MOD 3 Lumbar Exercise a Movement Control Approach Flashcards
What CPG category would benefit most from exercise?
movement coordination impairment
What are the treatment based classification predictors for stabilization?
- avg SLR rom >91 deg
- positive prone instability test
- positive aberrant movements
- age < 40 years
if 3 or more good prognosis
What are the two best predictors of benefiting from stabilization exercises?
- aberrant motion
- prone instability test
What clinical findings indicate movement control classification?
- disability = moderate
- symptom status = stable
- pain = moderate to low
What phases line up with the treatment based classifications?
protection = symptom modulation
controlled motion and tissue loading = movement control
return to function = functional optimization
If low severity and irritability you should?
do exercise focus
if high severity and irritability yo do?
other interventions with some activation or joint control exercises
What is the goal of lumbar movement coordination exercise?
- activation and recruitment
- holding neutral spine
- coordination with smooth motion
What is the goal of promoting physical activity in patients with back pain?
- walking (Aerobic exercise); has large impacts on LBP
- target 150 min of walking per week
What are examples of exercise for the protection phase?
- activation and recruitment: TA activation, alternating isometrics, rhythmic stabilization
- joint motion control (early limb loading)
What are exercise examples for the controlled motion and tissue loading phase?
- bird dog
- dead bug
- bridges
What are exercise examples for controlled motion and tissue loading by allowing motion?
- bridge articulation
- resisted cat/cow
- Jefferson curls
- eccentric extension
- curl downs
What are exercise examples for the return to function stage?
- deadlifts for lifting and lowering
- squats for sit to stand, lifting/lowering
- reciprocal movements for walking, running, vacuuming, lunging
- pushing/pulling
- carrying
