Lumbar extension force progression - prone
1) press ups
2) lock and sag
3) belted press ups
Lumbar extension force progression - standing
1) back bend
2) back bend with overpressure
3) back bend over countertop
Lumbar flexion force progression
1) supine
2) seated
3) standing
Dont continue movement if?
1) pain is peripheralizing
2) pain turns into tingling turns into numbness
3) pain remains worse following each rep
What is the common force progression?
1) Patient generated
2) patient overpressure
3) therapist overpressure
4) mobilization
5) manipulation
Which plane of motion should be exhausted first?
Sagittal
Cervical lateral flexion progression
Seated: Ret-LF (to side of symptoms)
Ret-LE with PT overpressure
Ret-LF with mobilization
Supine: (same as above)
Cervical rotation progression
Seated: Ret-Rot (to side of symptoms)
Ret-Rot with PT overpressure
Ret-Rot with mobilization
Supine: (same as above)
Retraction in siting with clinician overpressure
- PT's Hand Placements:
Heel of hand on 1st or 2nd Thoracic Vertebrae
Thumb & Forefinger on Mandible
PT's forearms PARALLEL throughout
- Pt retracts as far as possible
- PT performs simultaneous A/P pressure with hands in line with Pt retraction
- Rest
- Repeat 5-6x
Retraction mobilization in sitting
- PT's Hand Placements:
Heel of hand on 1st or 2nd Thoracic Vertebrae
Thumb & Forefinger on Mandible
PT's forearms PARALLEL throughout
- Pt retracts as far as possible
- PT stabilizes head in retraction w/mandible hand
- PT's heel of opposite hand applies slow, rhythmical A/P force to upper Thoracic Spine
- Repeat 5-6x
- Rest
treatment of posture syndrome?
Sit up!
Treatment for dysfunction syndrome?
Stretch into restriction - every couple of hours
Treatment for derangement syndrome?
Force progression for derangement diagnosis - every couple of hours
What is recovery of function? and when is it introduced?
- Re-introduction of the opposite motion
- Utilized to prevent a Dysfunction in the opposite direction of the restriction
introduced once in maintenance phase