role of physio. lbp
TRANSCRIPT
College of Anaesthesiologists and Intensivists of Sri Lanka
Symposium on Pain 18th November, 2016
Neuro Trauma AuditoriumNHSL
Low Back PainRole of Physiotherapy
Rohana Perera
Principal,
School of Physiotherapy and Occupational Therapy
This Presentation
Basics of Approach to Care
Basics of Approach to Care
1. Assess each case
2. Treat rightI. Facilitate Recovery
II. Eliminate Predisposing Elements
1. Assess Each Casea. Know Your Customer
i. General informationii. Historyiii. Symptom behaviouriv. Work and leisure
b. Observe posture and gait
c. Screen for Neuro. Signsd. Assess Mobility of the
Spine
2. Treat Right.I. Facilitate Recovery
a) Improve Circulation • Heat / cold therapy• Electrotherapy• Ultrasonic therapyb) Overcome Joint
Stiffness and fight pain
• Passive Procedures• Active Exercising
Contd.II. Eliminate Predisposing
Elementsa) Rectify Imbalances• Stretch taut structures• Normalise Muscle
strength
b) Teach Back Discipline
1. Assess Each Casea. Know Your Customer
i. General informationii. Historyiii. Symptom behaviouriv. Work and leisure
1. Assess Each Caseb. Observe posture and
gait
Sciatic Scoliosis
1. Assess Each Casec. Screen for Neuro. Signs
1. Assess Each Cased. Assess Mobility of the
Spine
• Basics of Approach to Care
1. Assess each case
2. Treat righti. Facilitate Recovery
ii. Eliminate Predisposing Elements
2. Treat Right.I. Facilitate Recovery
a) Improve Circulation • Heat / cold therapy• Electrotherapy• Ultrasonic therapyb) Overcome Joint
Stiffness and fight pain
• Passive Procedures• Active Exercising
Restoration of Accessory Movements
Contd.II. Eliminate Predisposing
Elements
a) Rectify Imbalances• Stretch taut structures• Normalise Muscle
strength
Contd.II. Eliminate Predisposing
Elements
b) Back Discipline
Back Discipline
Place of REST in Treatment
Is essential when it’s Indicated
Sciatic Scoliosis
• The next slide shows how with Infrared therapy (15 – 20 min) followed by Gr II - Gr III spinal accessory movements, self traction, and relative rest improved the posture and symptoms (sciatica) in five days.
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