SEE FULL OVERVIEW OF THE HANDOUT HERE: https://youtu.be/hgh-JF7EMhM?si=b3cc7Z9K_9tQsT25 A clinician-ready, evidence-informed decision framework that integrates:
Two-level triage model
Irritability stratification
Psychosocial risk screening
Functional performance thresholds
Clinical exit strategy planning
Built on updated TBC principles emphasizing subgroup classification and functional progression rather than pathology labels.
🧠 HOW IT WORKS
1️⃣ Clinical Triage Layer
Guides first-contact decision making:
Red flag screening
Medical vs rehab vs self-care pathways
Psychosocial risk integration
(Aligned with the triage algorithm shown in the handout diagram, page 1.)
2️⃣ Rehabilitation Classification Engine
Organizes patients into three primary pathways:
Symptom Modulation
Movement Control
Functional Optimization
Each pathway includes:
key clinical findings
irritability level
treatment focus
progression indicators
3️⃣ Homer’s Point™ Progression & Discontinuation Model
The unique layer you’re adding:
✔ Objective progression markers ✔ Functional thresholds ✔ “Continue vs Modify vs Exit” decision nodes
This is the commercial differentiator.
📦 WHAT’S INCLUDED
Printable Lumbar TBC Algorithm PDF
Clinical Progression Flowchart
Discontinuation Decision Tree
🧑⚕️ WHO THIS IS FOR
Sports & orthopedic physical therapists
Manual therapy clinicians New grads overwhelmed by lumbar variability Data-driven rehab practitioners
Clinic directors building standardized systems
🔬 EVIDENCE FOUNDATION
Built from the revised Treatment-Based Classification system emphasizing:
stratified care
irritability matching
biopsychosocial integration
functional progression
