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MS II > Lumbar Stabilization > Flashcards

Lumbar Stabilization Flashcards

1
Q

What are the 3 aspects of lumbar stabilization?

A
  • Movement re-education
  • Body mechanics
  • Physical (re)conditioning
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2
Q

What is movement re-education?

A

The teaching of proper form/ technique

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3
Q

What are body mechanic exercises?

A
  • The use of body positions and movements that are not threatening or painful
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4
Q

What is physical (re)conditioning?

A
  • Planned repetitive movements that break bad habits
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5
Q

What classification does lumbar stabilization exercise fit into?

A

Stage 1 Stabilization exercise + other classifications as needed

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6
Q

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

A

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

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7
Q

Is lumbar stabilization rehabilitative or preventative?

A

Both.

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8
Q

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

A
  • Functional range
    OR
  • Lumbar neutral
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9
Q

What is the definition of lumbar neutral? (old and current definition)

A

Old: “Normal” upright position
Current: Range of spinal motion in which the spine functions most efficiently and is least symptomatic

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10
Q

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

A
  • Varies from patient to patient
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11
Q

What can change a patient’s functional range?

A

Changes in the patient’s condition.

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12
Q

What can a patient learn and master control of their functional range?

A
  • Learn the asymptomatic range, and avoid exercises and movements that move beyond it
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13
Q

What is the goal of Lumbar stability programs?

A
  • Maintain functional range in ALL activities through ENTIRE day
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14
Q

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

A
  • Flexibility
  • Strength
  • Endurance
  • Coordination
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15
Q

What are 5 causes of poor posture/ movement patterns?

A
  • Habit
  • Weak/ poorly conditioned muscles
  • Poor motor control
  • Impaired joint and/or muscle flexibility
  • Pain
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16
Q

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

A
  • Recumbent
17
Q

What are 3 methods of progression of lumbar stability exercises?

A

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
Q

List the 5 step progression of the overall lumbar stability program.

A
  • 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
Q

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

A
  • Transfers
  • Car transfers
  • Stairs, curbs
  • Lift/lower
  • Push/pull
20
Q

How are “isolated extremity movements” progressed?

A
  • Non-functional –> Functional motions
21
Q

How is static passive prepositioning of the lumbar spine performed?

A

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
Q

In whom is passive prepositioning typically used?

A
  • Very acute/ painful patients
23
Q

What is static active prepositioning?

A
  • Active muscle contraction holds FR and position

ex) holding range in a bridge position

24
Q

What is dynamic stabilization?

A
  • 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
Q

What is transitional stabilization?

A
  • Exercises changing primary stabilizers from agonist to antagonist

Ex)

  • Quadruped to opposite knee to elbow
  • Supine bilateral arms

MS II (20 decks)

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