To my opinion the most important thing about an assesment is the anamnesis. Firstly to exclude red flags but also to give you the first ideas in what direction you should acces. Al palpation tests are unreliable whilst underlying the subjectiv opinion of the investigator. Only palpation for pain provocation has its worth. The straight leg raise you don't have to do anymore, when flexion in standing shows this ROM as in the video, it will be negativ. On the other hand I recommend to let her do extension in lying to get a true vision about her ROM and end range pain. Palpation with PA for pain provocation on the spinal processi gives clear idea which segments are painfull. To exclude the hip more sensitiv you can test the combination of flexion inward rotation and adduction. To get a deeper understanding of the pain mechanics of the lumbar spine one should do repeated end range movements or sustained positions and look for pain provocation, ROM changes, also in the opposite direction and clear changes in quality of movement. Stability reacts on pain. Where there is pain or danger for pain the nervous system and thus the muscles get messed up. Some get more tension, other muscles react weak..Treat the pain not the muscle.
@marcusnurminen3332 жыл бұрын
Some valid points. Although, SLR in lying and flexion in standing tests for different aspects of hip flexion. The difference is primarily position of the pelvis as the lying is in neutral and muscle shortness in the hamstrings is easier identified.
@Nomadic.A3 жыл бұрын
Just for once I'd like to see a lower back exam where someone is in pain and explanations for possible reasons/diagnoses.
@ClinicalPhysio3 жыл бұрын
Hi Heather - I'm afraid we don't have a video like this where someone is in pain.... But as we mention at the start and end of this video, we have LOTS more assessment videos for the Lumbar Spine including Active Range of Movement, Observation, Palpation which goes into lots more detail about different pathologies and diagnoses
@Zenitself3 жыл бұрын
Currently on clinical and this is exactly what I needed to see! Thanks
@ClinicalPhysio3 жыл бұрын
You are more than welcome! Thank you for your support
@ClinicalPhysio3 жыл бұрын
@Inocencia Monsen thank you!
@panagiotiskapodistrias98172 жыл бұрын
Really nice and quick run through,thank you!
@ClinicalPhysio2 жыл бұрын
Thank you!
@vasileiospetropoulos20464 жыл бұрын
Great man
@rebekahlucas98354 ай бұрын
Would be great to know what you are looking for and why during the assessment!
@ClinicalPhysio4 ай бұрын
Hi Rebekah! Hopefully you heard us say on intro and outro that we absolutely have these details in all our other videos on playlists e.g. shoulder active range of movement or hip palpation or ankle observation! You can find these playlists on our channel if you wanted them
@dubidubidamdam90033 жыл бұрын
It Will be perfect if you do more information for the test
@ClinicalPhysio3 жыл бұрын
Hi! Please check out the other videos in our Lumbar Spine section, we have many more lumbar spine videos which all give details about all our different tests
@tanzidchoudhury22315 ай бұрын
Hi Khaled , do you have any video for kyphosis and scoliosis management?
@ClinicalPhysio4 ай бұрын
I’m afraid we don’t have any of these on KZbin
@marshidamarshi1483 жыл бұрын
Thank you sir
@don-mk5md2 жыл бұрын
Thank you so much for your video
@ClinicalPhysio2 жыл бұрын
You’re very welcome! Glad you enjoyed it!
@joshuaparkes65042 жыл бұрын
Hi there! Great video, would love to see a video on LBP - mgt/rx, what the evidence says or even one on neck pain? I have been isolating this last week and have really enjoyed all your videos.
@ClinicalPhysio2 жыл бұрын
Hey Joshua! Thank you so much for your message! We tend to try and save these for our webinars as it allows us to go into more detail with experienced speakers as well … for example our webinar next week is “Sussing out Sciatica” with the aim of exactly what you said!
@joshuaparkes65042 жыл бұрын
@@ClinicalPhysio that’s brilliant thanks, will that be out on KZbin after? I would definitely be on that 👍
@ClinicalPhysio2 жыл бұрын
@@joshuaparkes6504 we keep these on our website rather than KZbin - feel free to check out at clinicalphysio.com 🙏🏼
@ancasaesthetics86152 жыл бұрын
Thank you, great video!!!!!
@ClinicalPhysio2 жыл бұрын
Thank you so much!
@mark.betterliving Жыл бұрын
Hi, I believe I am undergoing an assessment for my spine but I will be monitored through a testing device, any ideas on what this could be? Or how it works?
@ClinicalPhysio Жыл бұрын
Hmmm not sure my friend!
@sathishlakshmi88932 жыл бұрын
Hi sir i need one openion
@ClinicalPhysio2 жыл бұрын
Hi! We always recommend that you consult a local clinician in a full face to face assessment to get the most accurate opinion!
@saiqashafi32623 жыл бұрын
👍
@physioexellent Жыл бұрын
I am physio student my name is Khalid ahmad
@ClinicalPhysio Жыл бұрын
🙏🏼🙏🏼🙏🏼
@mohammedalmaliki8902 жыл бұрын
It is better to do examination on male volunteer
@darkmagic82262 жыл бұрын
It is better to not impose what you think is right on other people . If the doctor and the volunteer agreed to make this video , then don't interfere by imposing your opinion on them.
@mohammedalmaliki8902 жыл бұрын
The speech is directed to the honorable doctor ,not you!!
@darkmagic82262 жыл бұрын
@@mohammedalmaliki890 your idiotic speech is annoying and imposing your beliefs on us and the honourable doctor didn't even care to repsond.
@johnk370010 күн бұрын
Why?
@mohammedalmaliki89010 күн бұрын
@johnk3700 because the doctor is Muslim..
@yourworkbuddy2 жыл бұрын
what are you checking and what is the name of each test. this is a waste with no information on what you are checking.
@ClinicalPhysio2 жыл бұрын
Hi Uchechi - I hope you heard what we say in the Intro and Outro of this video? This video is produced to simply demonstrate the order of the assessment. We have MANY videos specifically on the lumbar spine including Lumbar Spine Active Range of Movement, Lumbar Spine Observation, Lumbar Spine Palpation which goes through all the details of what we are checking and why. I will paste these videos here in this chat so you can see them
@ClinicalPhysio2 жыл бұрын
Palpation: kzbin.info/www/bejne/jqO0gWZ3mqmdn68
@ClinicalPhysio2 жыл бұрын
Active Movement kzbin.info/www/bejne/mWm6m2igf7WsidE