Luomajoki Lumbar Movement Control Dysfunction Screening
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- Опубликовано: 5 окт 2024
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Here are some simple lumbar spine movement control dysfunction screening tests as described by Luomajoki.
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Awesome video helpful as always!! Right now studying for my exam tomorrow. We students are lucky to have such high quality instruction videos on RUclips!
+Robert thanks a lot! Good luck with ur exam! We got an exam from our master's program as well tomorrow!;)
Perhaps the best video yet guys! I am currently studying my MSc and it is only at this level of study that motor control has been a focus. In my opinion this needs to be taught more at BSc level hopefully were starting to see a shift in our approach. Really glad you put this channel together, keep up the great work.
+Matt Shutt thanks a lot matt! Really appreciate your feedback!
Maybe I can add: I also agree that this should be taught way more on BSc level, because you see so many back patients in practice - especially ones with impaired motor control - and without this knowledge it's hard to effectively treat them!
that's crazy that you haven't learned it at BSc level.. I'm currently a second semester BSc Student and it's already part of our current curriculum. On a side note: Hannu Luomajoki is a professor at our school
Again, awesome video from you Guys! Kai's demonstration were great. The difference between control & control dysfunction is noticeable. Keep up the good work! Greetings from Finnish physiotherapist 😁👍👌🇫🇮
Thanks a lot! Greetings back from rainy Amsterdam
+verneri hast Thanks for the compliment! I tried my best!;) Nice to hear feedback from proud Finnish physios haha
Physiotutors 😂 It's raining here also 🌧 Well.. let's hope that we all will have warm & sunny spring & summer 🌞😎
Great video guys! I was introduced to Luomajoki during my first internship in Finland and I did those movement tests back then. But this was a great recap for me to refresh my memory :)
Perfect! Definitely a useful tool
I can always learn something new that I don't know when I was in China. Thank God I can use RUclips after I learn my MPT overseas, and thank you for your wonderful sharing.
Happy to hear Yuzhang! Glad you enjoy our content!
1:10 In the non-specific LBP mechanical related, there is often no structural damage, it's often a lost of control of the conscious movement.
Great vid! If the Luomojoki tests are positive, can you diagnose the patient with MCI? Or do you need to more different tests?
sorry for my english. first your video is awesome and professional. second, the movement's tests shoud be explained before the executation or just say to the patient to do this movement ?
Thanks!
All patients received standardized instructions. For example in the prone knee bend test the assignment was: "please bend your knee as far as you can without moving your back" and: "keep your back in neutral position, do not let it move while bending the leg", If the patient did not understand how to perform the test, it was explained again and demonstrated by the examiner. If the patient was still performing the test incorrectly, it was permitted.
You can find the research reference in the video description as usual
Physiotutors thanks 🔝🔝🔝
These tests only tell me that people in pain move different than those without pain.
you will also do these when people dont have pain. So no they tell you a lot more. These tests arent supposed to be done when you have pain.
Did you guys ever make a video explaining the different forms of pain?
It's on our list with endless other ideas, but certainly a really important topic!
thanks for this video!
Please tell me where I can find the manuals for these tests.
Hov is the intertrochantor distance measured?
it was very useful👌🏻 thank you💚
awesome awesome awesome awesome awesome video
+Mozammal Rabby glad you like it! We find this test battery very helpful ourselves!
Hi, what is the reference for the epidemiological information supplied at 58 seconds? Thanking you in anticipation
Can you explain in more detail how the amount of lateral shift is measured in the single leg stance test? Are we measuring distance the belly button deviates from midline? I quite confused why is the ruller placed at 9cm at the belly button on top photo to start with and why is it placed at 24.5 cm on bottom photo?
Hello I have suffering lumber pain please suggest me
Thank you for the great video, i might have missed it but I didn’t hear the clinical implication of the second test (posterior pelvic tilt) at the end of the video?
Ur welcome! Patients that display a passive or active extension pattern are often unable to perform a proper posterior pelvic tilt.
Physiotutors thank you!
Thanks for the video, is awsome and so interesting.
Do you know if their is some autors which are interessed by control motor of the Hip/pelvis ? I need to get some tests for control moteur of others joints …
Ty for answering
enge intro bro
How useful are these tests in the real world as Luomajoki has not written any further articles or updates since 2008?
superb!!!
Thanks a lot manisha and thank you for following us!
Luomajoki's article indicates that the patient is instructed on how to perform the test, prior to the test. If they initially fail but pass after instruction, then it is not a significant MCD. It would seem to me that this indicates that they have the ability for control and they will need repetition by way of the exercises to make it a fixed pattern. So either way, rehab is indicated, albeit this patient will be easier to train than the one who fails before and after instruction. Do you agree?
If patients are able to control the different movements, we don't consider their issue in the motor control area.
In this case we'd rather look at other factors that might contribute to the fact that a patient keeps on adapting a posture or movement that will keep sensitizing him. Could be false beliefs about their back, movement-related fear etc.
OK thanks for the quick reply
I have one more. How did you get the ruler to stay fixed with measuring the naval with the single leg raise?
We fixated it on a tripod or microphone stand
Sorry but im confused, i just wanna know if the patient cannot do these movements?do they need to repeat it unti he can?because this is an assessment right?so if they cannot do it each properly what are the indication??could they possibly have a non specific low back pain??
First you show them and they try to reproduce. If they're not able to you can help by hands on instruction. It's an assessment for a motor control impairment that can be used in aspecific low back pain
@@Physiotutors so you mean if they cannot do each of that it means that they have low back pain??
@@piczart2645 it means they have higher risks of developing non specific low back pain and that some exercices could improve their motor control of the back. You might not be able to do these exercices without necessarily having low back pain. Pain is a symptom, not a disease. :)
Very good
Glad you like it! We find this battery very helpful to assist in the assessment for motor control impairment!
Have any remedy for cap in spine
Can you spell the word that you mentioned for lumbar flexion with hand crossed in the chest? Did you say wader-spo?
Waiters bow
Does kinetic control have strong evidence!?
What do you mean with kinetic control? In which situation?
@@Physiotutors I mean the concept of movement control impairments & muscle imbalance eg. muscle inhibition & overactivity.
If you mean exercises focusing on motor control - yes, there is evidence that these are helpful in patients with low back pain.
There is also evidence, however, that they are not any better than a generalized strengthening program for the back. (Saragiotto et al. 2018)
thanks
Why do you call a waiter's bow [bau] a waiter's bow [bou]?
Tomato tomato 🍅 potato potato 🥔
@@Physiotutors tomato and tomato are the same word. Bow [bou] and bow [bow] are 2 different words.
HUH?