A 55-year-old woman presents with early signs of degenerative joint disease of the lumbar spine. She has been an active runner since college. Occasionally, she has participated in aerobic dance classes. She has a history of frequent episodes of back pain. She has three grown children.
Current symptoms: intermittent periods of pain extending from the mid-lumbar spine through the right buttock and posterior thigh. She is no longer able to run because of the pain. The pain begins about 15 minutes into sitting and progresses to an 8/10 by 25 to 30 minutes. She also complains of increased stiffness after standing for more than 10 minutes, waking in the morning, and getting out of bed. She is a middle-school teacher and track coach for a girls’ high school team.
Key findings: lordotic posture, tight low back, hip flexors, and tensor fasciae latae. The strength of the lower abdominals is 4/5. All lumbar motion is decreased by 25%, with some discomfort with overpressure into right side bending and a catching sensation. Oswestry Disability Index is 12.
Based on these impairments and limitations, identify the stage/category of the condition based on the Lumbar TBC. Explain your reasoning.
After studying the exercises in Kisner Chapter 16, identify three exercises you would have this patient do. Submit a video recording of you performing the exercises.