LBP? Oblique Retraining??Use a PBU!! #1

Reference:Richardson C, Jull G, Hodges P, Hides J. 1999 Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain, Scientific Basis and Clinical Approach. Churchill Livingstone.
Shirley Sahrmann, Level I: Diagnosis and Treatment of Movement Impairment Syndromes. Course notes 2000.

Several authors discuss the importance of retraining the external and internal oblique muscles in order to improve functional stability at the lumbar spine.

A very effective method of retraining muscular control of the lumbar spine requires the use of a Pressure Biofeedback Unit (PBU).

In crook lying place the PBU under the lumbar spine and pump it up to 40mmHg. Then ask the patient to keep the stomach flat and increase the pressure to 50mmHg by GENTLY reversing the lordosis.

Heel Slides:

Maintain a constant pressure at 50mmHg on the PBU. Then slide the heel along the floor and DO NOT allow the PBU dial to drop below 50mmHg. Maintain the needle as steady as possible. Repeat 5-10X on each leg.

Posted on: February 21, 2002


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