EFFECT OF COMBINING SLUMP STRETCHING WITH CONVENTIONAL PHYSIOTHERAPY IN THE TREATMENT OF SUBACUTE NON- RADICULAR LOW BACK PAIN
|
|
- Jacob Sims
- 5 years ago
- Views:
Transcription
1 TJPRC: International Journal of Physiotherapy & Occupational Therapy (TJPRC: IJPOT) ISSN(P): Applied; ISSN(E): Vol. 2, Issue 2, Dec 2016, 9-16 TJPRC Pvt. Ltd. EFFECT OF COMBINING SLUMP STRETCHING WITH CONVENTIONAL PHYSIOTHERAPY IN THE TREATMENT OF SUBACUTE NON- RADICULAR LOW BACK PAIN ABSTRACT Objective of the Study S. KIRTHIKA, V. RAJALAXMI, S. SUDHAKAR, T. BHUVANESHWARAN & K. FOUSIYA THASLIM Faculty of Physiotherapy, Dr. M.G.R Educational & Research Institute University, Velappanchavadi, Chennai, Tamil Nadu, India To find the effectiveness of combining slump stretching with conventional physiotherapy as a comprehensive physiotherapy treatment approach in improving pain and disability in subjects with sub acute non- radicular low back pain. Study Design Experimental study design Sampling Simple Random sampling Setting Original Article Outpatient Physiotherapy department, A.C.S Medical college and Hospital Methodology Method 30 subjects with subactue non- radicular low back pain were divided into Group A (conventional group) and Group B (Experimental group) Result alone. Slump stretching combined with conventional physiotherapy is more effective than conventional physiotherapy Conclusion The present study concluded that 6weeks duration of exercise programme combining slump stretching with conventional physiotherapy is more effective than conventional physiotherapy alone in reduction of pain and disability in subjects with sub acute non- radicular low back pain. KEYWORDS: Sub Acute Non- Radicular Low Back Pain (NRLBP), Slump Stretching, Conventional Physiotherapy Received: Apr 20, 2016; Accepted: Jul 08, 2016; Published: Jul 26, 2016; Paper Id.: TJPRC:IJPOTDEC20162
2 10 S. Kirthika, V. Rajalaxmi, S. Sudhakar, T. Bhuvaneshwaran & K. Fousiya Thaslim INTRODUCTION Low back pain or lumbago is common disorder involving the muscles and bones of the back. It affects about 40% of people at some point in their lives 1. The occurrence of low back pain in worldwide people is a fairly common condition. Typically, the source of pain experienced by these individual is due to injuries to the soft tissue structure that include the muscles, fascia and ligaments. Most of these cases resolve within 2-4 weeks 2. According to Len karats Low back pain is the pain in the low back area related to problems with lumbar spine, the disc between the vertebra, the ligaments around the spine, the spinal cord, the nerve root, muscles of the low back, internal organs of pelvis and abdomen or skin covering the lumbar area 3. The low back Pain can be classified into acute low back pain, sub acute low back pain and chronic low back pain 4. Radicular LBA is pain radiating along the dermatome of nerve root at its connections to the spinal column 5. A common form of radiculitis is sciatica or radicular pain radiating along the sciatic nerve. Non radicular LBA is not associated with neurologic symptoms or signs and not associated with spinal nerve root compression. 6 Pain is localized to the spine and par spinal region and does not radiate into leg 7. Physical therapist utilize a wide range of intervention in the management of low back pain, however the effectiveness for these intervention is limited. The conservative physiotherapy treatment for low back pain includes techniques like stretching exercises for both lower limbs, education about posture and body mechanics, core stabilization exercises, spinal extension exercise and neural stretching techniques 8. This study is an attempt to prove the efficacy of combining slump stretching with conventional exercise program in treating subjects with sub acute NRLBP. Need for the Study The need has been raised for further explorations in this regard and to find out whether the slump stretching combined with conventional physiotherapy is effective in the management of subactue low back pain. METHODOLOGY The study design is experimental type with randomized sampling. The study was done in the Department of Physiotherapy, ACS Medical College and hospital. 30 subjects with sub acute non radicular low back pain between 18 to 60 years of age both male and female with positive slump test were included. Subjects with Red flags, yellow flags pregnant women, history of spinal surgery and positive neurological signs were not included in study. The outcomes measures were the VAS and the Modified Oswestry Low Back Pain Disability Index (MODI) 9. Procedure During initial session, postural advices such as avoiding lifting, adapting correct sitting posture, squat lifting, and use of hard mattress were given to both the conventional group and experimental group subject. Both the groups also performed 3-5 repetition of stretching exercises for each leg for a period of 6 weeks 10. The stretch of each exercise was held for seconds 11. The Group A (conventional Group) received progressive core stabilization exercise protocol for a duration 6 weeks and each exercise performed 10 times and 10 repetition for at least 10 seconds. Pelvic bridging, single leg abdominal press, double leg abdominal press, segmental rotation and quadruped were also performed 12.
3 Effect of Combining Slump Stretching with Conventional Physiotherapy 11 in the Treatment of Subacute Non- Radicular low Back Pain The conventional group subjects also received the endurance exercise protocol and trunk extensor muscles for duration of 6 weeks. Each exercise were performed 10 repetition with holding time for each repetition of at least 10 seconds. Group B (Experimental Group) received Slump stretching in addition to the conventional exercise program 13,14. Slump stretching was performed with the patient sitting on a high couch and asked to slump or slag with an overpressure applied by the physiotherapist to the lumbar and thoracic flexion. The subject is then asked to bend the neck chin to chest and an over pressure is applied. Then the patient performed knee extension and ankle dorsi flexion in sequence and the neck flexion is slowly relieved 15, 16, 17. Figure 1: Stretching Figure 2: Slump Stretching Figure 3: Core Stabilization Exercise Figure 4: Quadruped, Bridge,Single Leg Abdominal Press, Double Leg Abdominal Press, Segmental Rotation Data Analysis
4 12 S. Kirthika, V. Rajalaxmi, S. Sudhakar, T. Bhuvaneshwaran & K. Fousiya Thaslim Table 1: Comparison of Visual Analouge Scale Score between Group- a and Group B in Pre and Post Test Vas Scale Group-A Group-B T-Test Significance MEAN S.D MEAN S.D PRE TEST ** POST TEST *** This table shows that statistically significant difference in post test value of the visual analogue scale score between group A. and group B (***-p<0.001). Figure 5 Table 2: Comparison of Modified Oswestry Disability Index between Group A and Group- B in Pre and Post Test Modified Oswestry Disablity Index Group-A Group-B Mean S.D Mean S.D T-Test Significance PRE TEST POST TEST *** This tables shows that statistically significant difference in post test values of the modified oswestry disability index score between group A and group B (***-p<0.001) Figure 6 Table 3: Comparison of Visual Analogue Scale Score, Modified Oswestry Disability Index Score with in Group-A between Pre and Post Test Group-B Pre Test Post Test MEAN S.D MEAN S.D T-Test Significance VAS *** MODI *** This table shows statistically significant difference in visual analogue scale score and modified oswestry disability index score between pre- test and post test (***-p<0.001)
5 Effect of Combining Slump Stretching with Conventional Physiotherapy 13 in the Treatment of Subacute Non- Radicular low Back Pain Figure 7 Table 4: Comparison of Visual Analogue Scale Score, Modified Oswestry Disability Index Score with in Group-B between Pre and Post Test Group-B Pre Test Post Test MEAN S.D MEAN S.D T-Test Significance VAS *** MODI *** This stable shows statistically significant difference in visual analogue scale score and modified oswestry disability index score (***-p<0.001) Figure 8 RESULTS Group B showing (1.49) lower mean value is more effective than Group A (3.98) at p-<0.001 in the VAS score. As far as the reduction of the Disability is concerned, Group B (8.93) with a lower mean value is more effective than Group A (17.60) in the MODI score. DISCUSSIONS The results of this study confirm the hypothesis that slump stretching may be beneficial in the management of patient with non- radicular low back pain. Slump stretching in addition to conventional physiotherapy exercises was beneficial in reducing short term disability and improving pain and promoting centralization of symptoms in tis experimental group of patients 18. The results are similar to those of George (2002) who reported that a subgroup of patients with low back pain might exist who have distal symptoms but whose symptoms do not improve with flexion or extension oriented exercises 19, 20. Table 1 and 2 shows significant decrease in the post test mean value for visual analogue scale score and Modified oswestry disability index score of Group B which is more effective than Group A. Table 3 and 4 shows statistically highly significant difference in VAS score and MODI score between pre test and post test week within Group A
6 14 S. Kirthika, V. Rajalaxmi, S. Sudhakar, T. Bhuvaneshwaran & K. Fousiya Thaslim and group B (p<0.001). From the above statistical mean value it shows that group B shows significant reduction of pain and improvement in functional abilities. Hence slump stretching combined with conventional physiotherapy can be an effective exercise protocol in the treatment of patients with Non- radicular low back pain in terms of pain relief and reduction of disability which helps in the improvement of functional activities. CONCLUSIONS The result suggest that an exercise programme of combining slump stretching with conventional physiotherapy is more effective than conventional physiotherapy alone in reduction of pain and disability in subjects with sub actue non- radicular low back pain. RECOMMENDATIONS This study can be done in larger sample size. Further studies can be performed in females alone with older age group with longer follow up.chronic low back pain and Manipulation therapy can be included in further studies. REFERENCES 1. Van tilde MW, koss B, boater LM. A cost of illness study of back pain in the Netherlands. Pain. 1995; 62: Mortimer M, presold G, wintering C. Low back pain in general population. Natural course and influence of physical exercise A 5- year follow up of the musculoskeletal intervention centre- norrtalje study spine.2006: Hayden Va van toddler MW, M almivara AV, koes BW. Meta analysis: exercise therapy for non specific low back pain. Ann intern med. 2005; 142: Herrington L. Effects of different mobilization techniques on knee extension ROM in the slump position. The J manual and manipulative therapy 2006; 14(2): Shack locks MO. Aerodynamics. Physiotherapy. 1995; 81(1): Butler DS. The sensitive nervous system. Adelaide, Australia: no group publications, Shack lock MO clinical aerodynamics: A new system of Neuro musculoskeletal treatment. Oxford UK: Butterworth Heinemann; Steven GZ. Characteristics of patients with lower extremity symptoms treated with slump stretching: A cases series. J north up sports phys there. 2002; 32: George S Z. Differential diagnosis and treatment for treatment for patients with lower extremity symptoms. JOSPT. 2000; 30(8): James A. Porterfield, carl depose (1998), mechanical low back pain: perspectives in functional anatomy. 2 nd ed. Saunders 11. Delete A, Erhrd RE, bowling RW. A treatment based classification approach to low back syndrome; identifying and staging patients for conservative management phys. There 1995; 75: Julie M. Fritz and james j irking; journal of the American physical therapy association; a compettion of a modified oswestry low back pain disability questionnaire and the quebec bck pain disability scale;2001;81: Deco RA, Rainsville J, Kent DL. What can the history and physical examination tell us about low back pain. Jamal 1992;268: Papageorgiou AC et al. (1995) estimating the prevalence of low back pain in the general population. Evidence from the south
7 Effect of Combining Slump Stretching with Conventional Physiotherapy 15 in the Treatment of Subacute Non- Radicular low Back Pain Manchester back pain survey. Spine (phyla pa 1976). Sep 1; 20(17): Maitland G. The slump test: examination and treatment. 1985;31: Michel shack lock. Clinical aerodynamics; 2-9; Bratton RL (1999) assessment and management of acute low back pain. Arm fame physician 60: Roach KE, brown MD, dungun KM, cusec CL, wales mutest- retest reliability of patient reports of low back pain J ortho sports phys there Nov; 26 (5): We bringt WG, Randolph B; comparison of no ballistic active knee extension in neural slump position and static stretch J ortho sports PHY therapy (1); Scrimshw SV, maher CG. Ramdomized controlled trial of neural mobilization after spinal surgery. Spine 2001; 26:
8
Pilates for Chronic Low Back Pain
Pilates for Chronic Low Back Pain Julianne Bettencourt March 23, 2015 Course Year: 2014 Integrated Fitness, Visalia, CA Abstract Low back pain is an injury that affects thousands of people every day and
More informationDiagnostic and Treatment Approach to the Active Patient with Complex Spine Pathology
Physical Therapy Diagnostic and Treatment Approach to the Active Patient with Complex Spine Pathology Scott Behjani, DPT, OCS Introduction Prevalence 1-year incidence of first-episode LBP ranges from
More informationEFFECIVENESS OF THE WILLIAMS EXCERCISE IN MECHANICAL LOW BACK PAIN
EFFECIVENESS OF THE WILLIAMS EXCERCISE IN MECHANICAL LOW BACK PAIN Dr.U.Ganapathy Sankar, Ph.D Dean I/C, SRM College of Occupational Therapy, SRMUniversity, Kattankulathur, KancheepuramDistrict, Tamil
More informationExercise for Rehabilitation and Treatment: Summary of Research
Exercise for Rehabilitation and Treatment: Summary of Research Summarizing research findings to evaluate the effectiveness of exercise for rehabilitation and treatment of orthopedic conditions Summary
More informationEffect of slump stretching. Effect of slump stretching on pain and
on pain and disability in low back pain Original Research Article ISSN: 2394-0026 (P) Effect of slump stretching on pain and disability in non-radicular low back pain Farhana Mansuri 1*, Nehal Shah 2 1
More informationCOMPARISON BETWEEN THE EFFECTIVENESS OF MCKENZIE EXTENSION EXERCISES AND WILLIAM FLEXION EXERCISES FOR TREATMENT OF NON-SPECIFIC LOW BACK PAIN
Original Article COMPARISON BETWEEN THE EFFECTIVENESS OF MCKENZIE EXTENSION EXERCISES AND WILLIAM FLEXION EXERCISES FOR TREATMENT OF NON-SPECIFIC LOW BACK PAIN Qurat-ul-Ain*, Iqra ishaq** *Physiotherapist
More informationThe Slump Test: Examination and Treatment
: Examination and Treatment The Slump test is becoming more widely accepted as an examination and treatment procedure for all levels of the vertebral column. The test is essential for a fuller recognition
More informationCore Stabilization for Low Back Pain Protocol
Core Stabilization for Low Back Pain Protocol Rehabilitation Using the Resistance Chair General Information Low back pain is an extremely common condition that affects approximately 84% of adults at some
More informationThe theory and practice of getting fitter and stronger
The theory and practice of getting fitter and stronger David Docherty, PhD, Professor Emeritus School of Exercise Science, Physical and Health Education University of Victoria All the presentations are
More informationSciatica. 43 Thames Street, St Albans, Christchurch 8013 Phone: (03) Website: philip-bayliss.com
43 Thames Street, St Albans, Christchurch 8013 Phone: (03) 356 1353. Website: philip-bayliss.com Sciatica Nagging, burning pain radiating down the back of the leg, or dull throbbing pain in the buttocks
More informationMove Better, Feel Better: What Can Physical Therapy Do For You
Back to Basics Move Better, Feel Better: What Can Physical Therapy Do For You Dr. Stephen Baxter, Dr. Dean Yamanuha Department of Physical Therapy and Rehabilitative Sciences 5/16/2017 Dr. Stephen Baxter
More information외래에서흔히접하는 요통환자의진단과치료 울산의대서울아산병원가정의학과 R3 전승엽
외래에서흔히접하는 요통환자의진단과치료 울산의대서울아산병원가정의학과 R3 전승엽 Index Introduction Etiology & Type Assessment History taking & Physical examination Red flag sign Imaging Common disorder Management Reference Introduction Pain
More informationBack Health and Safety
Back Health and Safety Your back is at work every minute of every day, whether you are awake or asleep, active or quiet. Over time the effects of poor posture, bad body mechanics, physical deconditioning
More informationFIT IN LINE EXAMPLE REPORT (15/03/11) THE WHITE HOUSE PHYSIOTHERAPY CLINIC PRESENT
THE WHITE HOUSE PHYSIOTHERAPY CLINIC PRESENT FIT IN LINE EXAMPLE REPORT (15/03/11) A 12 part assessment tool to screen your athletic performance in 4 key components: Flexibility, Balance, Strength & Core
More informationPost-op / Pre-op Page (ALREADY DONE)
Post-op / Pre-op Page (ALREADY DONE) We offer individualized treatment plans based on your physician's recommendations, our evaluations, and your feedback. Most post-operative and preoperative rehabilitation
More informationEFFECTIVENESS OF CONVENTIONAL EXERCISE REGIMEN FOR THE TREATMENT OF SHOULDER PAIN
EFFECTIVENESS OF CONVENTIONAL EXERCISE REGIMEN FOR THE TREATMENT OF SHOULDER PAIN Dr.U.Ganapathy Sankar, Ph.D., Dean I/C,Faculty of Medical & Health Sciences, SRM College of Occupational Therapy, SRM University,Kattankulathur,
More informationthe back book Your Guide to a Healthy Back
the back book Your Guide to a Healthy Back anatomy Your spine s job is to: Support your upper body and neck Increase flexibility of your spine Protect your spinal cord There are 6 primary components of
More informationBODY MECHANICS CMHA-CEI
BODY MECHANICS CMHA-CEI Basics about backs Facts about Back Disorders Maintaining a Healthy Back Common activities Lifting Techniques Stretching Techniques Topics Your back Spine & Vertebrae Discs Nerves
More informationAlgorithm #1 Lumbo-Pelvic Region Examination
Red Screen for Potentially Serious Conditions (i.e., Red Flags) including Neurologic when indicated Positive Findings Algorithm #1 Lumbo-Pelvic Region Clinical Prediction Rule Screening: Duration of symptoms
More informationCronicon ORTHOPAEDICS
Cronicon OPEN ACCESS ORTHOPAEDICS Research Article A Comparative Study of the Effectiveness of Two Manual Therapy Techniques on Pain and Lumbar Range of Motion Bhojan Kannabiran*, J Divya J Pawani and
More informationVacuPractor Technique for Low Back Pain Relief
VacuPractor Technique for Low Back Pain Relief Protocol for Using the VacuPractor General Information Lower back pain is a common condition that affects 84% of adults at some point in their lives (1).
More informationChiropractic Glossary
Chiropractic Glossary Anatomy Articulation: A joint formed where two or more bones in the body meet. Your foot bone, for example, forms an articulation with your leg bone. You call that articulation an
More informationPilates for Low Back Pain Relief
Pilates for Low Back Pain Relief Tia Stanley May 14, 2017 Course Year: 2015 One Physical Therapy and Wellness, Bryn Mawr, PA Abstract This paper outlines the research and looks at Pilates as a form of
More informationCERVICAL SPINE TIPS A
CERVICAL SPINE TIPS A Musculoskeletal Approach to managing Neck Pain An ALGORITHM, as a management guide Rick Bernau & Ian Wallbridge June 2010 THE PROCESS An interactive approach to the management of
More informationPatient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Lower back pain. Physiotherapy Department
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Lower back pain Physiotherapy Department Lower back pain This leaflet is intended for people who have been diagnosed with generalised
More informationSolving Today s Pain and Injury Puzzle with Erik Dalton An Online Workshop for ABMP Members Session 4 Handout
Solving Today s Pain and Injury Puzzle with Erik Dalton An Online Workshop for ABMP Members Session 4 Handout Please Note: Erik Dalton teaches his Myoskeletal Alignment Techniques with the expectation
More informationLow back pain, radiculopathy left leg icd 10 code
Home Search Low back pain, radiculopathy left leg icd 10 code 2018 ICD - 10 code for Radiculopathy is M54.1. Lookup the complete ICD 10 Code details for M54.1.. Low back pain ; M54.6 - Pain in thoracic
More informationTHE LUMBAR SPINE (BACK)
THE LUMBAR SPINE (BACK) At a glance Chronic back pain, especially in the area of the lumbar spine (lower back), is a widespread condition. It can be assumed that 75 % of all people have it sometimes or
More informationInternational Journal of Medical and Exercise Science (Multidisciplinary, Peer Reviewed and Indexed Journal)
International Journal of Medical and Exercise Science (Multidisciplinary, Peer Reviewed and Indexed Journal) ORIGINAL ARTICLE EFFECTS OF CORE STABILITY TRAINING ON SPEED OF RUNNING IN MALE CRICKET PLAYERS
More informationCORE STABILIZATION EXERCISE. Vincent J. Hudson, PhD, DPT, MBA, ATC Chief Operating Officer OAA Orthopaedic Specialists Allentown, PA
CORE STABILIZATION EXERCISE Vincent J. Hudson, PhD, DPT, MBA, ATC Chief Operating Officer OAA Orthopaedic Specialists Allentown, PA Stepping Back What are the goals? What is the value? Is it Sport Specific
More informationOutline. Introduction / Epidemiology. Anatomy / Pain generators. Diagnosis. Treatment. Most Important lecture!!
Acute Low Back Pain Outline Introduction / Epidemiology. Most Important lecture!! Anatomy / Pain generators Diagnosis Treatment Course Objectives Know the RED FLAGS in history taking. Know the Pain Generators
More informationSPT1 Module 1 Questions
SPT1 Module 1 Questions Clinical Reasoning 1) Which of the following statements is incorrect A. Diagnostic reasoning is the formation of a diagnosis based purely on physical disability and impairment.
More informationSpondylolysis DESCRIPTION EXPECTED OUTCOME POSSIBLE COMPLICATIONS COMMON SIGNS AND SYMPTOMS GENERAL TREATMENT CONSIDERATIONS CAUSES
DESCRIPTION is a stress or fatigue fracture of the bones of the spine (vertebrae) that does not involve the main weight-bearing part of those bones, the body of the vertebra. Instead, it involves an area
More informationA.J. Lievre, PT, DPT, OCS, CMPT Aaron Hartstein, PT, DPT, OCS, FAAOMPT
LUMBAR SPINE CASE #3 A.J. Lievre, PT, DPT, OCS, CMPT Aaron Hartstein, PT, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 L4-5, 5-S1 disc, facet (somatic) L5/S1 Radiculopathy
More informationImproving Thoracic Mobility
Improving Thoracic Mobility By William J. Hanney DPT, PhD, ATC, CSCS Course Description A lack of thoracic mobility can have broad clinical implications and evidence suggests addressing mobility in this
More informationThe Lumbopelvic & Hip Region. Contents. Contents. Chapter 5 Assessment & Treatment incorporating corrective exercises/stretching. Chapter 6 Quiz T & F
The Lumbopelvic & Hip Region Contents Chapter 1 The lumbopelvic & hip region Chapter 2 Muscle firing patterns/endurance Chapter 3 Altered biomechanics to the & hip region lumbopelvic Chapter 4 - Musculoskeletal
More informationSession 4: Exercise Prescription for Musculoskeletal Disorders: Low Back Pain
Session 4: Exercise Prescription for Musculoskeletal Disorders: Low Back Pain Course: Designing Exercise Prescriptions for Normal/Special Populations Presentation Created by Ken Baldwin, M.ED, ACSM-H/FI
More informationEfficient Examination Printable Templates
Efficient Examination Printable Templates Seated Tests and Measures Sidelying Tests and Measures -Seated posture -Strength testing (gluteus medius) -Neurological examination (SLUMP test, dermatomes, -Sacroiliac
More informationBRUNKOW EXERCISES AND LOW BACK PAIN
BRUNKOW EXERCISES AND LOW BACK PAIN Emela Muji} Skiki} 1*, Suad Trebinjac 1, Slavica [akota 2, Dijana Avdi} 3, Aida Deli} 4 1 Physical Medicine & Rehabilitation Dept.- Rashid Hospital, Dubai, UAE 2 Center
More informationSpondylolisthesis DESCRIPTION EXPECTED OUTCOME POSSIBLE COMPLICATIONS COMMON SIGNS AND SYMPTOMS GENERAL TREATMENT CONSIDERATIONS CAUSES
DESCRIPTION is the slippage of one or more vertebrae, the bones of the spine. Many causes of slippage of the vertebra are possible; these include stress fracture (spondylolysis), which is often seen in
More informationGeneral Chiropractic/Health Information
General Chiropractic/Health Information Chiropractic Over 20 million people receive chiropractic care every year. What is chiropractic? The basis of chiropractic care is detecting and correcting irregularities
More informationLumbopelvic And Dural Tension Dysfunctions Common In Figure Skaters
Lumbopelvic And Dural Tension Dysfunctions Common In Figure Skaters Presented by Melinda Couch, PT Several musculoskeletal patterns occuring in the pelvis and lumbar spine can be observed in figure skaters.
More informationTRAINING THE CORE BEGIN WITH ONE SET OF ALL 17 EXERCISES FOR A TOTAL OF 250 REPS. NEXT, MOVE TO TWO SETS FOR A TOTAL OF 500 REPS.
TRAINING THE CORE 1. LATERAL SIT UPS.X 20 (10 EACH SIDE) 2. HYPEREXTENSIONS.X 10 3. LEG HUGS...X 15 4. RUSSIAN TWIST X 20 (10 EACH SIDE) 5. HIP CURLS..X 14 (7 EACH LEG) 6. JACK KNIFES..X 10 7. REVERSE
More informationKey words: Neural Stretch,Pelvic Traction,VAS (Visual Analogue Scale),ODI (Oswestry Disability Index), LBP (Low Back Pain).
Original study Short-term effect of lower limb neural stretch versus pelvic traction along with spinal extension exercises on pain and disability in patients with lower back pain with radiculopathy: A
More informationLUMBAR SPINE CASE 3. Property of VOMPTI, LLC. For Use of Participants Only. No Use or Reproduction Without Consent 1. L4-5, 5-S1 disc, facet (somatic)
LUMBAR SPINE CASE 3 A.J. Lievre, PT, DPT, OCS, CMPT Aaron Hartstein, PT, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Richmond 2018-2019 L4-5, 5-S1 disc, facet (somatic) L5/S1 Radiculopathy
More informationQuick Response code. Original Article. Access this Article online INTRODUCTION
Original Article EFFECT OF MAITLAND VS MULLIGAN MOBILISATION TECHNIQUE ON UPPER THORACIC SPINE IN PATIENTS WITH NON-SPECIFIC NECK PAIN - A COMPARATIVE STUDY Kaur Inderpreet *1, Arunmozhi R 2, Arfath Umer
More informationLumbar Stenosis Rehabilitation Using the Resistance Chair
PRODUCTS HELPING PEOPLE HELP THEMSELVES! Lumbar Stenosis Rehabilitation Using the Resistance Chair a. Description Lumbar spinal stenosis is a term used to describe a narrowing of the spinal canal. The
More informationPILATES CONDITIONING FOR PATHOLOGY OF THE INTERVETEBRAL DISK
PILATES CONDITIONING FOR PATHOLOGY OF THE INTERVETEBRAL DISK Ashlee Tinken August 12, 2017 Comprehensive Apparatus Program Pilates Denver June 2015 ABSTRACT The pathology of the intervertebral disk is
More informationBack Conditioning for the construction worker/tradesperson.
Back Conditioning for the construction worker/tradesperson. Colina Morrison 10 th June 2018 2017, BASI Australia, Pilates Studio 64 Abstract Australian tradespeople, commonly referred to as tradies are
More informationPosture. Kinesiology RHS 341 Lecture 10 Dr. Einas Al-Eisa
Posture Kinesiology RHS 341 Lecture 10 Dr. Einas Al-Eisa Posture = body alignment = the relative arrangement of parts of the body Changes with the positions and movements of the body throughout the day
More informationACE s Essentials of Exercise Science for Fitness Professionals TRUNK
ACE s Essentials of Exercise Science for Fitness Professionals TRUNK Posture and Balance Posture refers to the biomechanical alignment of the individual body parts and the orientation of the body to the
More informationRecommended reading Christopher M Norris Back Stability edition two
1 2 CHERRY BAKER 2017 3 Recommended reading http://www.physology.co.uk/james-tyrell-nestor/ james@physology.co.uk Christopher M Norris Back Stability edition two 4 Welcome Anatomy of the spine Vertebra
More informationPhysiotherapy Following Your Spinal Discectomy
Physiotherapy Following Your Spinal Discectomy Patient information How to contact us Physiotherapy Department Watford General Hospital West Hertfordshire Hospitals NHS Trust Vicarage Road, Watford, Hertfordshire,
More informationBenefits of Pilates for Lower Back and Disc Injuries
Benefits of Pilates for Lower Back and Disc Injuries Alexandra Gitlitz June 2017 Course Year 2017 Sydney, Australia 2 Abstract Chronic low back pain can be defined as having pain in the posterior lumbar
More informationNECK AND BACK PAIN AN INTRODUCTION TO
AN INTRODUCTION TO NECK AND BACK PAIN This booklet provides general information on neck and back pain. It is not meant to replace any personal conversations that you might wish to have with your physician
More informationCERVICAL STRAIN AND SPRAIN
CERVICAL STRAIN AND SPRAIN Description Cervical strain/sprain is an injury to the neck caused when it is forcefully whipped or forced backward or forward. The structures involved are the muscles, ligaments,
More informationCERVICAL STRAIN AND SPRAIN (Whiplash)
CERVICAL STRAIN AND SPRAIN (Whiplash) Description time and using proper technique decrease the frequency of Whiplash is an injury to the neck caused when it is forcefully whipped or forced backward or
More informationLOW BACK PAIN. Contents What causes Low Back Pain?... 3
YOUR GUIDE TO LOW BACK PAIN An IPRS Guide to provide you with exercises and advice to ease your condition Contents What causes Low Back Pain?....... 3 What treatment can I receive?..... 4 What about exercise?...............
More informationcysticfibrosis.org.uk Fighting for a Life Unlimited Patient name number Physiotherapy recommendations This leaflet was issued on:
cysticfibrosis.org.uk How to improve your posture: A guide for adults with cystic fibrosis This guide explains the common postural problems that people with cystic fibrosis (CF) can have and shows you
More informationSummary Chart 1 2 months
NEWBORN Physiological flexion provides stability for posture & random movements Neck righting Labyrinthine righting beginning in prone & supine Primary standing reaction Movements limited by available
More informationManual Manipulative Medicine: A Structural Examination for Lower Back Pain. Friday, October 2, :30 AM - 12:00 PM W116.
Manual Manipulative Medicine: A Structural Examination for Lower Back Pain Friday, October 2, 2015 10:30 AM - 12:00 PM W116. Level: Beginner No Financial Disclosures Amir Mahajer, DO Ronald Tolchin, DO
More informationTOP RYDE CHIROPRACTIC
1. Ankle Pain Conditions Helped by Chiropractic The ankle joint is made up of ligaments, tendons, nerves, and a disc to cushion motion. Distortions of motion of the ankle can strain the ligaments and muscles
More informationLumbar decompression or discectomy
Information and exercises Lumbar decompression or discectomy Introduction A lumbar decompression or discectomy is done to relieve pressure on the nerves in order to relieve pain and altered sensation.
More informationExercise Safety Basics
Exercise Safety Basics Know the kids & their conditions e.g. mobility restrictions Modify activity to suit ability Safe environment (e.g. level surface, equipment in good repair, heat/cold) Warm up Stretching
More informationInternational Journal of Medical And Pharmaceutical Sciences
www.iaard.net IAARD Journals eissn: 2456-0103 International Journal of Medical And Pharmaceutical Sciences IAARD- International Journal of Medical and Pharmaceutical Sciences, 2017, 3(1),9-13 Comparing
More informationRN(EC) ENC(C) GNC(C) MN ACNP *** MECHANISM OF INJURY.. MOST IMPORTANT ***
HISTORY *** MECHANISM OF INJURY.. MOST IMPORTANT *** Age of patient - Certain conditions are more prevalent in particular age groups (Hip pain in children may refer to the knee from Legg-Calve-Perthes
More informationTHE SECRETS TO GOOD POSTURE
THE SECRETS TO GOOD POSTURE Postural Tips To Improve Movement Efficiency and Functional Independence BY DR. AARON LEBAUER, PT, DPT 2 P a g e Disclaimer The information in this book is not a replacement
More informationMulti-Segmental Rotation Corrective Exercises
Multi-Segmental Rotation Corrective Exercises Side Lying Thoracic Rotation keep one knee on a folded pillow or small ball with the hip flexed at least 90 degrees. Place the hand on the stomach/ribs and
More informationExternal Obliques Abdominal muscles that attaches at the lower ribs, pelvis, and abdominal fascia.
The Core The core is where most of the body s power is derived. It provides the foundation for all movements of the arms and legs. The core must be strong, have dynamic flexibility, and function synergistically
More informationCore exercises. Abdominal Ball Passing
Abdominal Ball Passing Start with ball in hands, tighten abdominal muscle to stabilize spine and lift legs up to grasp ball. Pass ball to feet. Lower legs down while keeping your abdominal muscles tight
More informationPilates for Lumbar Spinal Fusion: Recommended Conditioning for Multilevel Spinal Fusion Rehab
Pilates for Lumbar Spinal Fusion: Recommended Conditioning for Multilevel Spinal Fusion Rehab Maggie Curcio October 14, 2012 Summer 2012 - Chicago 1 Abstract This paper focuses on a suggested rehabilitative
More informationOlder Adult Advanced
Older Adult Advanced Older Adult - Advanced Introduction This exercise routine is created for men and women above the age of 55, who have experience in exercise and are relatively fit. The workout includes
More informationJournal of Orthopaedic & Sports Physical Therapy. January 2012; Volume 42; Number 1; pp. 5-18
1 Upper Cervical and Upper Thoracic Thrust Manipulation Versus Nonthrust Mobilization in Patients With Mechanical Neck Pain: A Multicenter Randomized Clinical Trial Journal of Orthopaedic & Sports Physical
More informationThe Spine.
The Spine www.fisiokinesiterapia.biz Characteristics of Vertebrae Cervical Spine 1 and 2 Sacrum and Coccyx Curves Lordotic in the Spine Kyphotic Lordotic Ligamentous Support Muscles of the Spine Spinal
More informationPower and Pilates. Corey Claire Annand 30/12/17. Course Sept 2017-Jan Wimbledon, UK
Power and Pilates Corey Claire Annand 30/12/17 Course Sept 2017-Jan 2018 Wimbledon, UK Abstract Powerlifting is a strength sport that consists of three attempts at maximal weight on three lifts: squat,
More informationHERNIATED DISK (Ruptured Disk)
HERNIATED DISK (Ruptured Disk) Description Expected Outcome Sudden or gradual break in the supportive ligaments surrounding a spinal disk. The disk functions like a cushion between the bony vertebrae (bony
More informationSTRETCHING EXERCISES FOR PAIN REDUCTION
PHYSICAL THERAPY RESOURCES STRETCHING EXERCISES FOR PAIN REDUCTION This material is presented for informational and educational purposes only. If you experience any pain or difficulty with these exercises,
More informationBasic Pilates Mat Routine
PATIENT EDUCATION patienteducation.osumc.edu Chin Tuck Lying supine with legs bent feet flat on the floor arms by your side. Inhale, pull your chin back (as if you are trying to make a double chin) while
More informationLow-Back Strain DESCRIPTION POSSIBLE COMPLICATIONS COMMON SIGNS AND SYMPTOMS GENERAL TREATMENT CONSIDERATIONS CAUSES FACTORS THAT INCREASE RISK
Page Number: 0 Date:13/6/11 Time:20:10:06 Low-Back Strain DESCRIPTION POSSIBLE COMPLICATIONS Low-back strain is an injury to the muscles and tendons of the lower back. These muscles require great force
More informationWhat is a Chiropractic Treatment?
What is a Chiropractic Treatment? Have you ever been to the Chiropractor? Do you know exactly what to expect when you visit one? Well, here is a complete and thorough guide for you to understand exactly
More informationChapter 20: The Spine The McGraw-Hill Companies, Inc. All rights reserved.
Chapter 20: The Spine Anatomy of the Spine Prevention of Injuries to the Spine Cervical Spine Muscle Strengthening Muscles of the neck resist hyperflexion, hyperextension and rotational forces Prior
More informationRegional Review of Musculoskeletal System: Head, Neck, and Cervical Spine Presented by Michael L. Fink, PT, DSc, SCS, OCS Pre- Chapter Case Study
Regional Review of Musculoskeletal System: Presented by Michael L. Fink, PT, DSc, SCS, OCS (20 minutes CEU Time) Subjective A 43-year-old male, reported a sudden onset of left-sided neck and upper extremity
More informationCervical Plating BACK PAIN
BACK PAIN Back Pain Back pain is frequent complaint. It is the commonest cause of work-related absence in the world. Although back pain may be painful and uncomfortable, it is not usually serious. Even
More informationCopyright Cardiff University
This exercise programme has been developed by physiotherapists specifically for people with movement disorders. Exercise is not without its risks and this or any other exercise programme has potential
More informationWays to make sure you achieve your handstand
Ways to make sure you achieve your handstand What no one tells you about Lay Yong Copyright BodyTree GST Copyright 2015 2015 BodyTree GST Pte LtdPte Ltd Introduction The handstand is a challenging and
More informationExercises to restore range of movement: Rotation
Exercises to restore range of movement: Rotation Start position: Sitting upright with your back supported in a chair. Position your head so it is evenly balanced, looking forward. Avoid allowing your head
More informationEvaluating the Athlete Questionnaire
Evaluating the Athlete Questionnaire Prior to developing the strength and conditioning training plan the coach should first evaluate factors from the athlete s questionnaire that may impact the strength
More informationChanges in a Lumbar Disc Extrusion After Cox Technic Flexion Distraction Therapy in a 44 year old Office Worker. Submitted by
Changes in a Lumbar Disc Extrusion After Cox Technic Flexion Distraction Therapy in a 44 year old Office Worker History Submitted by Dr Joel Dixon B.App.Sc (Chiropractic) J.P. Melbourne Spine Clinic Melbourne,
More informationRehabilitation 2. The Exercises
Rehabilitation 2 This is the next level from rehabilitation 1. You should have spent time mastering the previous exercises and be ready to move on. If you are unsure about any of the previous exercises
More informationChiropractic , The Patient Education Institute, Inc. amf10101 Last reviewed: 01/17/2018 1
Chiropractic Introduction Chiropractic is health care that focuses on disorders of the musculoskeletal system and the nervous system, and the way these disorders affect general health. Chiropractic uses
More informationWalking/Running Stretch Routine
Walking/Running Stretch Routine Quadriceps Stretch With left hand grasp your right ankle, gently pull heel toward buttocks until stretch is felt. Repeat on opposite side. Walking/Running Stretch Routine
More informationCervical Spine in Baseball
Cervical Spine in Baseball Robert G Watkins, IV, MD Co-Director, Marina Spine Center Marina del Rey, CA Vice Chief of Staff Cedars-Marina del Rey Hospital Disclosures n Pioneer / RTI Consulting, Royalties
More informationLower Back Pain. Sensory motor function. 1 Principles of Exercise Therapy. Global muscles vs Local muscles. Research in Spine Rehabilitation
1 Principles of Exercise Therapy Lower Back Pain 1. Facet joint pain 2. Spondylolysis & Spondylisthesis 1. Exercise Therapy turns the patient into an active participant and not just a passive recipient
More informationMid-Thoracic Dysfunction: A Key Perpetuating Factor of Pain in the Locomotor System
Mid-Thoracic Dysfunction: A Key Perpetuating Factor of Pain in the Locomotor System Dysfunction involving excessive T4-T8 kyphosis is common. Symptoms arising from regions at a distance to the mid-thoracic
More informationSCIATICA. Contents YOUR GUIDE TO. An IPRS Guide to provide you with exercises and advice to ease your condition. What is sciatica?...
Contents What is sciatica?................................................3 What causes sciatica?............................................3 YOUR GUIDE TO SCIATICA An IPRS Guide to provide you with exercises
More informationNEGATIVE DISC EXPLORATION: POSITIVE CANAL SIGNS. G. D. MAITLAND South Australian Institute of Technology
NEGATIVE DISC EXPLORATION: POSITIVE CANAL SIGNS G. D. MAITLAND South Australian Institute of Technology It is common practice for those concerned with the treatment ofpatients with the many patterns of
More informationContraindicated and High-Risk Exercises
Contraindicated and High-Risk Exercises Young sub Kwon, Ph.D. ACSM RCEP, NSCA CSCS,*D Exercise Physiology Laboratory The University of New Mexico Albuquerque, NM, USA Introduction Any activity selected
More informationBody Mechanics: Posture and Care of the Back and Neck. Dr. Tia Lillie
Body Mechanics: Posture and Care of the Back and Neck Dr. Tia Lillie Back Facts 80% of the population will experience some form of back pain at some point during their lifetime. Back problems problems
More informationStaff Information Leaflet
Posture Staff Information Leaflet This leaflet is designed to give you an understanding of posture and some advice on what you can do to help yourself. If your symptoms persist you should seek advice from
More informationSCIATICA? 0r BACK PAIN. Health & Fitness. Study: Physical Therapy is Effective for Low Back Pain. Don t let pain stop you. Call us today!
Health & Fitness The Newsletter About Your Health And Caring For Your Body BACK PAIN SCIATICA? 0r Study: Physical Therapy is Effective for Low Back Pain Many patients with low back pain should consider
More information