Lumbar Interventions - Lumbar Stabilization, DSE, Neurodynamics

lumbar stabilization - cognitive phase

* learning what to do

• teach how to find neutral spine position

• use ADIM to recruit TA through conscious activation

• supine, prone, quadruped, sidelying, sitting

• 10 reps x 10 sec holds → work up to less reps and longer holds

  • breathe!

lumbar stabilization - associative phase

refining the movement pattern

lumbar stabilization - automatic phase

developing skill → be able to do the ADIM while performing many different tasks like squatting

direction specific exercise

directional preference for extension, flexion, or lateral shift

when to use direction specific exercise

when you want to improve and centralize sx → use repeated motions into that direction

treatment progression of extension DSE

1. prone lying on 2 pillows

2. prone lying on 1 pillow

3. prone lying without pillows

4. prone lying on elbows

5. prone press up

6. prone press up with SAG

7. prone press up with belt fixation

8. prone press up with therapist OP

9. extension mobilization (central PA)

10. extension in standing

education with extension DSE

• pain science ed as needed

• temporarily avoid flexion

• ther ex prescription

what to do with a DSE for lateral shift

• side glide

• against a wall pushing as a PT

• HEP push your own hip against wall