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Functional Rehabilitation of Low Back Pain with Core Stabilization Exercises

Functional Rehabilitation of Low Back Pain with Core Stabilization Exercises
Author: Joshua Johnson
Publisher:
Total Pages: 47
Release: 2012
Genre:
ISBN:

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Introduction: Low back pain is very common in the adult population and accounts for more time lost from work than other diagnoses. It also affects athlete's at all different levels of competition and results in missed practice and game time. Diagnosing and treating a specific pathology is often difficult because clinical evaluation and radiologic studies are often unable to find a root cause. A popular treatment approach with a high volume of anecdotal evidence is the use of core stabilization exercise in the treatment of low back pain. Purpose: To evaluate exercise as a treatment for low back pain with a specific emphasis on core stabilization and provide an outline of exercises and progression to help guide clinicians in treating the athlete with low back pain. Methods: A search of electronic databases was performed including; PubMed, SPORTDiscus, Google Scholar, and Cochrane Databased. Key Words used: Lumbar stabilization, core stabilization, low back pain, athletes, exercise, and core strengthening and any combination of these words. Exercises and Progressions: Based on the search of electronic databases their does appear to be some efficacy established in the general population of core stabilization exercises. However, at this time does not appear to be superior to other exercise interventions. There are no specific studies involving athletes so evidence based treatment of athletes using core stabilization is limited. The literature seems to establish a need for total core muscle recruitment to stabilize the spine and does not identify one specific muscle as being critical for spinal stability. The program designed is based on firing of the entire core muscular to stabilize the spine with an emphasis to functional movements that imitate sport-like situations. The exercises chosen were based on how effectively they challenge the muscle groups without causing loads that may be detrimental to recovery and pain free movement. Conclusion: Due to the demands placed on the athlete's lumbar vertebrae, spinal instability may be a significant source of pain in athlete not diagnosed with other pathologies. While at this time there is insufficient evidence to support or refute the use of stabilization exercise in the treatment of low back pain in athlete's, this paper hopefully gives insight into some exercises that may be used to reestablish core muscle strength and endurance.


Spinal Stabilization: A Functional Rehab Program

Spinal Stabilization: A Functional Rehab Program
Author: Douglas J. Taber
Publisher: Lulu.com
Total Pages: 58
Release: 2010-05-06
Genre: Medical
ISBN: 0557158478

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This book provides a guided spinal stabilization program for rehabilitation of functional spinal instability, as seen in back pain patients. A tool for chiropractors, physical and occupational therapists, and other rehabilitation professionals.


Spinal Control: The Rehabilitation of Back Pain

Spinal Control: The Rehabilitation of Back Pain
Author: Paul W. Hodges
Publisher: Elsevier Health Sciences
Total Pages: 537
Release: 2013-08-19
Genre: Medical
ISBN: 0702054542

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For the first time, international scientific and clinical leaders have collaborated to present this exclusive book which integrates state-of-the art engineering concepts of spine control into clinically relevant approaches for the rehabilitation of low back pain. Spinal Control identifies the scope of the problem around motor control of the spine and pelvis while defining key terminology and methods as well as placing experimental findings into context. Spinal Control also includes contributions that put forward different sides of critical arguments (e.g. whether or not to focus on training the deep muscles of the trunk) and then bring these arguments together to help both scientists and clinicians better understand the convergences and divergences within this field. On the one hand, this book seeks to resolve many of the issues that are debated in existing literature, while on the other, its contributing opinion leaders present current best practice on how to study the questions facing the field of spine control, and then go on to outline the key directions for future research. Spinal Control – the only expert resource which provides a trusted, consensus approach to low back pain rehabilitation for both clinicians and scientists alike! Covers the most important issues in spine control research Illustrates the clinical relevance of research and how this is or can be applied in clinical practice Edited and written by world leading experts, contributing first class content on different aspects of spine control Chapters that bring together the expertise of these world leaders on topics such as neuromotor mechanisms of spine control, proprioception, subgrouping in back pain and modelling spine stability An extensive and illustrated clinical consensus chapter that brings together the philosophies of clinical opinion leaders for the first time


Therapeutic Exercise for Lumbopelvic Stabilization

Therapeutic Exercise for Lumbopelvic Stabilization
Author: Carolyn Richardson
Publisher:
Total Pages: 292
Release: 2004
Genre: Medical
ISBN:

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This book presents the latest information and research on the prevention and management of musculoskeletal pain and dysfunction. It introduces the reader to an approach to clinical management and prevention based on that research. This text's impressively thorough coverage makes it an indispensable text for both researchers and clinicians in the field of musculoskeletal pain and dysfunction.


Efficacy of Pilates Exercises as Therapeutic Intervention in Treating Patients with Low Back Pain

Efficacy of Pilates Exercises as Therapeutic Intervention in Treating Patients with Low Back Pain
Author: Laura Kathryn Gagnon
Publisher:
Total Pages: 214
Release: 2005
Genre: Back exercises
ISBN:

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"The purpose of this research was to investigate the efficacy of Pilates exercises as a therapeutic intervention in treatment of low back pain (LBP). Pilates exercises have been integrated into many rehabilitation programs for those with LBP; however, no clinical research was found that supports its efficacy. Twelve subjects who presented for physical therapy with LBP, were randomly assigned to either the traditional lumbar stabilization exercise group (A, n=6) or the Pilates exercise group (B, n=6) and completed participation in the study. The mean age for group A was 30.33 (SD 12.40) for group B was 36.00 (SD 11.43) P=0.430, and the percent with LBP over 3 months (chronic) was 83.3% in group A and 66.7% in group B. Outcome measures used were the Visual Analogue Scale (VAS), the Revised Oswestry Disability Index (ODI), lumbar spine active range of motion (AROM), and measures of core stability on the Stability Platform (LaFayette Instrument Co), taken at pre-treatment, every fourth visit and at discharge from physical therapy. Repeated measures ANOVAs were performed for measures of VAS, ODI and AROM for (pre, 4th and post treatments) and measures of core stability (pre and post treatments). All subjects progressed significantly in measures of pain (P=0.004), function (P=0.004), and stability measures of center balance time (P=0.013) and deviations to the right (P=0.004). The measures of AROM and left deviations on the Stability Platform did not change significantly over time. There were no significant differences in any of the outcome measures between the groups over time. Subjects participating in Pilates exercises as provided as part of physical therapy treatment for LBP under the guidance of a physical therapist and Stott trained clinicians improved in measures of pain, function, and core stability equal to that of those performing traditional lumbar stabilization exercises as typically provided in rehabilitation for LBP. Given that there have been no clinical studies performed assessing the benefits suggested from performing Pilates exercises, this study provides a legitimate and safe basis for inclusion of Pilates exercises, taught and progressed by appropriately trained clinicians, as therapeutic exercise intervention with patients who have LBP." -- Abstract.


Stability of the Lumbar Spine

Stability of the Lumbar Spine
Author: Anders Bergmark
Publisher:
Total Pages: 54
Release: 1989
Genre: Lumbar vertebrae
ISBN: 9788716148032

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Low Back Disorders

Low Back Disorders
Author: Stuart McGill
Publisher: Human Kinetics
Total Pages: 336
Release: 2007
Genre: Backache
ISBN: 9780736066921

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This second edition of 'Low Back Disorders' provides research information on low back problems and shows readers how to interpret the data for clinical applications.


Anatomy Trains

Anatomy Trains
Author: Thomas W. Myers
Publisher: Elsevier Health Sciences
Total Pages: 308
Release: 2009-01-01
Genre: Medical
ISBN: 044310283X

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An accessible comprehensive approach to the anatomy and function of the fascial system in the body combined with a holistic.


Core Assessment and Training

Core Assessment and Training
Author: Jason Brumitt
Publisher: Human Kinetics
Total Pages: 162
Release: 2010
Genre: Education
ISBN: 0736073841

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Core health prevents injuries, improves athletic performance and helps rehabilitation. Whether you are a personal trainer, strength coach or rehabilitation professional, this book covers various aspects of core training, from basic to advanced core exercises, stretches and plyometrics.


Respiratory Muscle Training

Respiratory Muscle Training
Author: Alison McConnell
Publisher: Elsevier Health Sciences
Total Pages: 403
Release: 2013-04-18
Genre: Medical
ISBN: 0702054550

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Respiratory Muscle Training: theory and practice is the world’s first book to provide an "everything-you-need-to-know" guide to respiratory muscle training (RMT). Authored by an internationally-acclaimed expert, it is an evidence-based resource, built upon current scientific knowledge, as well as experience at the cutting-edge of respiratory training in a wide range of settings. The aim of the book is to give readers: 1) an introduction to respiratory physiology and exercise physiology, as well as training theory; 2) an understanding of how disease affects the respiratory muscles and the mechanics of breathing; 3) an insight into the disease-specific, evidence-based benefits of RMT; 4) advice on the application of RMT as a standalone treatment, and as part of a rehabilitation programme; and finally, 5) guidance on the application of functional training techniques to RMT. The book is divided into two parts – theory and practice. Part I provides readers with access to the theoretical building blocks that support practice. It explores the evidence base for RMT as well as the different methods of training respiratory muscles and their respective efficacy. Part II guides the reader through the practical implementation of the most widely validated form of RMT, namely inspiratory muscle resistance training. Finally, over 150 "Functional" RMT exercises are described, which incorporate a stability and/or postural challenge – and address specific movements that provoke dyspnoea. Respiratory Muscle Training: theory and practice is supported by a dedicated website (www.physiobreathe.com), which provides access to the latest information on RMT, as well as video clips of all exercises described in the book. Purchasers will also receive a three-month free trial of the Physiotec software platform (via www.physiotec.ca), which allows clinicians to create bespoke training programmes (including video clips) that can be printed or emailed to patients. Introductory overviews of respiratory and exercise physiology, as well as training theory Comprehensive, up-to-date review of respiratory muscle function, breathing mechanics and RMT Analysis of the interaction between disease and respiratory mechanics, as well as their independent and combined influence upon exercise tolerance Analysis of the rationale and application of RMT to over 20 clinical conditions, e.g., COPD, heart failure, obesity, mechanical ventilation Evidence-based guidance on the implementation of inspiratory muscle resistance training Over 150 functional exercises that incorporate a breathing challenge www.physiobreathe.com - access up-to-date information, video clips of exercises and a three-month free trial of Physiotec’s RMT exercise module (via www.physiotec.ca)