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.
đ§ HOW IT WORKS
1ď¸âŁ 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.)
2ď¸âŁ 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
3ď¸âŁ Homerâs Point⢠Progression & Discontinuation Model
The unique layer youâre adding:
â Objective progression markers
â Functional thresholds
â âContinue vs Modify vs Exitâ decision nodes
This is the commercial differentiator.
đŚ WHATâS INCLUDED
Printable Lumbar TBC Algorithm PDF
Clinical Progression Flowchart
Discontinuation Decision Tree
đ§ââď¸ 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
đŹ EVIDENCE FOUNDATION
- Built from the revised Treatment-Based Classification system emphasizing:
- stratified care
- irritability matching
- biopsychosocial integration
- functional progression

