by hiran

1. UCP/AL/11/196

2.  Name- (male)
 Age- 30
 Occupation- Cricket player
 Present complaints- Back pain while playing
 Pain
location – lower lumbar area duration- 3 years
onset - gradual type - dull pain

3.  Aggravating factors- Prolonged Standing,
vigorous activities
 Easing factors- Rest
Past medical history- has had back pain before
and undergone physiotherapy treatment in
Hong Kong. No referred pain
 Family history- No

4. OBSERVATION
Anterior
Bony contours –normal
Soft tissue contours-normal
ASIS levels-normal
Lateral
spinal curves –increased lumbar lordorsis
Posterior
Bony contours –normal
Soft tissue contours-normal
Symmetry- normal
PSIS levels -normal
Gait -normal

5. PALPATION
Tender points –present at lower back area
Tight muscles- increased tone at lower back
muscles (erector spinae , quadratus lumborum )

6. TESTS
Forward bending test : curve is remained.
Leg length test – negative
Schober’s test –lumbar ROM normal
Pelvis: Compression test Distraction test}
negative
nerve tests - negative
Muscle strength – lower back area and buttock area :
normal (grade 5 )

7. * Lumbar Spondylosis
*lower back muscle spasm

8. 1)Infrared therapy :20 minutes,3 times a week, for 3-4 weeks
superficial heat can reduce muscle spasm and increase
the circulation which brings nutrition to the lower lumbar area
and removes metabolites
2) maintain muscle strength : back strengthening and core
strengthening exercises
he is a cricketer . Muscle strength and flexibility is good .
Need to maintain the strength.
Back exercises- Dart exercise
Cat stretch ( 3 sets 10 rep )
hug knees to chest
swimming
core exercises -Gym ball exercises
swimming

9.  Education of posture –
Correct sitting position - Sit up with your back straight and your shoulders
back.
Your buttocks should touch the back of your chair.
Correct lifting position- To pick up an object that is lower than the level
of your waist, keep your back straight and bend at your knees and hips. Do
not bend forward at the waist with your knees straight.
best position for sleeping and lying down - Try to sleep in a position
which helps you maintain the curve in your back (such as on your back with a
pillow under your knees or a lumbar roll under your lower back; or on your
side with your knees slightly bent). Do not sleep on your side with your knees
drawn up to your chest. You may want to avoid sleeping on your stomach,
especially on a saggy mattress, since this can cause back strain and can be
uncomfortable for your neck.

10. *Lower back area muscle spasm reduced
*back pain reduced

11. Thank You