Dry Needling and Intramuscular Electrical Stimulation for a Patient with Chronic Low Back Pain with Movement Coordination Deficits: A Case Report.

Background and Purpose: The clinical practice guidelines match the classification of chronic low back pain and movement coordination deficits (CLBPMC) with lumbopelvic stabilization exercise. The purpose of this case report is to describe a multimodal treatment for a patient with CLBPMC, which inclu...

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Bibliographic Details
Published in:Orthopedic Physical Therapy Practice Vol. 32; no. 4; pp. 216 - 221
Main Authors: McLaughlin, Kevin, McGee, Terrence
Format: case study pictorial tables/charts Journal Article
Published: Orthopaedic Section, APTA, Inc. 2020
Online Access:View this record in EBSCOhost
Description
Summary:Background and Purpose: The clinical practice guidelines match the classification of chronic low back pain and movement coordination deficits (CLBPMC) with lumbopelvic stabilization exercise. The purpose of this case report is to describe a multimodal treatment for a patient with CLBPMC, which includes stabilization and dry needling with intramuscular electrical stimulation. Methods: Case description of a patient with a 9-year history of recurring low back pain despite manual therapy and stabilization interventions. Findings: Over the course of 4 visits, the patient reported a 50% reduction in pain and a decrease from 34% disability to 18% disability per the ODI. The patient was able to return to all work and recreational activities without limitation. Clinical Relevance: Based on the rapid improvements experienced by this patient, who was previously a non-responder to stabilization training, it is likely that dry needling with intra-muscular electrical stimulation may have enhanced multifidus strengthening in this case. Conclusion: Physical therapists may consider dry needling with electrical stimulation when strengthening the multifidus for patients with CLBPMC.