Which patient/symptoms could benefit from a lumbopelvic grade V manipulation if they do not have any contraindications?  

A physical therapist is evaluating a patient who is complaining of difficulty preventing urinary leakage.  During the evaluation, the physical therapist provides patient education regarding the importance of all pelvic floor muscle function in decreasing leakage concerns, specifically the importance of endurance and strength in the levator ani muscle group, which includes:

Case Study: Mr. Jones is an 85-year-old male who reports shooting pain, numbness, and tingling down his right lower extremity that reaches the posterior thigh region.  His pain is worst when he is standing, and sitting is the only position that seems to feel better.  He reports that lying down and bringing his knees to his chest alleviates tingling in his right leg. He has a long history of about 2-3 years of off-and-on “episodes” of low back pain, but this has been his worst bout of back pain. He currently does not perform any exercise beyond the occasional walking he does with his wife in the evening. Which manual therapy technique would be most appropriate to incorporate during the initial phase of care (visits 1–3) to help reduce pain and improve neural symptoms in the right LE, considering his history and diagnosis?  

A PT is conducting a lower quarter screening exam followed by sacroiliac (SI) joint pain provocation tests. Which of the following test clusters is included in the SI joint provocation tests?

A 22-year-old college student sustained a back strain while playing basketball four days ago. His pain is provoked by transitional movements, such as sit-to-stand, rolling over in bed, and standing for prolonged periods of time. The discomfort is localized to the right mid-lumbar region and occasionally radiates into the right buttock. Lumbar active range of motion is limited in forward flexion, with deviation/pain to the right during flexion. Strength testing shows 4-/5 strength in the multifidus and lower abdominal muscles.  Which intervention would initially be the most appropriate for this patient using evidence to guide our decision making?

A patient presents with low back pain and meets the following criteria: no symptoms extending below the knee, recent onset of pain, a low FABQ score, and lumbar spine hypomobility. Based on this information, which treatment-based classification do they best fit into?  

A physical therapist performed a lumbar manipulation on a patient presenting with acute low back pain as part of the plan of care during the last two treatment sessions. The patient reports experiencing muscle and joint soreness lasting about 12 hours following each treatment. Based on this subjective information, the physical therapist should perform which of the following?

A 26 year old female patient is referred to physical therapy for evaluation and treatment of low back pain. During the history taking portion of her evaluation, she informs the physical therapist that she also experiences pelvic and perineal pain. She states she has never been able to have a vaginal pelvic exam, use tampons, or participate in sexual intercourse due to muscle tension and inability to have something enter her vaginal canal. This most describes which persistent pelvic pain disorder?

A physical therapist is working with a patient who presents with hypomobility at the mid-lumbar segments (L2–L4). The patient has limited flexion and extension and struggles to reach end-range flexion. Which mobilization grade should the therapist apply to decrease hypomobility and enhance motion?

A 32-year-old female recreational runner presents with right-sided pelvic pain that began two weeks ago after an interval training session. Her pain worsens with prolonged standing and stair climbing, but she denies numbness, tingling, or pain radiating below the knee. On examination, she demonstrates tenderness near the posterior superior iliac spine.  Which of the following examination findings would most consistently help to rule out sacroiliac joint pain?