05 Exercise For Spinal Problems

C I S E F O
EX E R
L P R O B L
SP I N A
EM S
Feryanda Utami, B.PO

January 28thth 2019
TAB L E OF CO N T E
NTS I II III
Exercise for Exercise for Exercise for
IDIOPATHIC SCOLI SPINAL CORD INJ NECK PAIN
OSIS URY
IV V VI
Exercise for Exercise for
SPINAL STENOSIS & L-S
REFERENCES
DISC HERNIATION
PONDYLOSIS
IDIOPATHIC SCOLIOSIS
IDIOPATHIC Stretching exercise
Trunk Flexibility exercise
SCOLIOSIS Trunk muscle strengthening
exercise (Core stability exerci
se)
Chest expansion exercise
STRETCHING
 Position: Lying supine
EXERCISE  Movement: Grasp the thigh
& Bring both hands below kne
e cap -Bring knee to chest
1. Hamstring muscles
2. Back muscles:
MUSCLE STR -Multifidus
ETCHING -Iliocostalis thoracis & lumbor

um
-Longissimus thoracis
-Spinalis thoracis
-Semispinalis thoracis
HAMSTRING
MUSCLE
8
1. Back muscles:
-Multifidus
-Iliocostalis thoracis & lumbor
MUSCLE STR um
ETCHING -Longissimus thoracis
-Spinalis thoracis
 Position : Sitting on both k
STRETCHING nee joints
EXERCISE  Movement:
-Trunk forward flexion, Both a
rms outstretched
-Arm reaching as for as pt can
& Bring chest to the ground
STRETCHING
/ FLEXIBILIT  Position : Long-sitting
Y EXERCISE  Movement:
-Grasp both ankle joints
-Trunk flexion to both legs
1 . Gastrocnemius
2 . Back muscles:
-Multifidus
MUSCLE STR -Iliocostalis thoracis & lumbor
um
ETCHING -Longissimus thoracis
-Spinalis thoracis
13
STRETCHING
/ FLEXIBILIT  Position : Lie prone on the b
all
Y EXERCISE  Movement:
-Asked your patient bears wei
ght on both hands & feet
14
STRETCHING
 Position : Lie supine ,both s
EXERCISE houlder abduction & hips & k
nee joints flexion
 Movement:
-Asked your patient roll both
hip joints from side to side
1.Trunk rotator muscles:
MUSCLE STR -Obliquus externus abdominis
ETCHING -Obliquus internus abdominis
(Opposite Si -Latissimus dorsi

-Rectus abdominis
de) -Deep back muscles (one sid
e)
17
 Position : Lie supine, both hip
STRETCHING & knee joints flexion & Feet flat

on the bed.
-Asked your patient try to flat his ba
ck by tightening stomach & buttock
muscles
-Hold for 5 seconds, breathing nor
MUSCLE STRE MUSCLE
NGTHENING STRETCHING
Back muscles:
-Multifidus
Abdominal muscles: -Iliocostalis thoracis & lumbor
-Rectus abdominis um
-External & Internal oblique
-Spinalis thoracis
TRUNK FLEX
IBILITY  Position : Standing position
-Clap both hands overhead, Tru
nk lateral flexion to both sides
MUSCLE STR Trunk lateral flexor muscles
ETCHING& F -Quadratus lumborum
LEXIBILITY -Rectus abdominis

-External & Internal oblique
(Opposite Si -Multifidus
de)
22
STRETCHING/  Position: Standing position
STRENGTHENI  Movement:
NG -Place both hands on long stic

k & Hold the stick on the shou
EXERCISE lders
-Trunk rotation with Slightly tr
unk lateral flexion
MUSCLE STREN MUSCLE
GTHENING (Invo STRETCHING
lved Side) (Opposite Side)
Trunk rotator muscles:
-Obliquus externus abdominis
-Obliquus internus abdominis Trunk rotator muscles
-Latissimus dorsi
-Rectus abdominis
-Deep back muscles (one side)
STRETCHING/ • Name: “50 x Pezziball exerci
STRENGTHENI se”
NG • Position: Sitting on the ball i

n front of a mirror
EXERCISE • Movement:
-Asked your patient to active a
uto self correction using the w
Prone Exercis
e
STRETCHING/
STRENGTHENI
NG
EXERCISE
Sail Exercise
STRETCHING/
STRENGTHENI
NG
EXERCISE
Muscle Cylinder Ex
ercise
Muscle Cylinder Ex
ercise
Hitch Exercise
Trunk Stabilization Exer
cise
Trunk Stabilization Exer
cise
STRENGTHENI
NG
 Position: Quadruped positio
EXERCISE n with Keep neutral spine
 Movement:
-Lift one leg with the opposite
arms slowly off from the floor
1 . Trunk muscles:
-Quadratus lumborum
-Rectus abdominis
-Multifidus
MUSCLE -Interspinales
-Intertransversarius
STRENGTHENI 2. Hamstring muscles (Involved leg)
NG 3. Shoulder flexor muscles (Involved
arm)
-Pectoralis major
-Deltoid
-Coracobrachialis
35
36
CONTENTS
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ri tibique assueverit ei. Stet eripuit ut his, ius ut discere denique menandri, ei nec affert co
rrumpit elaboraret.
Nullam utroque inermis nam id, id vis aperiam quaerendum.
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STRENGTHENI
NG  Position: Sitting upright on the
gym ball
-Lifting a single knee from 90 de
grees & hip flexion to 120 degre
es with keeping the neutral spin
STRENGTHENI
 Position: Side-lying with neutral
NG spine
-To straighten the knees & cross t
he upper leg on the lower leg. Lift
ing the body upward with weight
bearing on the forearm
STRENGTHENI
NG  Position: Lie prone
 Movement:
EXERCISE -Both shoulder joints flexion, lifti
ng the stable trunk parallel to the
floor by weight bearing on the for
efoot while one side of the hip ex
tension (15 degrees) with knee fl
exion.
STRENGTHENI
NG • Position: Lie prone on the floor
EXERCISE • Movement:
-Weight bearing on both elbow jo
ints & Both ankle joints plantar fl
exion.
STRENGTHENI
NG • Position: Lie prone on the gym
ball
EXERCISE
• Movement:
-Weight bearing on both elbow jo
ints & Both ankle joints plantar fl
exion.
1. Abdominal & Back extensor
MUSCLE 2. Biceps muscles
STRENGTHENI 3. Gluteus maximus
NG 4. Hamstrings
5. Gastrocnemius
6. Soleus
CONTENTS
rrumpit elaboraret.

Ad d a n im
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STRENGTHENI
NG • Position: Lie prone on the ball
-Trunk extension with weight bea
ring on both feet & both arms ove
rhead with holding a small ball.
STRENGTHENI
NG • Position: Lie supine on the floor
-Placing both feet on the ball wit
h his trunk on the floor. Both sho
ulder joints abduction 30 degree
s. Lifting her pelvis upward.
STRENGTHENI
NG • Position: Lie supine on the floor
-Placing both feet on the ball. Lift
ing one leg & pelvis upward. Hold
ing 5-10 sec.
CHEST  No.1 : Slow & Deep inhaled br
EXPANSION eathing with both shoulders flexi
EXERCISE on & slightly forward chest movin

g
 No.2 : Slow & Deep exhaled br
eathing, Trunk lean forward flexio
n with bring both shoulders to do
1.Back extensor muscles:
-Iliocostalis thoracis
-Iliocostalis lumborum
MUSCLE -Spinalis thoracis

-Multifidus
STRENGTHENI 2.Shoulder flexor muscles:
NG -Deltoid (anterior & middle)
-Supraspinus
-Pectoralis major (upper part)
-Coracobrachialis
-Biceps brachii
CONTENTS
rrumpit elaboraret.

Back extensor muscles
-Iliocostalis thoracis
MUSCLE STR -Iliocostalis lumborum

-Longissimus thoracis
ETCHING
-Spinalis thoracis
-Multifidus
CHEST
EXPANSION  No.1 : Slow & Deep inhaled br
EXERCISE eathing in sitting position

 No.2 : Slow & Deep exhaled br
eathing by the mouth, Trunk later
al flexion to each side together wi
th bring one hand overhead
MUSCLE STRETC MUSCLE
HING (Opposite STRENGTHENING
Side) (Trunk Lateral Flexion
Direction)
Trunk lateral flexor mus
cles:
Trunk lateral flexor muscles -Latissimus dorsi
-Obliquus externus abdo
minis
-Trapezius
CONTENTS
rrumpit elaboraret.

S P I N A L C O R D I N J U R Y
( S C I )
SPINAL
CORD  Upper extremities : Strength
INJURY ening exercises
 Lower extremities :
Passive ROM
Upper Extre
mities : Stre
ngthening Ex  No.1: Hold the weight in both
hands & straight down beside th
ercises e body
 No.2: Both Elbows flexion, Bri
ng both hands to the shoulders
& Not moved the shoulder
MUSCLE
Elbow flexor muscles
STRENGTHENI -Biceps brachii
NG -Brachialis
-Brachioradialis
CONTENTS
rrumpit elaboraret.

Upper Extre
mities : Stre
ngthening Ex  No.1: Hold the weight in both
hands & Keep both shoulders in
ercises this position
 No.2 : Both Elbows flexion tha
t both hands behind the head
MUSCLE
STRENGTHENI
NG Elbow Extensor Muscles:
-Triceps brachii
Upper Extre
mities : Stre
ngthening Ex • No.1: Hold the weight in bot
h hands &straight down besid
ercises e the body
• No.2: Both shoulders abduc
tion to the shoulder levels wit
h elbows extension
Shoulder abductor muscles
MUSCLE -Deltoid (Middle fibers)
STRENGTHENI -Supraspinatus
NG -Biceps brachii (Long hea

d)
Lower Extre
mities : Pass Movement
ive ROM -One hand placed under the k

nee joint & other hand grasp t
he heel
-Hip & Knee flexion (Bring kne
e to chest)
MUSCLE Hip flexor muscles:
-Poas major
STRENGTHENI
-Iliacus
NG:
-Rectus femoris
To Prevent
-Sartorius
Hip Joint Cont -Tensor fasciae latae
racture or Limi -Adductor brevis, longus &
tation ROM magnus
CONTENTS
rrumpit elaboraret.

CONTENTS
rrumpit elaboraret.

Lower Extre Movement:
mities : Pass -One hand placed under the knee join
t & other
ive ROM hand grasp the heel
-Hip straight & Knee extension
-Hip abduction away from the other le
g & moved along the surface of the be
Hip abductor muscles :
Prevent
-Gluteus medius
Hip Joint Cont
-Gluteus minimus
racture or Limi -Tensor fasciae latae
tation ROM -Gluteus maximus (Upper fi
bers)
D A Y ’ S A G E N D A
T O
CONTACT U
ABOUT US PORTFOLIO NEW IDEAS ANALYSIS S
Et nam veritus delicat Te mutat erroribus ne His at sapientem demo Eum ad reque eripuit p Ius et oblique neglege
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am. Admodum assenti luptatum ad sed. derer philosophia. net dictas, te modo ign nsequat. Est nostrud ti
or his id, sumo abhorr ota voluptatibus nec. ncidunt an.
eant quo et.
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Lower Extre
mities : Pass Movement:
ive ROM -One hand placed over the ankle j

oint & other hand grasp the middl
e of the foot
-Ankle rotation in inward & outwar
d directions
Prevent Ankle evertor muscles:
Hip Joint Cont -Extensor digitorum longus
racture or Limi -Peroneous tertius
tation ROM -Peroneous longus

-Peroneous brevis
SECTION 2
ABOUT US
TRUNK
MUSCLE EXE Position : Lift the buttock
up without the lower back
RCISES extension, Hold the 5 sec &
bring the buttock downwar
d to the bed
Trunk muscles
-Quadratus lumboru
MUSCLE m
STRENGTHENI -Rectus abdominis
NG -Multifidus
-Interspinales
-Intertransversarius
Trunk muscles
MUSCLE
1. Gluteus maximus
STRENGTHENI
2. Hamstrings
NG
NECK PAIN
NECK
PAIN  Stretching exercise
 Active ROM exercise
 Isometric strengthening e
xercise
STRETCHING ACTIVE ROM
EXERCISE & EXERCISE
 No.1: Neck extension to No.2: Neck flexion to for

backward direction, Holding in ward direction, Holding in t
this position for 5 sec
his position for 5 sec (Repe
(Repeated 5 times)
ated 5 times)
 Stretching (Opposite side)
Neck flexor muscles:
-Scalenus (anterior, medius & post
erior) 
MUSCLES  Strengthening (Neck extension di

rection)
(Picture 1) Neck extensor muscles:
-Longissimus, Semispinalis & Splen
ius (cervicis & capitis)
-Iliocostalis cervicis
-Trapezius (Upper portions)
MUSCLES
(Picture 1)
EXERCISE & EXERCISE

No.1: No.2:
Neck lateral flexion to the right
Neck lateral flexion to the l
side & downward to the
eft side & downward to the
shoulder, Hold for 5 sec
shoulder, Hold for 5 sec
STRETCHING STRENGTHENING
E X E R C I S E ( O p p o& ( N e c k L a t e r
Direction)
a l F l e x i o n
site Side) Neck lateral flexor mus

cles
-Levator scapulae
Neck lateral flexor muscles -Scalene (Anterior, Middle &

Posterior)
-Sternocleidomastoid
-Upper trapezius
86
EXERCISE & EXERCISE
No.1: 
Turn the head & neck toward No.2: Return the head to th
one side, Keeping your chin to e center, Repeated to the o
the same height, Hold for 5 sec pposite side, Hold for 5 sec
HING STRENGTHENING
(Opposite Side) (Neck Rotation
Direction)
Neck rotator muscles:
-Sternocleidomasto
Neck Rotator Muscles id
-Semispinalis capiti
s, cervicis & thoracis
-Splenius capitis
EXERCISE & EXERCISE
 
No.2: Return the head to th
No.1: Push the chin forward,
Hold for 5 sec e center, Push it backwards
& keeping the chin up, Hol
d for 5 sec
CHIN OUT CHIN IN
1. Stretching: Neck 1. Stretching: Neck ex

flexor muscles tensor muscles
2. Strengthening: Neck
extensor muscles 2. Strengthening: Nec
k flexor muscles
Isometric Str Movement :
engthening E -Neck slightly flexion forwar

d, Put both hands on the fo
xercise rehead -Try to neck flexion
forward while both hand p
ushing to backward directi
MUSCLE Neck flexor muscles
STRENGTHENI -Scalenus (anterior,
NG medius & posterior)
Isometric Str Movement :
engthening E -Place both hands at the back
xercise of the Head

-Try to push the head to the b
ackward while both hands pu
shing to the forward direction
Neck extensor muscles:
-Longissimus, Semispin
MUSCLE alis, Splenius & Spleniu
STRENGTHENI s (cervicis & capitis)
NG -Iliocostalis cervicis
-Trapezius (Upper po
rtions)
Isometric Str
Movement :
engthening E -Try the head lateral flexion to
xercise the right shoulder
-While pushing the right hand
s to the opposite direction
Neck lateral flexor mus
cles
-Levator scapulae
MUSCLE -Scalene (Anterior, Mi
STRENGTHENI ddle & Posterior)
NG -Sternocleidomastoid
-Upper trapezius
-Splenius capitis & ce
Isometric Str
Movement :
engthening E -Put the left hand on the left s
xercise ide of the face
-Try to turn the head to the le
ft while the left hands pushing
to the opposite direction
Neck rotator muscles
MUSCLE -Sternocleidomastoid
STRENGTHENI -Semispinalis capitis,
NG cervicis & thoracis
-Splenius capitis
DISC HERNIATION
DISC
HERNIATION
McKenzie exercise
(Back extension exercise)
Mc KENZIE E
Position : Prone on elbo
XERCISE ws, Upper back extension
while the pelvic contacted t
o the bed
Mc KENZIE E
Position :
XERCISE -Place both hands beside t
he shoulder
-Press both arms up & push
up the upper body as high
as the patient can
HING STRENGTHENING
-Back extensor muscl

-Abdominal muscles es
-Quadriceps muscles
-Triceps muscles
Mc KENZIE E Position:
XERCISE -Lie on the pillow under the
hip
-Raised the one leg up, Hol
d for 5 sec & repeated in th
Hip extensor muscles:
MUSCLE -Gluteus maximus
STRENGTHENI -Biceps femoris
NG -Semitendinosus
-Semimembranosus
OTHER EXERCI
SE Hip extensor muscles:
-Standing with both arms fix
on both pelvis
-Trunk extension
HING STRENGTHENING
-Abdominal muscles -Back extensor muscl

-Quadriceps muscles es
SPINAL STENOSIS
&
L-SPONDYLOSIS
STRETCHING  Position: Sitting on both knee jo
EXERCISE ints
 Movement:
-Trunk forward flexion, Both arms
outstretched
-Arm reaching as for as pt can &
STRETCHING  Position: Lie supine with right le
EXERCISE g crossed over the opposite leg,
hip & knee flexion
 Movement:
-Patient brings both hands, supporte
d under the knee joint, hold 5 sec &
returned to starting position
STRETCHING  Position: Sitting, right leg flexes
EXERCISE knee & external rotate hip and lef
t leg with knee extension
 Movement:
-Asked your patient lean forward
the trunk with one hand touches
the forefoot
WILLIAM EXER
Movement : Pelvic tilt
CISE
• Supine-lying with both hands pla
ced beside the body -Pull the mus
cle of the stomach & buttock dow
nward to contacted the floor, Hol
d for 5 sec (Feel the pelvic : poste
MUSCLE STREN MUSCLE
GTHENING STRETCHING
Back muscles:
-Multifidus
Abdominal muscles:
-Rectus abdominis -Iliocostalis thoracis & lumbor
-External & Internal oblique um
-Spinalis thoracis
WILLIAM EXER
CISE Movement :
-Supine-lying on the bed
-Both hands grasp the knee joints,
the patient bring his/her knees joi
nt to the chest while the shoulder
contacted the floor
WILLIAM EXER Movement :
CISE -Supine-lying with both hands pla
ced behind the head & knees flexi
on
-Abdominal muscles contraction t
o lift the upper back up until the s
houlder blades off the bed
Abdominal muscles
MUSCLE -Rectus abdominis
STRENGTHENI
-External oblique
NG
-Internal oblique
STRENGTHENI
NG Position:
EXERCISE -Lift the buttock up without
the lower back extension, H
old the 5 sec & bring the bu
ttock downward to the bed
STRENGTHENI
NG
Position:
EXERCISE Alternate leg lifts
-Lie supine with both hip & knee j
oint, alternated to flex
STRENGTHENI
NG Position: Quadruped positi
EXERCISE on with Keep neutral spine
Movement:
-Lift one leg with the opposite
arms slowly off from the floor
STRENGTHENI  Position: Lie prone
NG  Movement:
EXERCISE -Both shoulder joints flexion, lift

ing the stable trunk parallel to t
he floor by weight bearing on th
e forefoot while one side of the
hip extension (15 degrees) with
STRENGTHENI  Position: Sitting upright on th
NG e gym ball
EXERCISE  Movement:
-Lifting a single knee from 90 de
grees & hip flexion to 120 degre
es with keeping the neutral spin
e.
T H EN IN G E XE R CIS E
ST R E NG
 Position: Standing with placing the ball between the wall & lumbar spine.
 Movement :-To lower his body to sit position (Hip & knee flexion 90 degr
ees) with rolling the ball down the wall.
122
Ad d a n im
imaaggee h
h e
e re
re
Add a n
REFERENCES
It Always Seems Impossible
Until It’s Done :D
124
THANK YOU!
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C I S E F O

Feryanda Utami, B.PO

ETCHING -Iliocostalis thoracis & lumbor

(Opposite Si -Latissimus dorsi

STRETCHING & knee joints flexion & Feet flat

LEXIBILITY -Rectus abdominis

NG -Place both hands on long stic

NG • Position: Sitting on the ball i

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STRENGTHENI 3. Gluteus maximus

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EXERCISE on & slightly forward chest movin

MUSCLE -Spinalis thoracis

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MUSCLE STR -Iliocostalis lumborum

EXERCISE eathing in sitting position

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The Power of PowerPoint | thepopp.com

NG -Biceps brachii (Long hea

ive ROM -One hand placed under the k

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The Power of PowerPoint | thepopp.com

The Power of PowerPoint | thepopp.com 71

ive ROM -One hand placed over the ankle j

racture or Limi -Peroneous tertius

tation ROM -Peroneous longus

 No.1: Neck extension to No.2: Neck flexion to for

MUSCLES  Strengthening (Neck extension di

site Side) Neck lateral flexor mus

Neck lateral flexor muscles -Scalene (Anterior, Middle &

1. Stretching: Neck 1. Stretching: Neck ex

engthening E -Neck slightly flexion forwar

xercise of the Head

-Back extensor muscl

-Abdominal muscles -Back extensor muscl

EXERCISE -Both shoulder joints flexion, lift

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