title: Classification, intervention, and outcomes for a person with lumbar rotation with flexion syndrome.
abstract: OBJECTIVE
  The purpose of this case report is to describe the classification, intervention, and outcomes for a patient with lumbar rotation with flexion syndrome.
  
  
  METHODS
  The patient was a 22-year-old man with a medical diagnosis of low back strain. Impairments in lumbar flexion and right rotation and lateral bending were identified. Daily activities and positions associated with these actions were associated with increased low back pain (LBP). Instruction focused on modifying lumbar rotation and flexion movements and alignments in daily activities. Exercises to address the direction-specific impairments were prescribed.
  
  
  RESULTS
  The patient participated in 4 visits and completed a questionnaire 1 year after intervention. The patient reported a decrease in symptoms, disability, and frequency of recurrences.
  
  
  CONCLUSIONS
  Repetition of specific strategies (alignment and movement) during activities may result in specific impairments that contribute to LBP. Modification of the strategies and exercises to change contributing factors are proposed to help alleviate symptoms, disability, and recurrences.
authors.affiliation: Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, St Louis, MO 63110, USA. vandillenl@msnotes.wustl.edu
authors.forename: Linda R
authors.initials: LR
authors.lastname: Van Dillen
authors.forename: Shirley A
authors.initials: SA
authors.lastname: Sahrmann
authors.forename: Joanne M
authors.initials: JM
authors.lastname: Wagner
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D006801:Humans; D017116:Low Back Pain / Q000145:classification* / Q000503:physiopathology / Q000534:rehabilitation*; D008159:Lumbar Vertebrae / Q000503:physiopathology*; D008297:Male; D009068:Movement / Q000502:physiology; D010353:Patient Education as Topic; D010808:Physical Examination; D026741:Physical Therapy Modalities; D012399:Rotation; D011795:Surveys and Questionnaires; D013577:Syndrome