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Bedard, R, Lazenby, T, Millspaugh, R & Geisler, P (2009). Athletic Training Education Program
Department of Exercise and Sport Sciences
Background:
Differential Diagnosis:
L4-5 Lumbar Spine Facet Joint
Uniqueness:
Use of a weight bearing manual mobilization technique that
incorporates movement, while the mobilization force is
applied to restore facet joint mechanics
Case Management:
Initial Management:
Ice & IFC E-stim for pain management post activity
Muscle Energy techniques to correct SI alignment issues
Lumbopelvic core stability training & progression
Reassessment after 1 wk w/no Improvement:
Suggested facet jt involvement
Initiated SNAGs for L4-5 superior facet
Muscle Energy & Core Stabilization
Noted decrease in Sx & Pt. participated w/minimal pain
Ice and e-stim post activity
Outcome:
Conclusions:
References:
Mulligan, B. R. (2004). The Lumbar Spine. In Manual Therapy: "NAGS", "SNAGS", "MWMS" etc. (5th
ed., pp. 42-53). Wellington, New Zealand: Plane View Services Ltd. (Original work published 1989)
Exelby, L. (2001, February). The Locked lumbar facet joint: intervention using mobilizations with
movement. Manual Therapy, 6(2), 116-121. doi: 10.1054/math.2001.0394