National Physical Therapy Examination (NPTE) Practice Exam

For a patient with excessive lordosis experiencing low back pain, what is the MOST appropriate primary intervention?

1. Strengthen the lower back extensors

2. Anterior pelvic tilt exercises

3. Use a back support in the form of a corset or brace

4. Strengthen the abdominal muscles

The correct answer is: Use a back support in the form of a corset or brace

The most appropriate primary intervention for a patient with excessive lordosis experiencing low back pain is to strengthen the abdominal muscles. This intervention is essential as it addresses the muscle imbalances often associated with lordosis. In cases of excessive lordosis, the hip flexors and lower back extensors tend to be tight while the abdominal muscles may be weak. By focusing on strengthening the abdominal muscles, the intervention helps restore proper pelvic alignment and reduce the excessive curvature of the lumbar spine. Additionally, improving core stability through abdominal strengthening can alleviate the stress on the lower back, potentially decreasing pain. This method can also facilitate better posture and functional movement patterns, which are crucial for long-term management of low back pain related to lordotic posture. While the other options may provide some benefit, strengthening the abdominal muscles specifically addresses the biomechanical causes of excessive lordosis and low back pain, making it the most targeted and effective intervention for this condition.