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Flashcards in Lumbar Stabilization Deck (25):
1

What are the 3 aspects of lumbar stabilization?

- Movement re-education
- Body mechanics
- Physical (re)conditioning

2

What is movement re-education?

The teaching of proper form/ technique

3

What are body mechanic exercises?

- The use of body positions and movements that are not threatening or painful

4

What is physical (re)conditioning?

- Planned repetitive movements that break bad habits

5

What classification does lumbar stabilization exercise fit into?

Stage 1 Stabilization exercise + other classifications as needed

6

When are lumbar stabilization exercises required in stages 2 & 3?

If the patient cannot hold the lumbar spine neutral during exercise or function

7

Is lumbar stabilization rehabilitative or preventative?

Both.

8

What is the concept upon which Lumbar Stability programs are built on?

- Functional range
OR
- Lumbar neutral

9

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

10

What is the normal functional range of the L-spine?

- Varies from patient to patient

11

What can change a patient's functional range?

Changes in the patient's condition.

12

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

13

What is the goal of Lumbar stability programs?

- Maintain functional range in ALL activities through ENTIRE day

14

What are the 4 building blocks of the lumbar stability programs?

- Flexibility
- Strength
- Endurance
- Coordination

15

What are 5 causes of poor posture/ movement patterns?

- Habit
- Weak/ poorly conditioned muscles
- Poor motor control
- Impaired joint and/or muscle flexibility
- Pain

16

If a patient cannot tolerate upright posture, how can the exercises be performed?

- Recumbent

17

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)

18

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

19

Describe some "mass body motions" in which the functional range may need to be maintained.

- Transfers
- Car transfers
- Stairs, curbs
- Lift/lower
- Push/pull

20

How are "isolated extremity movements" progressed?

- Non-functional --> Functional motions

21

How is static passive prepositioning of the lumbar spine performed?

Using body/limb or pillows/ rolls to maintain functional range of the L-spine

ex)
- Hooklying with bolster under the knees
- Small towel roll under back
- Towel roll in lumbar lordosis while driving

22

In whom is passive prepositioning typically used?

- Very acute/ painful patients

23

What is static active prepositioning?

- Active muscle contraction holds FR and position

ex) holding range in a bridge position

24

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

25

What is transitional stabilization?

- Exercises changing primary stabilizers from agonist to antagonist

Ex)
- Quadruped to opposite knee to elbow
- Supine bilateral arms