pain hi
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welcome back to physio judo's almost
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everyone experiences low back pain at
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least once in a lifetime only 10% of
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cases of patients suffering from low
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back pain can be attributed to specific
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pathology we are talking about fractures
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tumors
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spinal stenosis neuropathology and such
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the other 90% of cases are nonspecific
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meaning there is no path or anatomic
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cause for the pain nonspecific low back
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pain can further be subdivided in non
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mechanical and mechanical pain in the
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non-mechanical group can be attributed
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to central maladaptive processes
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influenced by the presence of yellow
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flags and other psychosocial factors
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thumbs up if you want a video explaining
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different forms of pain this
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non-mechanical low back pain makes up
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around 1/3 often on specific cases the
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other 70% are mechanical and either
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movement or posture dependent oftentimes
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nothing is structurally wrong the
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patient simply has lost control over the
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conscious movements in the low back
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leading to pain blue myopia doll has
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developed a sixth test screening tool to
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assess movement control dysfunction in
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patients with nonspecific low back pain
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they found substantial intra and
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integrated reliability with a kappa
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value of greater than 0.6 secondly there
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was no significant difference between
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novice and experienced clinicians rating
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the patient's movement furthermore when
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low back pain patients perform these
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tests there was a clear significant
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difference in movement control to
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healthy subjects the first test of the
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battery is the so called way dose Bo it
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assesses control over the lumbar spine
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during a hip hinge the goal is to bend
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forward from the hips whilst maintaining
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a neutral lumbar spine
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secondly the patients are instructed to
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perform a posterior pelvic tilt which
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induces flexion at the lumber spine
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third is single leg stance the patient
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is instructed to stand with the feet
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apart at one third of the inserter
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cancer distance then the patient
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proceeds to stand on one leg the amount
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of lateral shift is measured the norm is
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usually 8 centimeters and the
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discrepancy of more than 2 centimeters
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between sides is considered abnormal the
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next test is sitting the extension for
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the test the patient is an upright
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sitting position on the bench with the
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legs hanging freely the lumbar lordosis
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is corrected and then the patient is
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instructed to extend the knee without
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movements ie flexion of the low back
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next the patient's movement control is
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assessed during forward and backward
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rocking and 4-point kneeling position
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for forward rocking the patient is
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instructed to move the pelvis forward
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without extending the low back for
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backward rocking the patient is asked to
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transfer the pelvis backwards whilst
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keeping the back neutral
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the last test is the pro knee bend the
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patient lies in prone position and is
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asked to bring the heel to the bottle
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typically the weight of SPO sitting knee
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extension and backward rocking are
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difficult to perform rotations with a
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flexion pattern according to ourselves
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on the other hand a patient with an
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extension pattern will have difficulties
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with executing the prone knee bent and
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forward rocking without involving the
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lumbar spine
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at last the single leg stance could help
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you identify someone with a lateral
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shift pattern what can you do with the
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patient once you've figured out their
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movement control dysfunction be sure to
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check out the video right here to learn
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about some interventions as always
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thanks for watching and if you haven't
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subscribed yet now is the chance
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this was Andrea Fujii Oh toodles I'll
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see you in the next video bye
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