Lumbopelvic Learn Topic

This months learn topic takes on the not so small task of exploring the Lumbopelvic Region.  A large representation of our client population (particularly in the developed world) present to us with lumbopelvic pain and disability.  An integral part of our knowledge, the Lumbopelvic region is by no means a small topic.  This month our learn topic is not meant to be an exhaustive resource on the subject, instead it will point you at numerous resources for revising or expanding your knowledge of anatomy, conditions, assessment and treatment of the lumbar and pelvic regions. This learn topic is all about reading, there are lots of journal articles and book chapters, so grab that coffee and get ready…..

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First we cover lumbopelvic anatomy.  We have 2 free book chapters on lumbar and pelvic applied anatomy from Ombregt’s A System of Orthopaedic Medicine.  Followed by several videos to and related Physiopedia pages to consolidate this knowledge:

  • Ombregt, L.  Applied Anatomy of the Lumbar Spine. Chapter 31 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  Applied Anatomy of the Sacroiliac Joint. Section 11 In: A System of Orthopaedic Medicine.  Elsevier, 2013.

Following this we look at lumbopelvic conditions.   In no way an exhaustive list but 9 (!!) free book chapters cover conditions from ageing to pregnancy.  Again we follow this up with some Physiopedia pages:

  • Ombregt, L.  Ageing of the Lumbar Spine. Chapter 32 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  The Dural Concept. Chapter 33 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  The Ligamentous Concept. Chapter 34 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  The Stenotic Concept. Chapter 35 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  Lumbar Instability. Chapter 37 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  Mechanical disorders of the lumbar spine. Chapter 38 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  Non-mechanical disorders of the lumbar spine. Chapter 39 & 40 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Ombregt, L.  Disorders of the Sacroiliac Joint. Chapter 43 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Lee, D. Pregnancy and it’s potential complications.  Chapter 6 In: The Pelvic Girdle.  Elsevier, 2011.

Next up is lumbopelvic assessment.  Following a review of assessment in Physiopedia we have 4 excellent chapters from Magee and Ombregt plus 4 free articles from Manual Therapy to explore assessment of this region.  All our assessment techniques can be reviewed with the Clinically Relevant videos that you will have access to:

  • Magee, D. Lumbar Spine.  Chapter 9 in: Orthopedic Physical Assessment.  Elsevier, 2014.
  • Ombregt, L.  Clinical Examinaton of the Lumbar Spine. Chapter 36 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Magee, D. Pelvis.  Chapter 10 in: Orthopedic Physical Assessment.  Elsevier, 2014.
  • Ombregt, L.  Clinical Examinaton of the Sacroiliac Joint. Chapter 41 In: A System of Orthopaedic Medicine.  Elsevier, 2013.
  • Vibe Fersum K, O’Sullivan PB, Kvåle A, Skouen JS.  Inter-examiner reliability of a classification system for patients with non-specific low back pain. Manual therapy. OCT 2009;14(5)555-61.
  • Sarah L. Slater, Jon J. Ford, Matthew C. Richards, Nicholas F. Taylor, Luke D. Surkitt, Andrew J. Hahne.  The effectiveness of sub-group specific manual therapy for low back pain: A systematic review. Manual therapy.  June 2012; 17(3)201-212.
  • Mark Laslett, Charles N. Aprill, Barry McDonald, Sharon B. Young. Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests Manual therapy August 2005; 10(3)207-218
  • Ulrika Holmgren, Kerstin Waling Inter-examiner reliability of four static palpation tests used for assessing pelvic dysfunction. Manual therapy,  February 2008; 13(1)50-56.

After this we look at some resources related to treatment of the lumbopelvic region.

  • Hodges, P. Introduction: convergence and divergence of opinions on spinal control. Chapter 1 In: Spinal Control: The Rehabilitation of Back Pain.  Elsevier, 2013.
  • Joy-Lee, L. and Lee, D.  Tools and techniques for ‘waking up’ and coordinating the deep and superficial muscle systems.  Chapter 11 in: The Pelvic Girdle.  Elsevier, 2011.
  • Treatment Based Classification System for Low Back Pain
  • Manual Therapy Techniques for the Lumbar Spine
  • Clinically Relevant videos showing manual therapy techniques for the lumbar spine.

Our extra resources this month include an inspiring interview with Diane Lee, 2 free chapters from Maitlands Vertebral Manipulation which cover all aspects of lumbopelvic management including anatomy, clinical reasoning and presentations, plus some great resources in Physiopedia (including 22 free presentations!!!).

There is a lot of information here, don’t be overwhelmed!  This month’s learn topic is intended to be a resource for your lumbopelvic knowledge.

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