Lumbar Stabilization

Lumbar Stabilization

Credits: 1.25   Post-Assessment Questions:  6

Release Date: 5 Oct 2020
Expiration Date: 29 Jan 2022
Last Reviewed: 29 Jan 2021
Estimated Time To Finish: 75 Minutes

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Activity Description

Lumbar stabilization is the natural ability of the spinal column to maintain its anatomical structure on physiological loading. The stability is maintained by the interaction between the bony structure with ligaments, the attached muscles, and the nervous system that connects the above two. Natural disc degeneration combined with sedentary behavior can lead to weakness of the muscles, which can then cause segmental instability. Back pain is the largest cause of disability-adjusted living years based on the WHO survey of the global burden of disease. This article reviews the components that contribute to stability, details how the lack of interaction between the various elements can cause abnormal mobility and pain, details the clinical tests required to identify lack of strength and endurance of the lumbar muscles and provides one of the standard methods (motor control exercises) available to increase muscle strength and regain stability.

Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

• Identify the anatomical structures contributing to lumbar stability.
• Describe the tests required to determine the strength and endurance of the lumbar muscles.
• Review appropriate therapeutic exercises to rectify low back pain from segmental instability.

Author(s) / Contributors Disclosure of Conflicts of Interest

Each author, editor, faculty and planning committee member have completed a disclosure form indicating that neither they nor their spouse/partner has a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content of this activity.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Contributors

Hover over the contributor names to see details and disclosures of any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

Authors: Katarzyna Studnicka
Editors: George Ampat
Editors-In-Chief: Aninda AcharyaRodrigo KuljisOleg Chernyshev
Chief Medical Reviewer: Sunil Munakomi
Nurse Planner/Reviewer/Editor: Lisa Haddad
Nurse Planner/Reviewer/Editor: Bernadette Makar
Nurse Planner/Reviewer/Editor: Dorothy Caputo
Pharmacy Planner/Reviewer/Editor: Mark Pellegrini
Physician Planner/Reviewer/Editor: Scott Dulebohn

Continuing Education Accreditation Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University, and StatPearls, LLC. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.

Quillen College of Medicine, East Tennessee State University designates this activity for a maximum of 1.25 AMA PRA Category 1 Credits^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

• StatPearls and ETSU reserve the right to cancel any course due to unforeseen circumstances. StatPearls and ETSU will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

• StatPearls and ETSU are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

• Computer Requirements:  Internet Access
• E-mail Address

Instructions for Credit

1. Register for the activity and create a StatPearls login.     
2. Review the required accreditation information:  Target audience, learning objectives, and disclosure information.
3. Complete the entire self-study activity.
4. Complete the post-test assessments.
5. Successfully pass the post-test with a minimum score of 100%.
6. Complete the evaluation form.
7. Obtain a certificate.

StatPearls and ETSU adhere to ACCME Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and ETSU that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

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