The objective exam is still significant for a 25% restrictio…
The objective exam is still significant for a 25% restriction of lumbar AROM in forward bending and right bending, both of which cause increased right low back and lower extremity pain. Passive SLR is 45° on the right, limited by right lower extremity pain, and 60° on the left, limited by hamstring tightness. Palpation reveals stiffness and tenderness to right unilateral posterior-anterior pressure at L5-S1 and no notable area of hypermobility. All other tests including lower extremity sensation, strength, and reflexes are within normal limit. Questions 2. What an applicable therapeutic intervention would be most appropriate to help decrease the stiffness prior to lumbar traction you and the athlete perceived? Provide justification for your selection.