Flashcards in Lumbar Stabilization Deck (25):
What are the 3 aspects of lumbar stabilization?
- Movement re-education
- Body mechanics
- Physical (re)conditioning
What is movement re-education?
The teaching of proper form/ technique
What are body mechanic exercises?
- The use of body positions and movements that are not threatening or painful
What is physical (re)conditioning?
- Planned repetitive movements that break bad habits
What classification does lumbar stabilization exercise fit into?
Stage 1 Stabilization exercise + other classifications as needed
When are lumbar stabilization exercises required in stages 2 & 3?
If the patient cannot hold the lumbar spine neutral during exercise or function
Is lumbar stabilization rehabilitative or preventative?
What is the concept upon which Lumbar Stability programs are built on?
- Functional range
- Lumbar neutral
What is the definition of lumbar neutral? (old and current definition)
Old: "Normal" upright position
Current: Range of spinal motion in which the spine functions most efficiently and is least symptomatic
What is the normal functional range of the L-spine?
- Varies from patient to patient
What can change a patient's functional range?
Changes in the patient's condition.
What can a patient learn and master control of their functional range?
- Learn the asymptomatic range, and avoid exercises and movements that move beyond it
What is the goal of Lumbar stability programs?
- Maintain functional range in ALL activities through ENTIRE day
What are the 4 building blocks of the lumbar stability programs?
What are 5 causes of poor posture/ movement patterns?
- Weak/ poorly conditioned muscles
- Poor motor control
- Impaired joint and/or muscle flexibility
If a patient cannot tolerate upright posture, how can the exercises be performed?
What are 3 methods of progression of lumbar stability exercises?
Stable --> Unstable surfaces
(recumbent --> quadriped --> bridge --> balls)
Cardinal plane --> Diagonal/ Multiplane motion
Large, simple gross movements --> Small, isolated, complex movements
(transfers --> sit and reach)
List the 5 step progression of the overall lumbar stability program.
- Produce and explore lumopelvic motion
- Determine functional range
- Maintain functional range statically
- Maintain functional range while performing mass body motions
- Maintain functional range while performing isolated extremity motions
Describe some "mass body motions" in which the functional range may need to be maintained.
- Car transfers
- Stairs, curbs
How are "isolated extremity movements" progressed?
- Non-functional --> Functional motions
How is static passive prepositioning of the lumbar spine performed?
Using body/limb or pillows/ rolls to maintain functional range of the L-spine
- Hooklying with bolster under the knees
- Small towel roll under back
- Towel roll in lumbar lordosis while driving
In whom is passive prepositioning typically used?
- Very acute/ painful patients
What is static active prepositioning?
- Active muscle contraction holds FR and position
ex) holding range in a bridge position
What is dynamic stabilization?
- Continually altering tension in muscle groups to accommodate changing external loads
ex) Hold 2lbs against chest, and hold weights outwards, and bring them back towards the chest
- Lift and lower bridge position