The objective of this course is to present current concepts in lumbar spine rehab for all phases of care, from the acute to return to function. The clinical indications for flexion, extension and neutral spine biased exercises will be presented along with the appropriate exercise selection and specific exercise progressions that the clinician can incorporate immediately Specifically, the course introduces the use of evidenced based flexion biased exercise principles for lumbar spinal stenosis, the role of neutral spine exercises for ADL’s, and extension biased principles for discogenic conditions and paraspinal deconditioning. The three mechanisms of core stability will be presented as they relate to lumbar spine rehab and novel technologies to enhance intrinsic core strength and stability will be introduced to enable the clinician to achieve better outcomes.
Hour One:
Review biomechanics of the lumbar spine and disc load
Discuss the use and indications of flexion, extension and neutral spine biased exercise
Flexion biased exercises progressions for lumbar spinal stenosis
Hour Two:
Neutral spine exercises progressions beyond McGill’s Top 3
Extension biased principles and progressions for paraspinal strengthening
Core stability mechanisms with clinical correlation
The application of TECAR and EMS on enhancing intrinsic core stability
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