Introduktion
Patienter med UE symptomer forårsagede af lumbale problematikker ses ofte i en klinisk hverdag. Præcis og specifik diagnosticering af involverede processer er ofte vanskelig, hvilket gør det til en udfordring at vælge korrekt behandlingsteknik for den individuelle patient. Diagnostisk usikkerhed kan medføre en tilbøjelighed til at vælge »favorit patologi« og tilhørende behandlingsintervention.
Teksten præsenterer en grundig undersøgelsesprotokol til patienter med LBP relaterede UE smerter, der klassificerer patienterne i forhold til smertemekanisme i en af fire mulige subgrupper. Korrekt klassificering vil optimere diagnostik, prognose, valg af behandlingsteknik samt den kliniske ræsonerings proces.
Klassifikationsmodellen er oprindeligt præsenteret som; Classification of low back related leg pain – A proposed patho-mechanism-based approach;
Axel Schäfer, Toby Hall, Kathy Briffab, Manual Therapy, April 2009 Nr. 2.
(Var optaget i Manual Therapy 2007).
Læs artiklen i Muskuloskeletal Fysioterapi 2009_1 (s. 3-7)
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