PTCase ReportInternational journal of sports physical therapy2021

A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident's Case Report.

Luke Deckard

PMID 34123516

WHAT IT FOUND

A golfer with right-sided low back pain reported being pain-free after golfing and working out following seven visits of manual therapy, therapeutic exercise, home exercises, and education.

The report describes a single person, not proof that this approach works.

Key findings

01The golfer reported being pain free after golfing and working out.

02The paper reports his revised ODI improved 16% from 26% disabled to 10% after four weeks.

03The authors state that cause and effect cannot be assumed from this single subject.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

This is a case report, so cause and effect cannot be assumed. The patient received manual therapy, therapeutic exercise, home exercises, and education together, so the contribution of individual components cannot be separated. The authors state there is no way to know whether another treatment approach would have produced similar results. The plan of care was shortened by COVID-19 restrictions, and some plank goals were not met. Exercise prescription based on the TPI screen may vary between therapists. The revised ODI change could not be judged clinically significant because the minimal clinically important difference was not established for non-specific low back pain. Some deficits persisted, including inability to fully dissociate hip movement from the lower back and several swing characteristics.

Declared interests

The author reports no conflicts of interest.

The easy way to misread this

Do not conclude that the TPI screen and regional interdependence treatment caused the golfer's pain relief. This was a single person, and he received manual therapy, therapeutic exercise, home exercises, and education together, so the report cannot separate what worked.

Read it on PubMed →