With our sequential proprioceptive specific Muscle Pattern Re-Organization approach you will be able to give your clients the most advanced and comprehensive spinal treatment and core strengthening in our field today.
Exercise 1: Magna Maneuver
Magna Maneuver Video
This maneuver will initiate segmental lumbar extension in a very non invasive manner. While unloaded we are able to gently re establish segmental lumbar extension. Utilizing the proprio core pads you will be able to provide proprioceptive feedback to the patient ensuring the corrected movement patterns can be repeated in the same manner.
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
Exercise 2: The Hula
This exercise will restore segmental side bending initiating deep core Intertransversii. The resistance straps provide the proprioceptive feedback to ensure your clients are performing the movements correctly.
Hula Video
Exercise 3: Tail Bone Raise
This exercise is extremely important as this movement performed while unloaded will safely initiate segmental flexion and extension and initiate disc pump mechanism as the body was designed to provide disc nutrition. The different size proprio pads and resistance bands will provide your clients with a fulcrum and the proprioceptive feedback to ensure correct and repeatable movement patterns. This exercise can be progressed to isolated resisted Rectus Abdominus strengthening while the spine remains in a decompressed position.
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
Tail Bone Raise Video
Exercise 4:
Pelvic Rotation/ Unilateral Multifidus Training
This exercise is a very powerful and important exercise as this movement pattern re-establishes the functional rotational movements associated with the oblique axis's of the sacrum. Our lumbar spine was designed to move segmentally in synergy with the sacrum and pelvis. We utilized the most functional movement of the lumbo-pelvic region and re-pattern, or re-establish, the natural biomechanics that occur during the gait cycle. This is the only system that provides unilateral isolated Multifidus strengthening. With the use of the proprio-pads and resistance bands your clients will get the proprioceptive feedback to isolate these muscles. This exercise is initiated with isolated unilateral Multifidus strengthening and progressed through Muscle Pattern Re-Organization restoring the synergy of the Oblique's and TA with the deep core while performing functional rotation/de-rotation of the pelvis.
Our system is the only system in our field today that allows for isolated resisted strengthening of the Multifidus in a position of decompression. The literature is filled with research on the importance of this deep core stability. Here are just a few.
1 . Hides J, Richardson C, Jull G. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine1996;21:2763–9.
2. Richardson C, Jull G, Hodges P, et al. Therapeutic exercise for spinal segmental stabilization in low back pain. Scientific basis and clinical approach. London: Churchill Livingstone, 1999.
3. Hides J, Stokes M, Saide M, et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine1994;19:165–72.
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
Our system is the only system in our field today that allows for isolated resisted strengthening of the Multifidus in a position of decompression. The literature is filled with research on the importance of this deep core stability. Here are just a few.
1 . Hides J, Richardson C, Jull G. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine1996;21:2763–9.
2. Richardson C, Jull G, Hodges P, et al. Therapeutic exercise for spinal segmental stabilization in low back pain. Scientific basis and clinical approach. London: Churchill Livingstone, 1999.
3. Hides J, Stokes M, Saide M, et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine1994;19:165–72.
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
Pelvic Rotation Video
Performing exercises 1-4 prior to progressing our clients to the intermediate and outer core muscles is an important concept to follow and is what sets us apart from most core strengthening program.
Exercise 5: Bridging
Initiating outer core Gluteals and Paraspinals
Bridging Video
Exercise 6: Advanced Bridging
Initiating advanced outer core trunk control
Single Leg Bridge Video
Exercise 7: Bridging/Pelvic Rotation Synergy
Initiating synergy between the deep core and outer core musculature
Bridging /Pelvic Rotation Combo Video
Exercise 8: Advanced Multifidus
Initiating segmental lumbar extension; Multifidus
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
(See the disc protocol below and see how we specifically incorporate this movement patterns with injured discs.)
Advanced Multifidus Video
Case Story:
A patient suffering from disc pain associated with congenital Schmorl's nodes. This is a great example of how our system worked after all other conventional physical therapy approaches failed.
The following exercises are examples of advanced core strengthening and sports specific training.
1. Advanced TA and Oblique Training.
2. Initiating Transitional Reaction Time Training with Lumbo-Pelvic Rotation.
3. Advancing Transitional Reaction Time Training:
Combining Multifidus for Lumbo-Pelvic De-Rotation with TA and Oblique Training.
Combining Multifidus for Lumbo-Pelvic De-Rotation with TA and Oblique Training.
4. Advancing Transitional Reaction Time Training:
Combining Multifidus for Lumbo-Pelvic De-Rotation with Thoracic Rotation and UE Plyometric Training
Combining Multifidus for Lumbo-Pelvic De-Rotation with Thoracic Rotation and UE Plyometric Training
5. Advanced TA and Oblique's
6. Progression to Advanced Functional Closed Kinetic Chain Core Strengthening
Scoliosis Protocol
Deep Core Stabilization/Disc Protocol
This deep core stabilization/disc protocol gently re establishes segmental movement while protecting the injured disc. Conventional spinal stabilization focuses on the TA and the Obliques in order to promote the corset affect. This corset affect will help to stabilize the lumbar spine through a conscious effort to hinge from the hips and maintain a co-contraction between these outer corset muscles and the paraspinals. But our true stability must take place at the segmental level. This protocol re-establishes motor control of the Multifidus first in order to truly control and protect the disc injuries. Through a series of gentle movements followed initially by isometric contractions of the Multifidus. This protocol will re-establish proper motor control of the deep core then progress to dynamic segmental movements to re-establish the synergy of the TA and the Obliques to work together with these deep core muscles.