If a patient with low back pain has no neurological deficits and no peripheralization, which treatment-based subgroup is most appropriate?

• A. Lumbopelvic joint manipulation
• B. Specific exercise
• C. Stabilization
• D. Traction

Answer: (A)

When evaluating treatment-based subgroups for low back pain, a patient with no neurological signs and no peripheralization fits best with a mobility deficit pattern. This pattern reflects hypomobile joints and stiffness in the lumbar spine without nerve involvement. Lumbopelvic joint manipulation directly addresses that hypomobility, often producing rapid pain relief and improved range of motion by restoring accessory joint motion and reducing mechanosensitivity.

Traction is more aligned with nerve root compression or radicular signs, which are not present here, and thus not the best fit. Specific exercises are typically chosen for directional preference or nerve-related symptoms (centralization), which aren’t indicated in this scenario. Stabilization targets chronic instability or recurrent episodes and may be appropriate in select patients, but the immediate presentation here centers on mobility deficits rather than instability.

So, addressing the mobility deficit with lumbopelvic joint manipulation is the most appropriate choice.