Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Award

5-23-2009

Degree Type

Capstone Project (On-Campus Access Only)

Degree Name

Doctor of Physical Therapy (DPT)

First Advisor

Richard A. Rutt, PT, Ph.D., ATC/R

Abstract

Based on the literature available, teaching spinal stabilization targeting the lumbar multifidii, transversus abdominis, and internal obliques is no more beneficial than generalized strengthening, manual therapy, modalities, and/or education in reducing pain or improving function in patients with generalized sub-acute or chronic low back pain ¡Ý 3 months. The typical populations in the articles were similar to the clinical scenario in regards to the mean age being approximately 35-55 years old and the patient¡¯s having generalized low back pain for ¡Ý 3 months. The lumbar spine stabilization protocol differed between studies and is a potential threat to the applicability of the study results. In addition, the comparison group protocol, whether it be manual therapy or general endurance exercise, was not well defined and there was little effort to control for extraneous variables outside of the study setting. Although there were minor threats to internal and external validity in each study, the overall quality of the research provides a foundation to base treatment decisions for patients with generalized sub-acute or chronic low back pain.

Comments

The digital version of this project is currently unavailable to off-campus users not affiliated with Pacific University; however, it may be accessed on campus or through interlibrary loan (for eligible borrowers) from Pacific University Library. Pacific University Library is a free lender.

Share

COinS