Lumbo Pelvic Stability: Difference between revisions
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#Core Endurance and Ratio Testing has been completed<ref>McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944.</ref> <ref>McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.</ref><ref>McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.</ref> | #Core Endurance and Ratio Testing has been completed<ref>McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944.</ref> <ref>McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.</ref><ref>McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.</ref> | ||
#The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 seconds<ref>Mcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at: http://www.archives-pmr.org/article/S0003-9993%2808%2901505-0/abstract</ref> | #The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 seconds<ref>Mcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at: http://www.archives-pmr.org/article/S0003-9993%2808%2901505-0/abstract</ref> | ||
== Training principles for phase 2 == | |||
#Movement Retraining Intermediate | #Movement Retraining Intermediate | ||
#Big 4 Exercises | #Big 4 Exercises | ||
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CRITERIA FOR PROGRESSION TO PHASE 3 | CRITERIA FOR PROGRESSION TO PHASE 3 | ||
== Training principles | == Training principles for phase 3 == | ||
#Static Balance - Stable Surface | #Static Balance - Stable Surface | ||
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CRITERIA FOR PROGRESSION TO PHASE 4 | CRITERIA FOR PROGRESSION TO PHASE 4 | ||
== Phase 4 | == Training principles for Phase 4 == | ||
#Movement Retraining Advanced | #Movement Retraining Advanced | ||
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CRITERIA FOR PROGRESSION TO PHASE 5 | CRITERIA FOR PROGRESSION TO PHASE 5 | ||
== Phase 5 | == Training principles for Phase 5 == | ||
#Advanced Strength Training and Postural Stability | #Advanced Strength Training and Postural Stability | ||
Revision as of 15:35, 24 March 2023
Original Editor - Kris Porter Top Contributors - Kris Porter, Kim Jackson, Sehriban Ozmen, Vidya Acharya and Rishika Babburu
Training principles for Phase 1[edit | edit source]
- Injury Prevention and Body Mechanics
- Total Health (Nutrition, Cardiopulmonary exercise)
- Movement Retraining Basics
- Core Setting
- Evidence for Stability Training for Low Back Pain (and pelvic pain) [1][2]
Criteria for Progression to Phase 2 Below outlines the criteria that each patient must accomplish before allowed to complete the phase 2 exercises. At times, some phase 2 exercises may be given when a patient has not met this criteria. But rarely, will a patient be given the entire cuff program and the big 4 without meeting this criteria. This is based on anecdotal evidence of how best to prevent injury.
- Able to engage the primary core muscles without compensatory firing or pain in non-weight bearing (supine or prone)
- Able to engage the primary core muscles without compensatory firing or pain in static weight bearing positions (standing)
- Core Endurance and Ratio Testing has been completed[3] [4][5]
- The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 seconds[6]
Training principles for phase 2[edit | edit source]
- Movement Retraining Intermediate
- Big 4 Exercises
CRITERIA FOR PROGRESSION TO PHASE 3
Training principles for phase 3[edit | edit source]
- Static Balance - Stable Surface
- Static Balance - Unstable Surface
- Static Balance - Unstable Surface
- Dynamic Balance - Stable Surface
- Dynamic Balance - Unstable Surface
CRITERIA FOR PROGRESSION TO PHASE 4
Training principles for Phase 4[edit | edit source]
- Movement Retraining Advanced
- Big 4 Exercises - Advanced
CRITERIA FOR PROGRESSION TO PHASE 5
Training principles for Phase 5[edit | edit source]
- Advanced Strength Training and Postural Stability
CRITERIA FOR DISCHARGE FROM PHYSICAL THERAPY
References[edit | edit source]
- ↑ Gatti R. Efficacy of Trunk Balance Exercises for Individuals With Chronic Low Back Pain. J Orthop Sports Phys Ther. 2011. Available at: http://www.jospt.org/issues/id.2593/article_detail.asp. Accessed August 19, 2011.
- ↑ Macedo LG, Maher CG, Latimer J, McAuley JH. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Physical Therapy. 2009;89(1):9-25. Available at: http://www.ncbi.nlm.nih.gov/pubmed/19056854.
- ↑ McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944.
- ↑ McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.
- ↑ McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.
- ↑ Mcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at: http://www.archives-pmr.org/article/S0003-9993%2808%2901505-0/abstract
