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Low Back Exercises

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Rehab Plan

Name Exercise Sets and Reps

The internal rotation  An elastic resistance band 12 repetitions x 3


hip strengthening  The band attached to solid object
 Place the band around the foot (ankle below Focus on this exercise
malleolus) twice a week
 Slowly tense your glutes and brace your core
and bring the leg into internal rotation

Side-lying abduction/  Lie on matt with hip in 45 degree of flexion 12 repetitions x 3


external rotation  Place resistance band around the knees and
push the knee on the ground into the mat Focus on the
engaging the glutes movement and
 Abduct the leg and slowly bring it down performed daily

Weight bearing  Stand against the wall on one leg 5 repetitions x 4
functional lung  Place all the weight on one leg (focus on the
right side) Focus on this
 External rotation the opposite leg outwards movement daily
and squeeze and hold
 Gently bend the knee of the weight bearing
side and go down just before knee pain
Rehab Plan

Split squats  Stand in the lunge position with the dorsum 12 repetitions x 3
of the rear foot resting on a chair
 The squat is achieved by hip and knee
flexion of the front leg
 Focus on controlling the motion on the way
down

Phase 1 ( Week 0-4): Non-weight-bearing exercise to isolate recruitment

1. Bridge with Thera-band resistance


 Wrap TheraBand around the thighs just proximal to the knee
 Supine position + flexion of the knees and hips
 Elevate the pelvis, with in the meantime abduction and external rotation of the hips
 Its important to avoid adduction and internal rotation while lowering the hip
 15 repetitions x 3

2. Clamshell with there-band resistance


 Side lying, flexion of hip and knee in 45, holding feet together
 Raise knees up and back + hip abduction and external rotation
 Use TheraBand as resistance
 15 repetitions x 3
Rehab Plan

Phase 2 (week 4-9): Weight-bearing strengthening exercises

1. Squat with thera-band resistance


 Band around the thighs just proximal to the knee
 Squat just above pain area and hold for 5 seconds before coming back up
 15 repetitions x 3

2. Single limb sit to stand


 Sit on a chair
 Brace your core, tilt your pelvis forward and squeeze your gluts to get up from a seated position on one leg
 15 repetitions x 3

Phase 3 (Week 9-14): Functional Training namely dynamic and controlled

1. Forward Lung
 Lead knee is flexed at 75
 Don’t let the knee pass beyond the foot
 Focus on the glute squeeze and core bracing with the incorporation of the stomach breathing
 15 repetitions x 3

2. Single Leg step squat movement control test


 Stand on one leg with neutral spine
 squeeze glutes and hip hinge slightly
 Brace the core and slowly bring the opposite leg down and tap the floor before slowly coming back up
 15 repetitions x 3
Rehab Plan

Ankle rehab

Name Exercise Sets and repetitions


Short foot exercises Weight bearing exercise designed to Hold 3 seconds repeat
increase intrinsic foot/toe flexor muscle 20 times
activity
 Stand upright with feet shoulder
width apart and make a point of
keeping the 1st metatarsal head
fixed to the floor
 Keep the heel and base of the fifth
toe fixed
 Flex the knee and turn the tibia
outwards but focus on keeping the
1st metatarsal head fixed to the
floor
 Hold for 3 seconds repeat 20 times
 With each repetition you should
feel the muscles in your feet
contract and the arch lift
Rehab Plan

Toe scrunches Focus on maintain the foot tripod


 Place a towel under the foot
 Then gently scrunch up the towel
focusing on keeping the three
points on the towel

Rocker-Board/ wobble-board and  Place a rocker board close to a wall 10 repetitions x 3


balance-mat progression or something that you could use for
support
 Place both feet shoulder width
apart
 Then gently rock forward and
backwards looking at controlling
the motion from side to side
Rehab Plan

Heel raises with  place toes on the edge of a step or


inversion/eversion a step up box
 place a resistance band around the
malleolus
 then gently dorsiflex and
plantarflex focusing on performing
it controlled

Popliteus isotonic  place a TheraBand around the


forefoot fixed to a lateral to the
foot
 tension the band so the tibia is in
full external rotation to start
 fully internal rotate the tibia against
the resistance of the band by
pivoting on the heel
 then perform
Rehab Plan

Stretches

Soleus stretching

 Place your toes and heel against a wall


 Tense your foot against the wall and push your heel towards the floor while leaning forward on the ankle stretching the posterior aspect of the calf
 Active flexibility for soleus can be done by using the Lung Stretch as well
 Perform 3 holds of 30 seconds

Any pinching felt in the front of the ankle stop

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