Ultrasound Imaging for Improved Home Exercise Outcomes:
A Case Study 

In a recent case study posted on The PelvicRehab Report, faculty member Allison Ariail details the story of a 34-year old, nulliparous low back pain patient who needed a bit of extra help with her home exercise program. Her therapist is an experienced clinician who is skilled with using verbal clues, positioning, and other methods to teach the patient how to activate her local core muscles, but somehow the results weren’t showing.

“The therapist had fully evaluated the patient and did not find any articular issues within her spine or pelvis. What she did find was weakness in her local stabilizing muscles and tightness in her global stabilizing muscles… the therapist knew the patient was not getting her local core muscles to fire properly.”

Eventually this patient was referred to Dr. Ariail, who was able to use real-time ultrasound to help identify the issue.

“The patient was amazed with the ability to see what the different layers of muscles were doing. We found she was contracting her TA but only on her left side, and her deep multifidus was not firing at all. Using the ultrasound images, the patient was able to learn the proper way to activate her muscles. She is now working on a strengthening program for her local core muscles including her TA, pelvic floor, and multifidus. Within two treatments, the patient was able to fire her muscles in a different way and reports her back has felt better than it has in years!”

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC teaches Rehabilitative Ultrasound Imaging – Women’s Health and Orthopedic Topics. A recent partnership with The Prometheus Group® has allowed for every course to be equipped with the new Pathway Ultrasound Imaging Systems, making this course a great chance to get hands-on training in the latest clinical ultrasound techniques. Join Dr. Ariail this August 24-26, 2018 in Princeton, NJ, or November 10-12, 2018 in San Diego, CA to learn more.