Lumbar Spine Active Range of Motion / Movement | Clinical Physio

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This video tutorial will teach you the important methods of testing active range of movement of the lumbar spine! It will take you through key traits, important signs and symptoms, and how common pathologies present in the lumbar spine.
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Опубликовано:

6 июл 2024

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Комментарии : 53

@birupakshya8586 Месяц назад

Great resource. Rare to find this kind of clear concise explanation anywhere. Ton of thanks.

@ClinicalPhysio 29 дней назад

You're very welcome! Thank you for watching!

@juliablair5104 4 года назад

What a fantastic resource, thank you!

@ClinicalPhysio 3 года назад

Thank you so much!

@minaljoshi8888 4 года назад

Amazing

@panagiotiskapodistrias9817 Год назад

Simple and helpful,thank you!

@ClinicalPhysio Год назад

🙏🏼🙏🏼🙏🏼

@nishitapoojary1607 10 месяцев назад

Very well explained !!

@ClinicalPhysio 10 месяцев назад

Thank you so much !

@Fatima-jf8tg 11 месяцев назад

fantastic...thanks so much for such a good visualized explaining and also the demostration on the spine.🥰🤩

@ClinicalPhysio 11 месяцев назад

You’re very welcome!

@anilambadekar 3 года назад

Very useful explaination..

@ClinicalPhysio 3 года назад

Thank you so much!

@dustbeneathourfeet3255 2 года назад

Wow so detailed. Thank you so much!

@ClinicalPhysio 2 года назад

Any time! Thank you!

@dustbeneathourfeet3255 2 года назад

@@ClinicalPhysio Your videos teach better than some of my university physio lecturers!!

@ClinicalPhysio 2 года назад

@@dustbeneathourfeet3255 Thats very generous of you! We are very grateful we can help 😊

@oojrehab8918 3 года назад

thanks

@ClinicalPhysio 3 года назад

You are welcome!

@soneelita 3 года назад

Thank you .

@maddybennett2677 2 года назад

Another amazing resource! I noticed that you don't have a video for passive range of movement at the lumbar spine? Is there a clinical reason for this or is them some other procedure you would undertake to assess PROM?

@ClinicalPhysio 2 года назад

Hey Maddy! You are spot on… I’ve personally never tested PROM of lumbar spine… but you could do Tx PROM or Hip PROM… I know your next question: Why?! Probably because I think because of the big movements and likelihood that patient joins in. Just thinking about doing lumbar spine extension passively I think would be fiddly and I’m not sure how much you would gain from it 🤷🏻‍♂️ P.s. as well as our RU-vid we have loads on instagram as well!!! 😊

@maddybennett2677 2 года назад

@@ClinicalPhysio That makes sense. Is this also the case for strength tests on the lumbar spine, I can imagine they are the easiest to test. I'll definitely be having a scroll through your instagram while I finish my lumbar notes!

@ClinicalPhysio 2 года назад

@@maddybennett2677 no problem! Yes we don’t have lumbar spine resisted… I suppose these are often tested by looking at hip testing for gluts/hip flexors but there is no reason why you couldn’t test side flexion resisted if you wish? Some might choose core stability tests but whether or not we should still be talking about core strength is a different conversation all together!

@JS-kr7zy 2 года назад

What does a a layman know about the qualities of a senior physiotherapist over any other?

@joshuawasserman170 3 года назад

How do you gauge L/S extension ROM practically, in terms of 1/4, 1/2 or 3/4? It is easier to gauge L/S Flx ROM, but I have difficulty doing similar % for extension? I know how to do it qualitatively c/ the SFMA, but not as well c/ ROM.

@ClinicalPhysio 3 года назад

Hey Joshua! Ultimately - use what is best for you! I completely appreciate your point about 1/2, 3/4. For SF you could use how far fingertips are from knee. For extension you could use ⁰ if you wanted

@nooral7073 5 месяцев назад

Hero ❤

@ClinicalPhysio 5 месяцев назад

Thank you so much 🙏🏼

@gogaliyapraveen2204 3 года назад

Hi I have a query when you have pain while flexing your lumbar spine Should we avoid deadlift , squat movements or we can continue ??

@ClinicalPhysio 3 года назад

Hi! It would be wrong of us to comment on individual symptoms... would always suggest you are professionally assessed

@gogaliyapraveen2204 3 года назад

@@ClinicalPhysio I have done assessment already only and consulted with doctor too but he is saying that is gluteal amnesia But it is spinal flexion pain When I’m sitting touching my chin to my chest It is hurting So I need an suggestion Should I continue lifting weight or should I stop But doctor suggested not to use high heel shoes and I can continue lifting

@user-yh7vd5fq3c Год назад

great content 👍 a question - why not active rotation?

@ClinicalPhysio Год назад

Thank you! Yes certainly, the majority of spinal rotation comes from the thoracic spine, so we have included this in our thoracic AROM video 😊

@user-yh7vd5fq3c Год назад

@@ClinicalPhysio great! thanks! 👍🌹

@bowieboet1321 2 года назад

ROM flexion: 40-60 extension: 20-35 side flexion: 20-25

@ClinicalPhysio 2 года назад

Great!

@dee81ism 4 года назад

I have a query? You’ve mentioned that disc pathologies doesn’t like lumbar flexion which is true. In case of disc herniation the disc protrudes mostly posterior-laterally. So wouldn’t extension cause the pain as well due to putting pressure on the bulge in the same direction as the bulge?

@raffojaffo 3 года назад

If it's a severe disc herniation it may not like movement in that segment in any direction. As the spine flexes the weight shift will cause the disc to move posterior and with extension the opposite.These tests need to be taken in tandem with the patient hx and the character of symptoms ie generally if its a disc it will be sharper/severe as opposed to a dull ache with a facet. Think of the bulge as dynamic as opposed to simply static, you are correct though.

@NickLiang 3 года назад

If you think about the Mckenzie technique, the bulge is due to fluid pushing against a weakness in the disc wall, extension would push this fluid anteriorly therefore reducing the pressure causing the bulge. As a result, repeated extension should actually centralise symptoms.

@khairulkhaizuran6003 3 года назад

how about the rotation movement?

@ClinicalPhysio 3 года назад

Hi! Only minimal lumbar rotation is said to occur with the majority of it taking place at the thoracic spine. You can see our Thoracic spine active range of movement video for details of this if you like 😊

@khairulkhaizuran6003 3 года назад

@@ClinicalPhysio I get it. okay thank you

@kingdru_562 Год назад

Although I can work out relatively pain free, outside of that I'm constantly tight in llower back with no forward range of motion for fear of a sharp painful slipped disk like feeling followed by extreme tightness and soreness for weeks. Chiropractor haven't helped at all so far.

@ClinicalPhysio Год назад

Wishing you all the very best 🙏🏼

@seanguest9811 Год назад

Is it at all possible to differentiate between myotomal and non-myotomal weakness?

@ClinicalPhysio Год назад

Yes certainly… it would just need more careful nerve testing of peripheral nerves….. E.g. Dorsiflexion is performed by the Deep Peroneal Nerve, and is the L4 myotome. So are other muscles innervated by Deep Peroneal Nerve weak as well? Or just dorsiflexion?

@seanguest9811 Год назад

@@ClinicalPhysio amazing, thank you for the reply!

@ClinicalPhysio Год назад

@@seanguest9811 no problem! We have myotomes videos on our RU-vid if you want them 👍🏼

@seanguest9811 Год назад

@@ClinicalPhysio thats great thanks, I've been making my way through a lot of them today!