Thursday, 6 September 2012

LOW BACKACHE EXTENSION EXERCISES

TREATMENT  OF LOW BACKACHE DUE TO LUMBAR DISC DISEASE:MUSCLE STRAIN, & LIGAMENT SPRAIN (Common LBA)

The principles of treating common low backache are explained by three R's.

  • Relieve pain in acute cases.
  • Restore normal movements in chronic cases.
  • Recurrence is to be prevented.
The following are the treatment exercises
in low backache.

Extension Exercises

These exercise aim to achieve the following goals:
  1. They maintain the normal lumber lordosis
  2. They improve the strength of the extensor  muscles of back & hip.
  3. In patients with posterior or posterolateral disc prolapse it relieves the pressure on the disc.
  4. The improve the mobility of the spine.
Type of Extension Exercises 
  1. Extension to neutral
  2. Hyper extension exercises

 Contraindication

  1. Acute disc prolapse
  2. Multiple back operations.
  3. Spinal stenosis
  4. Spondylolisthesis
Rotational Exercise
  1. These exercises provide overall relaxation of the spinal muscles.
  2. The external & internal oblique abdominal muscles help in the development of intra-abdominal pressure & help in the maintenance of anterior & posterior trunk balance.
They also provide anterior stability to the spine.

Exercises for Stretching the Side Muscles

Patient lies on the back, keeping the backflat & feet together, the knees are rotated on either side for a count of ten.

Other Forms of Exercises

  • Mobility exercises 
  1. Pelvic rotation
  2. Chest roll on either side in sitting or supine.
  • Stretching exercises
  • Aerobics 


 

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