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Identification, Management, Prevention Jim Norris, CAT(C) November, 2009.

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Presentation on theme: "Identification, Management, Prevention Jim Norris, CAT(C) November, 2009."— Presentation transcript:

1 Identification, Management, Prevention Jim Norris, CAT(C) November, 2009

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3 Conditions of the low back most often result from a mechanical stress through the kinetic chain. Evaluation of conditions with no clear mechanism must include the influences of the upper and lower extremities

4 Observations, posture – feet, scapulae, jaw Compensations to center of gravity

5 There are eight axes of rotation through the sacrum The pelvis is the foundation. It must be balanced vertically, horizontally and diagonally

6 The Nervous SystemThe Fascial System

7 Anatomical leg length is determined by measuring the femur and the tibia Functional leg length is determined by the height of the iliac crests in weight bearing and at the medial malleoli with the iliac crests when lying supine.

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9 The disc itself has no nerve supply. 70% of disc pathologies are asymptomatic. Conservative therapy cannot heal a disc injury.

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11 D.D.D. Narrowing of the space between vertebrae Movement between vertebrae is diminished May be due to arthritic spurring or disc degeneration/compress ion.

12 Because of power output, velocity, and range of motion, actual injury to a sarcomere of a back muscle is very difficult to achieve. Most back strain diagnoses are shearing injuries between tissue types and tissue layers.

13 scotty dog with collarscotty dog decapitated

14 Literally – inflammation of the sciatic nerve Referred pain down the posterior of the lower extremity Pressure from; disc, skeleton, muscles, fascia

15 Very common Joint may become fixed due to stacking or muscular force.

16 Uncoordinated movement of the spine Painful to maintain static positions Generally, rehab is poorly understood

17 Uncoordinated movement of the spine Painful to maintain static positions Generally, rehab is poorly understood WE ARE GOING TO CHANGE THAT!!!

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19 Localized compensating scoliosis Pain Disc + nerve root Positive dural signs C-spine + SLR (accurately) Slump test Walking on toes


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