The Spine Center would like to congratulate Florida Hospital Sports Medicine and Rehabilitation team members and partners Ron Miller, Bill Hanney, Ian Young, and Sheila Klausner on their recent publication in the January 2012, issue of Orthopaedic Practice. Below is the article abstract for your enjoyment.
Application of Regional Interdependence in a 20-Year-Old Male Collegiate Baseball Player with Recurrent Nonspecific Low Back Pain: A Retrospective Case Report.
Study Design: Case report. Background: The concept of regional interdependence has been applied by physical therapists for musculoskeletal pathologies; however, little evidence exists to support its effectiveness in patients with low back pain (LBP). The purpose of this case report is to further investigate the concept of regional interdependence in a patient with recurrent nonspecific LBP and evaluate the results of this treatment approach with regards to changes in pain and disability.
The patient was a 20-year-old male collegiate baseball player complaining of recurrent LBP for 6 months who failed prior conservative treatment. Interventions emphasized manual therapy to the hip and exercises to address hip and lumbar muscle weakness. The patient was treated 10 times over a 4-week period. Outcomes of pain, function, and disability were recorded at baseline and 2 weeks, and 4-week follow-up periods.
At discharge, significant changes were revealed in the NPRS (Numeric Pain Rating Scale), MODI (Modified Oswestry Disability Index), and PSFS (Patient Specific Functional Scale). The patient had a favorable outcome and was able to return to sport specific training including baseball activities.
Although there is a paucity of evidence supporting the concept of regional interdependence in patients with LBP, this case study provides a description of its application and subsequent outcomes for changes in pain and disability in a patient with recurrent LBP. More rigorous research designs are needed to imply causation and determine long-term outcomes.
Full Article Reference
Miller, R., Hanney, W., Young, I., & Klausner, S. (2012). Application of Regional Interdependence in a 20-Year-Old Male Collegiate Baseball Player with Recurrent Nonspecific Low Back Pain: A Retrospective Case Report. Orthopaedic Practice , 24 (1:12), 14-20.