McGill big 3 stabilization exercises: summary of research evidence

The Problem’s Overview The concept of spine stability, as well as low back stabilisation exercises, has become a prominent emphasis in both rehabilitation and preventive care. The term “stabilisation exercise” is a catch-all term for any exercise that tests the stability of the spine while teaching muscle activity patterns and spine posture to achieve “sufficient stability” (McGill S. 2002). Sufficient stability is defined as ensuring … Continue reading McGill big 3 stabilization exercises: summary of research evidence

The pain drawing and Measurement of pain intensity

The pain drawing On a standardised and styled graphic representation, a self-reported multi-coloured graphic representation of the location and distribution of pain and other symptoms Six different colours signify six different sorts of symptoms, as shown below: Yellow = aching Blue = burning Green = pins & needles Black = numbness Red = stabbing pain The use of colours rather than symbols had not been … Continue reading The pain drawing and Measurement of pain intensity

Spurling’s test

Spurling’s Test: The purpose is to identify the presence of cervical radiculopathy among patients with upper quadrant pain. (1, 2). Patient Position: Sitting upright. Examiner Position: Standing beside or behind the patient. Procedure: Move the patient’s head into lateral flexion/rotation to the unaffected side. Carefully apply axial compression vertically downwards through the head. Repeat the same on the affected side. Bradley et al. suggestions: Compress the head in neutral position. … Continue reading Spurling’s test

Neurological bedside examination: accuracy in lumbo-sacral radiculopathy

In Western industrialised countries, low-back pain (LBP) is a common cause of disability. Although many people have at least one episode of low-back pain throughout their lives, no identifiable disease is found in up to 85% of patients (Deyo et al. 1992). Low back-related leg pain, which accounts for 23% to 57% of all LBP cases (Scharfer A, et al. 2007). In patients who report … Continue reading Neurological bedside examination: accuracy in lumbo-sacral radiculopathy

Terminology and identification of spine-related leg pain patients

There is no agreement on a definition or diagnostic criteria for “sciatica.” The term “sciatica” has been used to describe a variety of nerve-related disorders originating in the spine, including radicular discomfort and painful radiculopathy (Foster NE, et al., 2020; Lin CW, et al., 2014). Despite the linguistic connotation of neural involvement, the term “sciatica” has been used to refer to somatic-referred pain in some … Continue reading Terminology and identification of spine-related leg pain patients