• Refer to thuisarts.nl for information about the medical care for low back pain provided by general practitioners

• during your session educate them yourself aswell about their symptoms and case

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Hands on:

• Massaging

• Mobilisation

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Exercise:

Definitely offer exercise therapy for patients with a moderate risk of persistent LBP, can consider doing group exercises after a few sessions

Examples;

• Lunge hold with rotation

• Get up

• Bird dog

• Glute bridge

• Advise the patient to stay active and keep up their daily activities

• Make sure the patient overcomes the symptoms by themselves

Exercises:

• Independent at-home exercises and not to rely on the physio for treatment

• These exercises should be followed through the first 6 weeks:

• Core stabilisation with hip extension

• Glute bridges

• Trunk rotation stretches

• Bird dog

• Pelvic tilts

• Active ROM rotation

• Back muscles stretching

• Stay active doing yet making sure not to provoke pain

• Inform patient about LRS and how the pathology arises and which movements may cause more or less pain, and therefore that we should stay away from certain exercises/movements and must be gradually increased as pain reduces

Hands on:

• Mobilization

• Passive stretching

Exercise:

• Core stabilization (Mainly local stabilizers)

• Stabilization bouncing

• Passive ROM Extension

  • Floor or wall exercise

• Bird Dog pelvic tilt

1- What is the difference between capacity and performance?

Capacity refers to the worker’s potential to perform a task under standardized conditions, whereas performance is what the worker actually achieves in their real environment. The difference highlights environmental barriers or supports.

2- What is labour and what are the defining characteristics of labour?

Labour is the human physical or mental effort directed toward producing goods or services. Its defining characteristics include being purposeful, time-bound, reward-driven, and socially/economically relevant.

3- What is the relationship between sustainable work and the different definitions of health?

Sustainable work is work that can be maintained over time without harming health. Modern definitions of health focus on functioning and participation, emphasizing that work conditions should support physical, mental, and social well-being for long-term employability.

Step 4:

**In a company (occupational physiotherapy):

• Evaluate workers’ capacity vs. performance to adapt tasks or tools.

• Advise on ergonomics and job design to prevent injuries.

• Promote sustainable work practices (break schedules, exercises, safe lifting).

First line (physio)

• Assess functional limitations after injury and compare capacity and performance to set realistic goals.

• Provide advice to maintain work ability for return-to-work programs.

• Support workers’ physical and mental health to ensure long-term participation and prevent chronic disability.