II. Theory

  1. Use musculature to brace spine
  2. Flex knees to lower center of gravity
  3. Contract abdominal Muscles to act as corset
  4. Maintain Flexibility
    1. Decreases spine loading of lower extremities

III. Management: Stabilization Program

  1. Find neutral position
    1. Standing and sitting positions
  2. Prone gluteal squeezes
  3. Supine pelvic bracing
    1. Push Pelvis against floor
  4. Bridging progression: Move toward arched position
    1. Start: Supine with one leg raised
    2. Next: Stepping position
    3. Later: Balance on gym ball
  5. Quadriped position: On hands and knees
    1. Alternate arm and leg straightening
    2. Use ankle and wrist weights in progression
  6. Kneeling stabilization
    1. Both knees on mat to one knee on mat
    2. Lunges
    3. Wrist weights
  7. Wall slide quadriceps strengthen
    1. Perform with and without gym ball between knees
    2. Add hand weight during progression

IV. Management: Neutral position and proper posture Exercises

  1. Abdominal program
    1. Curl-ups
    2. Dead bugs
    3. Diagonal curl-ups to incline
    4. Straight leg lowering
  2. Gym weight training program
    1. Latissimus pull downs
    2. Leg press with seat angled back
    3. Lunges
    4. Hyperextension bench
    5. General upper body weight Exercises
    6. Pulley Exercises to stress Posture control
  3. Aerobic program
    1. Progressive walking
    2. Swimming
    3. Stationary bike
    4. Nordic-track
    5. Running (start on treadmill)

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Related Studies

Ontology: Low Back Pain (C0024031)

Definition (MSH) Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.
Definition (AOT) see:http://www.nlm.nih.gov/mesh/MBrowser.html
Concepts Sign or Symptom (T184)
MSH D017116
ICD9 724.2
ICD10 M54.5
SnomedCT 156651006, 268083007, 202793005, 156648004, 40709005, 139421003, 267169009, 279039007
English Back Pain, Low, Back Pains, Low, Low Back Pains, Lumbago, Low Back Ache, Low Backache, Lower Back Pain, Ache, Low Back, Aches, Low Back, Back Ache, Low, Back Aches, Low, Back Pain, Lower, Back Pains, Lower, Backache, Low, Backaches, Low, Low Back Aches, Low Backaches, Lower Back Pains, Pain, Lower Back, Pains, Lower Back, LUMBAR PAIN, Pain, Low Back, Pains, Low Back, Nonspecific pain lumbar region, low back pain (symptom), lower back pain, lumbago (diagnosis), lumbar back pain, lumbar pain, lumbago, low back pain, Low back ache, Lumbago NOS, Low Back Pain [Disease/Finding], lumbalgia, Pain;back low, Pain;back;lumbar, low backache, low back pains, lower back pains, lumbar pains, Lower back pain, LBP - low back pain, Low back pain (disorder), Lumbago (disorder), backache lower, lower backache (diagnosis), lower backache, Low back pain, Low back syndrome, Lumbalgia, LBP - Low back pain, Nonspecific pain in the lumbar region, Lumbar pain, back; pain, low, backache; low, low back; pain, low; backache, pain; back, low, pain; low back, syndrome; low back, Lumbago (disorder) [Ambiguous], Low back pain (finding), Low Back Pain
Portuguese DOR LOMBAR, Moinha lombar, Dor lombar, Lombalgia, Dor Lombar, Lumbago
Dutch lumbago, pijn in de onderrug, lage rugpijn, lumbaalpijn, laag; rugpijn, lage rug; pijn, pijn; lage rug, pijn; onderste deel van rug, pijn; rug, laag, rug; pijn, laag, rugpijn; laag, syndroom; lage rug, Lage rugpijn, Lagerugpijn, Lumbago, Pijn, lagerug-
French Endolorissement de la région lombaire, Douleur dans la partie inférieure du dos, Douleur lombosacrale, DOULEUR LOMBAIRE, Douleur dorsale basse, Douleur lombaire basse, Douleur du bas du dos, Rachialgie lombo-sacrale, Rachialgie lombo-sacrée, Rachialgie lombosacrale, Rachialgie lombosacrée, Rachialgie lombaire, Lombalgie, Lumbago, Douleur lombaire, Douleur lombosacrée
German unterer Rueckenschmerz, unterer Rueckenschmerzen, lumbaler Schmerz, Kreuzschmerz, SCHMERZ LENDENGEGEND, Kreuzschmerzen, Lumbago, Lumbalsyndrom, Hexenschuß
Italian Dolore dorso-lombare, Lombalgia, Lombaggine, Dolore lombare
Spanish Dolor de la parte baja de la espalda, Dolor lumbar, dolor de espalda, LUMBAR, DOLOR, lumbalgia (trastorno), síndrome de dolor en la región inferior de la espalda, Lumbalgia, dolor inespecífico en la región lumbar, dolor lumbar, lumbago, lumbalgia (concepto no activo), lumbalgia (hallazgo), lumbalgia, Lumbago, Dolor de la Región Lumbar
Swedish Ländryggssmärta
Japanese ヨウツウショウ, ヨウツウ, 腰痛, 腰痛症
Czech lumbalgie, bolest v kříži, lumbago, Bolest dolní poloviny zad, Bederní bolest, Lumbago, ústřel, bolest bederní páteře, bolesti bederní páteře, bederní bolest
Finnish Alaselkäkipu
Russian RADIKULIT POIASNICHNYI, LIUMBAGO, POIASNICHNYI RADIKULIT, ЛЮМБАГО, ПОЯСНИЧНЫЙ РАДИКУЛИТ, РАДИКУЛИТ ПОЯСНИЧНЫЙ
Korean 아래허리통증
Polish Ból krzyża, Ból dolnego odcinka kręgosłupa, Lumbago, Ból okolicy lędźwiowo-krzyżowej
Hungarian Lumbago, Alsó háti fájdalom, derékfájás, Derékfájdalom, Lumbalis fájdalom
Norwegian Lumbago, Hekseskudd, Korsryggssmerter
Croatian BOL U KRIŽIMA, KRIŽOBOLJA