TRUNK - 2 Flexion: Stretch Low Back Extensors (Supine)
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- Benedict Davidson
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1 TRUNK - 2 Flexion: Stretch Low Back Extensors (Supine) Position Helper: Support legs with knees bent toward chest. - Helper presses legs toward abdomen. Hold seconds. Contract method: Resist seconds. (see card G.G.-14) TRUNK - 4 Flexion: Isometric (Sitting) Position Helper: Place both hands on front of chest below collar bones. - Cue patient to curl chest toward lap. Stand behind patient to perform exercise. Perform with torso leaning forward. Perform with torso turned toward: left right Page 1 of 7
2 TRUNK - 5 Extension: AAROM (Sitting) Position (A) Patient: Curl forward as far as is comfortable. Helper: Place hands on front of shoulders. (B) - Sit upright using back muscles, not arms. - Helper provides support as needed to control movement. Patient is passive. TRUNK - 6 Extension: Stabilized Bridging (Supine) Position (A) Helper: Stabilize legs by holding near knees. Block feet if unstable. (B) - Cue patient to exhale while pressing feet down into bed, lifting buttocks. Hold Repeat Do per day. seconds. times. sessions Page 2 of 7
3 TRUNK - 7 Extension: Stabilized Airplane (Prone) Position Helper: Stabilize buttocks with both hands. - Cue patient to exhale while lifting chest and arms off bed. - Movement will be small. Do sessions per day. TRUNK - 8 Extension: Isometric Bridging (Supine) Position Patient: Lie with legs bent, feet flat on bed. Helper: Place both hands on hips. - Cue patient to press feet down into bed, lifting buttocks. Do sessions per day. Perform with buttocks lifted inches off bed. Perform with buttock lifted higher than other. Page 3 of 7
4 TRUNK - 10 Extension: Isometric (Sitting) Position Helper: Kneel or stand with hands on back of shoulders. - Cue patient to press backward. Perform with torso leaning forward inches. TRUNK - 11 Lateral Flexion: Isometric (Side-Lying) Position Patient: Lie with side up. Helper: Stabilize shoulder. Place other hand firmly on hip at waist. - Cue patient to press hip up into helper's hand. Repeat on other side. Page 4 of 7
5 TRUNK - 12 Lateral Flexion: Isometric (Sitting) Position Helper: Stand or sit with feet apart. Place one or both hands on side of shoulder. - Cue patient to bend to side at waist, pressing into helper's hand. - Buttocks do not move. Repeat on other side. Perform with torso bent toward: left right TRUNK - 13 Rotation: ROM (Supine) Position (A) Helper: Place hand on knee. Stabilize shoulder on same side. (B) - Lower legs to side. - Keep shoulders flat. CAUTION: Discontinue if patient experiences back pain during exercise. Repeat to other side. Contract method: Resist seconds. (see card G.G.-14) Patient is passive. Page 5 of 7
6 TRUNK - 14 Rotation: ROM (Sitting) Position Patient: Sit with buttocks firmly in place. Helper: Place one hand behind shoulder blade, other hand in front of opposite shoulder near collarbone. - Gently turn to side by twisting at waist. - Stop at point of tension or discomfort. Repeat in other direction. Contract method: Resist seconds. (see card G.G.-14) Patient is passive. TRUNK - 15 Rotation: Facilitated (Side-Lying) Position Patient: Lie with side up. Helper: Stabilize above waist on rib cage. Place other hand on hip. - Helper moves hip forward and back times. - Cue patient to continue the motion. - Helper assists as needed to control motion. Repeat sequence times. Repeat on other side. Page 6 of 7
7 TRUNK - 16 Rotation: Isometric (Supine) Position Helper: Place hand on knee. Stabilize shoulder on same side. - Cue patient to press knees into helper's hand. Repeat to other side. Perform with thighs dropped toward: left right TRUNK - 17 Rotation: Isometric (Sitting) Position Patient: Sit with torso straight and upright. Helper: Place one hand behind shoulder near shoulder blade. Other hand rests on opposite shoulder at collarbone. - Cue patient to turn, pressing torso into helper's hands. Repeat in other direction. Perform with torso turned toward: left right Page 7 of 7
8 CHART COPY Routine For: TRUNK - 2 Flexion: Stretch Low Back Extensors (Supine) Position Helper: Support legs with knees bent toward chest. - Helper presses legs toward abdomen. Hold seconds. Contract method: Resist seconds. (see card G.G.-14) TRUNK - 4 Flexion: Isometric (Sitting) Position Helper: Place both hands on front of chest below collar bones. - Cue patient to curl chest toward lap. Stand behind patient to perform exercise. Perform with torso leaning forward. Perform with torso turned toward: left right TRUNK - 5 Extension: AAROM (Sitting) Position (A) Patient: Curl forward as far as is comfortable. Helper: Place hands on front of shoulders. (B) - Sit upright using back muscles, not arms. - Helper provides support as needed to control movement. Patient is passive. TRUNK - 6 Extension: Stabilized Bridging (Supine) Position (A) Helper: Stabilize legs by holding near knees. Block feet if unstable. (B) - Cue patient to exhale while pressing feet down into bed, lifting buttocks. Hold Repeat Do per day. seconds. times. sessions TRUNK - 7 Extension: Stabilized Airplane (Prone) Position Helper: Stabilize buttocks with both hands. - Cue patient to exhale while lifting chest and arms off bed. - Movement will be small. Do sessions per day. TRUNK - 8 Extension: Isometric Bridging (Supine) Position Patient: Lie with legs bent, feet flat on bed. Helper: Place both hands on hips. - Cue patient to press feet down into bed, lifting buttocks. Do sessions per day. Perform with buttocks lifted inches off bed. Perform with buttock lifted higher than other. TRUNK - 10 Extension: Isometric (Sitting) Position Helper: Kneel or stand with hands on back of shoulders. - Cue patient to press backward. Perform with torso leaning forward inches. TRUNK - 11 Lateral Flexion: Isometric (Side-Lying) Position Patient: Lie with side up. Helper: Stabilize shoulder. Place other hand firmly on hip at waist. - Cue patient to press hip up into helper's hand. Repeat on other side. TRUNK - 12 Lateral Flexion: Isometric (Sitting) Position Helper: Stand or sit with feet apart. Place one or both hands on side of shoulder. - Cue patient to bend to side at waist, pressing into helper's hand. - Buttocks do not move. Repeat on other side. Perform with torso bent toward: left right TRUNK - 13 Rotation: ROM (Supine) Position (A) Helper: Place hand on knee. Stabilize shoulder on same side. (B) - Lower legs to side. - Keep shoulders flat. CAUTION: Discontinue if patient experiences back pain during exercise. Repeat to other side. Contract method: Resist seconds. (see card G.G.-14) Patient is passive. TRUNK - 14 Rotation: ROM (Sitting) Position Patient: Sit with buttocks firmly in place. Helper: Place one hand behind shoulder blade, other hand in front of opposite shoulder near collarbone. - Gently turn to side by twisting at waist. - Stop at point of tension or discomfort. Repeat in other direction. Contract method: Resist seconds. (see card G.G.-14) Patient is passive. TRUNK - 15 Rotation: Facilitated (Side-Lying) Position Patient: Lie with side up. Helper: Stabilize above waist on rib cage. Place other hand on hip. - Helper moves hip forward and back times. - Cue patient to continue the motion. - Helper assists as needed to control motion. Repeat sequence times. Repeat on other side. Page 1 of 2
9 CHART COPY Routine For: TRUNK - 16 Rotation: Isometric (Supine) Position Helper: Place hand on knee. Stabilize shoulder on same side. - Cue patient to press knees into helper's hand. Repeat to other side. Perform with thighs dropped toward: left right TRUNK - 17 Rotation: Isometric (Sitting) Position Patient: Sit with torso straight and upright. Helper: Place one hand behind shoulder near shoulder blade. Other hand rests on opposite shoulder at collarbone. - Cue patient to turn, pressing torso into helper's hands. Repeat in other direction. Perform with torso turned toward: left right COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 2 of 2
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