Lumbo Pelvic Stability: Difference between revisions
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== | == Definition == | ||
== Assessment == | |||
Dynamic tests: Runner pose, hopping tests, single leg squat, dip test <ref name=":0" /> | |||
== Physical Therapy == | |||
=== Training Principles for Phase 1 === | |||
#[[Injury Prevention and Body Mechanics]] | #[[Injury Prevention and Body Mechanics]] | ||
#Total Health (Nutrition, Cardiopulmonary exercise) | #Total Health (Nutrition, Cardiopulmonary exercise) | ||
#Movement Retraining Basics | #Movement Retraining Basics | ||
#[[Core Stability|Core Setting]] | #[[Core Stability|Core Setting]] | ||
#Evidence for Stability Training for Low Back Pain (and pelvic pain) <ref>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.</ref><ref>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.</ref> | #Evidence for Stability Training for Low Back Pain (and pelvic pain) <ref name=":0">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.</ref><ref>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.</ref> | ||
<br>Criteria for Progression to Phase 2 | <br>Criteria for Progression to Phase 2 | ||
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#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 | === Training Principles for phase 2 === | ||
#Movement Retraining Intermediate | #Movement Retraining Intermediate | ||
#Big 4 Exercises | #Big 4 Exercises | ||
== Training principles for | === Training principles for Phase 3 === | ||
#Static Balance - Stable Surface | #Static Balance - Stable Surface | ||
#[[Static Balance - Unstable Surface]] | #[[Static Balance - Unstable Surface]] | ||
| Line 30: | Line 35: | ||
#Dynamic Balance - Unstable Surface | #Dynamic Balance - Unstable Surface | ||
== Training | === Training Principles for Phase 4 === | ||
#Movement Retraining Advanced | #Movement Retraining Advanced | ||
#Big 4 Exercises - Advanced | #Big 4 Exercises - Advanced | ||
== Training | === Training Principles for Phase 5 === | ||
#Advanced Strength Training and Postural Stability | |||
CRITERIA FOR DISCHARGE FROM PHYSICAL THERAPY | |||
== Resources == | |||
* [[Lumbopelvic Rhythm|Lumbopelvic Ryhthm]] | |||
* [[Lumbo-Pelvic Guidelines]] | |||
* [[Lumbopelvic Manipulation technique|Lumbopelvic Manipulation Technique]] | |||
* [[Lumbar Instability]] | |||
* [[Exercises for Lumbar Instability]] | |||
== '''References''' == | == '''References''' == | ||
Revision as of 20:53, 20 January 2024
Original Editor - Kris Porter Top Contributors - Kris Porter, Kim Jackson, Sehriban Ozmen, Vidya Acharya and Rishika Babburu
Definition[edit | edit source]
Assessment[edit | edit source]
Dynamic tests: Runner pose, hopping tests, single leg squat, dip test [1]
Physical Therapy[edit | edit source]
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
Training principles for Phase 3[edit | edit source]
- Static Balance - Stable Surface
- Static Balance - Unstable Surface
- Dynamic Balance - Stable Surface
- Dynamic Balance - Unstable Surface
Training Principles for Phase 4[edit | edit source]
- Movement Retraining Advanced
- Big 4 Exercises - Advanced
Training Principles for Phase 5[edit | edit source]
- Advanced Strength Training and Postural Stability
CRITERIA FOR DISCHARGE FROM PHYSICAL THERAPY
Resources[edit | edit source]
- Lumbo-Pelvic Guidelines
- Lumbopelvic Manipulation Technique
- Lumbar Instability
- Exercises for Lumbar Instability
References[edit | edit source]
- ↑ 1.0 1.1 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
