Use of a Patient-Specific Outcome Measure and a Movement Classification System to Guide Nonsurgical Management of a Circus Performer with Low Back Pain: A Case Report

Ruth L Chimenti; Linda R Van Dillen; Lynnette Khoo-Summers

doi:10.12678/1089-313X.21.4.185

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Use of a Patient-Specific Outcome Measure and a Movement Classification System to Guide Nonsurgical Management of a Circus Performer with Low Back Pain: A Case Report

Journal article

Peer reviewed

Use of a Patient-Specific Outcome Measure and a Movement Classification System to Guide Nonsurgical Management of a Circus Performer with Low Back Pain: A Case Report

Ruth L Chimenti, Linda R Van Dillen and Lynnette Khoo-Summers

Journal of dance medicine & science, Vol.21(4), pp.185-192

12/15/2017

DOI: 10.12678/1089-313X.21.4.185

PMCID: PMC5960992

PMID: 29166989

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Abstract

Low back pain (LBP) can be detrimental to the career of a circus arts performer, yet there is minimal population-specific literature to guide care. Moreover, reluctance to discontinue training and the need to resume end-range lumbar motion can impede the success of conservative care. The purpose of this case report is to describe the use of a patient-specific outcome measure and a movement classification system to structure a home exercise program (HEP) for an adolescent training to be a circus performer. The patient was a 16-year-old female with a 10-month history of LBP. A Movement System Impairment examination indicated that she had lower abdominal weakness, gluteal weakness, and hip flexors that were short and stiff; hence, extension and rotation were repeated patterns of lumbopelvic movement associated with her LBP symptoms. The patient was seen for 16 visits over 16 weeks. The HEP focused on minimizing lumbopelvic extension and rotation movements while improving abdominal and gluteal strength and hip flexor flexibility. Resumption of acrobatic activities was guided by the Patient-Specific Functional Scale. As measured by this scale, her difficulty with five functional and acrobatic activities decreased from 4/10 at initial evaluation to less than or equal to 1/10 by discharge. It is concluded that using an outcome measure to assess difficulty of activities chosen by the patient and education on how to avoid movement patterns associated with LBP symptoms can help facilitate return to performance.

Exercise Therapy - methods

Art

Movement

Humans

Range of Motion, Articular - physiology

Adolescent

Female

Treatment Outcome

Pain Measurement

Health Behavior

Low Back Pain - therapy

Rotation

Details

Title: Subtitle: Use of a Patient-Specific Outcome Measure and a Movement Classification System to Guide Nonsurgical Management of a Circus Performer with Low Back Pain: A Case Report
Creators: Ruth L Chimenti - Department of Physical Therapy and Rehabilitation Science at the University of Iowa, Iowa City, Iowa
Linda R Van Dillen - Program in Physical Therapy, Washington University School of Medicine, St. Louis, Missouri
Lynnette Khoo-Summers - Program in Physical Therapy, Washington University School of Medicine, St. Louis, Missouri
Resource Type: Journal article
Publication Details: Journal of dance medicine & science, Vol.21(4), pp.185-192
DOI: 10.12678/1089-313X.21.4.185
PMID: 29166989
PMCID: PMC5960992
NLM abbreviation: J Dance Med Sci
ISSN: 1089-313X
eISSN: 2374-8060
Grant note: R01 HD047709 / NICHD NIH HHS
Language: English
Date published: 12/15/2017
Academic Unit: Physical Therapy and Rehabilitation Science
Record Identifier: 9984083276702771

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