Great resource. Rare to find this kind of clear concise explanation anywhere. Ton of thanks.
@ClinicalPhysio2 ай бұрын
You're very welcome! Thank you for watching!
@juliablair51044 жыл бұрын
What a fantastic resource, thank you!
@ClinicalPhysio3 жыл бұрын
Thank you so much!
@panagiotiskapodistrias98172 жыл бұрын
Simple and helpful,thank you!
@ClinicalPhysio2 жыл бұрын
🙏🏼🙏🏼🙏🏼
@Fatima-jf8tg Жыл бұрын
fantastic...thanks so much for such a good visualized explaining and also the demostration on the spine.🥰🤩
@ClinicalPhysio Жыл бұрын
You’re very welcome!
@nishitapoojary1607 Жыл бұрын
Very well explained !!
@ClinicalPhysio Жыл бұрын
Thank you so much !
@Burbah11 күн бұрын
This is very interesting. What could be the case if I don't experience any pain in all the variations when fully extended, yet when I sit or lie down I feel a lot of lumbar pain, and when moving around I feel like the vertebrae are slipping somewhat in place and definitely there's something wrong. I'm not trying to self diagnose, I already did my reconmended tests and I still don't know what's up with my back exactly. The pain worsens if I'm doing things around the house or walking, and very few positions can relieve it - for instance lying on the side on a hard surface with the upper leg raised and being held by something like an exercise ball. If I press it down it helps even more.
@minaljoshi88884 жыл бұрын
Amazing
@oojrehab89183 жыл бұрын
thanks
@ClinicalPhysio3 жыл бұрын
You are welcome!
@anilambadekar3 жыл бұрын
Very useful explaination..
@ClinicalPhysio3 жыл бұрын
Thank you so much!
@dustbeneathourfeet32553 жыл бұрын
Wow so detailed. Thank you so much!
@ClinicalPhysio3 жыл бұрын
Any time! Thank you!
@dustbeneathourfeet32553 жыл бұрын
@@ClinicalPhysio Your videos teach better than some of my university physio lecturers!!
@ClinicalPhysio3 жыл бұрын
@@dustbeneathourfeet3255 Thats very generous of you! We are very grateful we can help 😊
@maddybennett26772 жыл бұрын
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?
@ClinicalPhysio2 жыл бұрын
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 KZbin we have loads on instagram as well!!! 😊
@maddybennett26772 жыл бұрын
@@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!
@ClinicalPhysio2 жыл бұрын
@@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-kr7zy2 жыл бұрын
What does a a layman know about the qualities of a senior physiotherapist over any other?
@nooral70737 ай бұрын
Hero ❤
@ClinicalPhysio7 ай бұрын
Thank you so much 🙏🏼
@bowieboet13212 жыл бұрын
ROM flexion: 40-60 extension: 20-35 side flexion: 20-25
@ClinicalPhysio2 жыл бұрын
Great!
@soneelita3 жыл бұрын
Thank you .
@user-yh7vd5fq3c Жыл бұрын
great content 👍 a question - why not active rotation?
@ClinicalPhysio Жыл бұрын
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 Жыл бұрын
@@ClinicalPhysio great! thanks! 👍🌹
@gogaliyapraveen22043 жыл бұрын
Hi I have a query when you have pain while flexing your lumbar spine Should we avoid deadlift , squat movements or we can continue ??
@ClinicalPhysio3 жыл бұрын
Hi! It would be wrong of us to comment on individual symptoms... would always suggest you are professionally assessed
@gogaliyapraveen22043 жыл бұрын
@@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
@kingdru_562 Жыл бұрын
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 Жыл бұрын
Wishing you all the very best 🙏🏼
@joshuawasserman1703 жыл бұрын
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.
@ClinicalPhysio3 жыл бұрын
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
@seanguest98112 жыл бұрын
Is it at all possible to differentiate between myotomal and non-myotomal weakness?
@ClinicalPhysio2 жыл бұрын
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?
@seanguest98112 жыл бұрын
@@ClinicalPhysio amazing, thank you for the reply!
@ClinicalPhysio2 жыл бұрын
@@seanguest9811 no problem! We have myotomes videos on our KZbin if you want them 👍🏼
@seanguest98112 жыл бұрын
@@ClinicalPhysio thats great thanks, I've been making my way through a lot of them today!
@khairulkhaizuran60033 жыл бұрын
how about the rotation movement?
@ClinicalPhysio3 жыл бұрын
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 😊
@khairulkhaizuran60033 жыл бұрын
@@ClinicalPhysio I get it. okay thank you
@dee81ism4 жыл бұрын
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?
@raffojaffo3 жыл бұрын
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.
@NickLiang3 жыл бұрын
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.
@humanadam9773 Жыл бұрын
the tests will cause you an injury if you are obese or overweight.. I spent a week in bed of back pain after doing side flexion