Transcript Spine Rehab - West Ada School District / Homepage

Spine
Rehab
Sports Med 2
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Most athletes with back pain have some
fluctuation of their symptoms in response to
certain postures and activities
General rule of thumb
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Any movement that causes the back pain to
radiate or spread over a larger area should not be
included during this early phase of treatment
Flexibility Exercises
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Basically MMT’s without resistance
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Flexion
Extension
Lateral bending
rotation
Strengthening Exercises
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Cervical
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Use after athlete has full ROM
Flexion
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Extension
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Lace fingers behind head, press head against
hands
Lateral flexion
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Press forehead against the palm of hand
Place palm on side of head and press head
into palm
Rotation
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Put one palm on side of forehead and the
other at back of head. Push with each hand,
attempting to rotate head
Lumbar Extension Exercises
McKenzie Extension
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Indications
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When back pain is diminished with lying down and
increased with sitting
Forward bending is limited and increase the pain
Lumbar Extension Exercises
McKenzie Extension
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Why use extension
exercises?
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Reduction in the neural
tension
Reduction of the lead on the
disk which decreases disk
pressure
Increases in the strength of
extensor muscles
Lumbar Extension Exercises
McKenzie Extension
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Examples
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Prone extension on elbows
Prone extension on hands
Alternate arm and leg extension (dead bug)
Supine hip extension-butt lift or bridge
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Double leg support
Single leg support
Lumbar flexion exercises
Williams Flexion
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Indications
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Back pain is diminished with sitting and increased
with lying down or standing
Forward bending eases the pain
Abdominal tone and strength are poor
Lumbar flexion exercises
Williams Flexion
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Why use flexion exercises?
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Reduction in the articular stresses
Opening of the intervertebral foramen
Lumbar flexion exercises
Williams Flexion
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Examples
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Single knee to chest
Double knee to chest
Posterior pelvic tilt
Partial sit up
Rotation partial sit up
Pelvic tilt down (dog)
Pelvic tilt, tail tuck (cat)
Kneeling – dog tail wags
Kneeling Alternate arm and leg (bird dog)
Core Stabilization Exercises
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Quadriped
Triped
Biped (alternating)
Thera ball
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How could you make
this a phase 1
exercise?
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How could you make
this a phase 3
exercise?