What action should the kinesiologist take when a client with low back pain reports difficulty with bowel and bladder control?

When a client with low back pain reports difficulty with bowel and bladder control, the appropriate action is to refer the client to urgent care. This symptom is a potentially serious indication of a condition such as cauda equina syndrome or other neurological issues affecting the lower spine. These conditions can result in permanent damage if not addressed immediately. Therefore, it is crucial that the kinesiologist recognizes the urgency of these symptoms and acts quickly by referring the client to appropriate medical professionals for further evaluation and intervention.

While assessing pelvic alignment, strengthening multifidus muscles, or strengthening transversus abdominis muscles might be relevant for general low back rehabilitation, they are not suitable in this scenario. The presence of bowel and bladder control issues necessitates immediate medical attention to ensure the client receives the proper care and to rule out any life-threatening conditions.