BACK

PAIN REHABILITATION
“ERECTOR SPINAE FOCUSED APPROACH”

1. PAIN RELEF
Hand on therapy and Modalities.

- Fascia Manipulation
- Joint Mobilization
- PNF
- Trigger point release
- Taping / Bracing
- Hot pack / Ice pack
- NSAID
- Muscle Relaxant


2. NORMALIZATION OF TISSUES
Active Tissue Release and Stretches.

- Self Myofascial Release
- Self Mobilization
- Static Stretch

 3. ACTIVATION
Basic Isometrics to reduce pain inhibition, to improve Neuro Muscular coordination

- Prone Cobra
- Prone Alternate Leg lift
- Prone Alternate Super man
- Prone Double leg raise
- SB Alternate Super man
- Horse stance / Dog bird
- Bridging

4. REDUCATION
Training for sustained functional lumbar extension control & Lumbo pelvic hip complex control

- Waiter Bow
- RDL reach
- Seated good morning
- Cat & Camel


5. CONDITIONING
To tap the potential and improve the muscle physiology for optimum performance


VARIABLES IN CONDITIONING
- Duration / Rep volume / Set volume / Load / Tempo
- Type of resistance (Band, BB, Plate, KB)
- Angles
- Expected perturbation
- Unexpected Perturbation
- Self-Perturbation

METHODS OF CONDITIONING

BILATEARL ISOMETRIC WORK TO UNILATEARL ISOMETRIC WORK
- Sorensen Hold - 45* Back Extension / Flat Back Extension

BILATEARL DYNAMIC WORK TO UNILATERAL DYNAMIC WORK
- Body weight Back extension
- Band back extension
- DB, BB, Plate back extension
- Lever back extension

STRENGTH CURVE WORK
- 0-0*: 0-30*: 0-45*: 0-60*: 0-75*: 0-90*
- Mid Range Dynamic Work
- Specific Rom Isometric Work
 INTEGERATED (AXIAL LOADING) WORK
- Sumo Dead lift
- Conventional Dead lift
- Snatch grip dead lift / Deficit
- RDL / Good morning

ECCENTRIC WORK

HYPERTROPHY WORK

FUNCTIONAL STRENGTH WORK
- Strong man Squat curl press
- Squat curl press
- Farmers Walk
- Load and Carry

EXPLOSIVE WORK (RFD)
- Weight Lifting
- Speed Dead lift
- Speed Back extension by unexpected cue
- Medicine Ball Toss
- Back extension Medicine ball throw


 BACK PAIN - ERECTOR SPINAE CONDITIONING APPRAOCH - ROUTE CHART

SPECIFIC ROM
PAIN RELEF DYNAMIC WORK
WORK

PERTUBRATION
NORMALIZATION ECCENTRIC WORK
WORK

UNILATERAL INTEGERATED FUNCTIONAL

ACTIVATION
WORK WORK STRENGTH WORK

HYPERTROPHY EXPLOSIVE WORK

CONDITIONING ISOMETRIC WORK
WORK (RFD)