Spine Rehabilitation Revision

Question 1

What are the rehabilitation approaches?

Answer 1

Movement impairment classification

• restore normal movement and relax the muscle system
• graduated pain free exposure to normal patterns of movement assisted breathing/relaxation techniques
• manual therapy

Control Impairment classification

• problem manifests during dynamic and or static tasks
• desensitise the nervous system-
• educate the patient to control their pain provoking postures and movement patterns

Question 2

How to approach spine rehabilitation

Answer 2

• Pain management
• Target immobility ➡️ identify stiff area and get it moving, can use:
  ▶️ mobilisation, manipulation, trigger point release, soft tissue release and exercises
• Target stability ➡️ based on loss of muscle activity and balance rather than bony/ligamentous structure
  ▶️ exercises: - multifidus controls lordosis and must be rehabilitated: lateral lumbar flexion, rotation, leg raises
• erector spinae endurance
• abdominal stabilisers, (internal oblique, transverse abdominis)