Rehabilitation of the Spine. part 2. basic science. 5.Lumbar Spine Stability

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Lumbar Spine Stability

Evidence suggests that reduction in specific tissue damage could be accomplished by:

1. Reducing peak (and cumulative) spine compressive loads to reduce the risk of end-plate damage;

2. Reducing repeated spine motion to full flexion to reduce risk of disc herniation; reducing spine flexion in the morning reduces symptoms;

3. Reducing repeated full range flexion to full range extension to reduce the risk of pars (or neural arch) fracture;

4. Reducing peak and cumulative shear forces to reduce the risk of facet and neural arch damage;

5. Reducing slips and falls, or ballistic loading, to reduce risk of passive collagenous tissues such as ligaments;

6. Reducing length of time sitting, particularly exposure to seated vibration to reduce a risk of disc herniation or accelerated degeneration.

Increasing the sti ffness of the cables

horizontal i sometric side bridge

Advanced side bridge

nexion-extension (cat-camel ) stretch

The curl-up

Single leg extension holds

A chall enge ror the torsional components