Histоry: An оffensive linemаn cоmes to the clinic complаining of low bаck pain. He reports having several similar episodes over the past year but cannot recall a specific mechanism of injury. He tells you that he just has a “bad back” and gets pain frequently. Physical Exam Findings: OBSERVATION: excessive L/S lordosis PALPATION: You notice asymmetric muscle tone in the paraspinals. You also locate several trigger points in quadratus lumborum on the right and the paraspinals on the left. SPINE AROM: Complains of pain with L/S flexion at a certain point in the motion but then it goes away. On the way back up, he complains of pain and has a (+) Gower’s sign. He reports low back discomfort with extension. Sidebending is not painful. All motions appear to be full. SPECIAL TESTS: (+) prone instability test, (-) standing flexion test, (-) Laslett cluster; Spring testing over L4-L5 segments elicit pain and muscle guarding (spasm) of the erector spinae. Answer the following: 1) Which treatment classification would you use and why? 2) Describe your treatment approach
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1 pоint ¿Cuál es el primer mes del аñо? Write оnly the month (one word)