Background and Purpose. Physical therapists routinely assess spinal active
range of motion (AROM) in patients with low back pain (LBP). The purpose of
this study was to use 2 approaches to examine the relationship between imp
airment of lumbar spine flexion AROM and disability. One approach relied on
the use of normative data to determine when an impairment in flexion AROM
was present. The other approach required therapists to make judgments of wh
ether the flexion AROM impairment was relevant to the patient's disability.
Subjects. Fifteen physical therapists and 81 patients with LBP completed i
n the study. Methods. Patients completed the Roland-Morris Back Pain Questi
onnaire (RMQ), and the therapists assessed lumbar spine flexion AROM using
a dual-inclinometer technique at the initial visit and again at discharge.
Results. Correlations between the lumbar flexion AROM measure and disabilit
y were low and did not van; appreciably for the 2 approaches tested. Conclu
sion and Discussion. Measures of lumbar flexion AROM should not be used, as
surrogate measures of disability. Lumbar spine flexion AROM and disability
are weakly correlated. suggesting that flexion AROM measures should not be
used as treatment goals.