 The patient presents with lower extremity weakness, which may be contributing to her lumbosacral pain, in that she has poor lumbar stabilization with dynamic ADLs, transfers, and gait activity when fatigued. 
The patient presents with lower extremity weakness , which may be contributing to her lumbosacral pain , in that she has poor lumbar stabilization with dynamic ADLs , transfers , and gait activity when fatigued .