Lumbo-Pelvic Stability: Difference between revisions

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#Core Endurance and Ratio Testing has been completedMcGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944. McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.
#Core Endurance and Ratio Testing has been completedMcGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944. McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.
#The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 secondsMcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at: http://www.archives-pmr.org/article/S0003-9993%2808%2901505-0/abstract
#The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 secondsMcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at: http://www.archives-pmr.org/article/S0003-9993%2808%2901505-0/abstract

Training principles for phase 2
==Training principles for phase 2==
#Movement Retraining Intermediate
#Movement Retraining Intermediate
#Big 4 Exercises
#Big 4 Exercises
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CRITERIA FOR PROGRESSION TO PHASE 3
CRITERIA FOR PROGRESSION TO PHASE 3


== Training principles1==
== Training principlesfor phase 3==


#Static Balance - Stable Surface
#Static Balance - Stable Surface
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CRITERIA FOR PROGRESSION TO PHASE 4
CRITERIA FOR PROGRESSION TO PHASE 4


== Phase 4==
==Training principles for4级= =


#Movement Retraining Advanced
#Movement Retraining Advanced
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CRITERIA FOR PROGRESSION TO PHASE 5
CRITERIA FOR PROGRESSION TO PHASE 5


== Phase 5==
==Training principles forPhase 5 ==


#Advanced Strength Training and Postural Stability
#Advanced Strength Training and Postural Stability

Latest revision as of 15:35, 24 March 2023

Original Editor-Kris Porter Top Contributors-Kris Porter,Kim Jackson,Vidya AcharyaandRishika Babburu

Training principles for Phase 1[edit|edit source]

  1. Injury Prevention and Body Mechanics
  2. 他总lth (Nutrition, Cardiopulmonary exercise)
  3. Movement Retraining Basics
  4. Core Setting
  5. Evidence for Stability Training for Low Back Pain (and pelvic pain)[1][２]


Criteria for Progression to Phase 2 Below outlines the criteria that each patient must accomplish before allowed to complete the phase 2 exercises. At times, some phase 2 exercises may be given when a patient has not met this criteria. But rarely, will a patient be given the entire cuff program and the big 4 without meeting this criteria. This is based on anecdotal evidence of how best to prevent injury.


  1. 能够参与的主要核心muscles without compensatory firing or pain in non-weight bearing (supine or prone)
  2. 能够参与的主要核心muscles without compensatory firing or pain in static weight bearing positions (standing)
  3. Core Endurance and Ratio Testing has been completed[3][4][5]
  4. The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 seconds[6]

Training principles for phase 2[edit|edit source]

  1. Movement Retraining Intermediate
  2. Big 4 Exercises

CRITERIA FOR PROGRESSION TO PHASE 3

Training principles for phase 3[edit|edit source]

  1. Static Balance - Stable Surface
  2. Static Balance - Unstable Surface
  3. Static Balance - Unstable Surface
  4. Dynamic Balance - Stable Surface
  5. Dynamic Balance - Unstable Surface


CRITERIA FOR PROGRESSION TO PHASE 4

Training principles for Phase 4[edit|edit source]

  1. Movement Retraining Advanced
  2. Big 4 Exercises - Advanced


CRITERIA FOR PROGRESSION TO PHASE 5

Training principles for Phase 5[edit|edit source]

  1. Advanced Strength Training and Postural Stability


CRITERIA FOR DISCHARGE FROM PHYSICAL THERAPY

References[edit|edit source]

  1. ↑Gatti R. Efficacy of Trunk Balance Exercises for Individuals With Chronic Low Back Pain. J Orthop Sports Phys Ther. 2011. Available at:http://www.jospt.org/issues/id.2593/article_detail.asp. Accessed August 19, 2011.
  2. ↑Macedo LG, Maher CG, Latimer J, McAuley JH. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Physical Therapy. 2009;89(1):9-25. Available at:http://www.ncbi.nlm.nih.gov/pubmed/19056854.
  3. ↑McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944.
  4. ↑McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.
  5. ↑McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.
  6. ↑Mcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at:http://www.archives-pmr.org/article/S0003-9993%2808%2901505-0/abstract
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