MSK - practical txt

Question 1

flexion based

Answer 1

Stenosis
Spondylosis → instability!
Supine knee to chest

6-10 hours t//o day
Reaccess!
Supine March wi TA activation
3 x 12
Nerve glide
Seated slump sciatic glide
2 x 15
Body weight supported ™
Mobilize or manipulate spine

Question 2

extension based

Answer 2

Disc

Prone press up
20 times/hr while awake
Reassess!
Mobilization to promote extension
Mobility
Quadruped rock backs
Strengthen
Bridges,

Question 3

flexion based

facet

Answer 3

MT → mobility → strengthen
MT : lumbar gapping mob ¾ for mobility
Mobility
Strengthen

Question 4

lateral shift

Answer 4

Lateral shift mob
Lateral shift into wall
10-20 times/hr while awake
Reassess
Direction specific flexion/extension exercise
- supine knee to chest
-prone press up

Question 5

Manual Therapy

Answer 5

Manipulation → Lumbar and LE ROM
Sidelying lumbar manip
Chicago roll → anterior innominate
MET - opening restriction, closing restriction

Question 6

Stabilization

Answer 6

Motor control of LM and TrA → endurance

Isolate → integrate with extremity motion

Strengthen large spinal stabilizers (ES, IO,EO)

Motor control progressions :
Hooklying
Quadruped
Prone on elbows
Side plank

Functional Optimization

Strength → power

Question 7

Traction

Question 8

SIJ

Form Closure

Answer 8

SI belt - acts like ligaments
use with exercises.

1. TrA activation –> supine marches
   (motor control) 2x5
2. dead bug 3 x8
3. glute bridge 2x8 strengthen

Question 9

SIJ

Force Closure

Answer 9

NM control

Question 10

SIJ

anterior innominate

note: need to drive posterior

Answer 10

1. Chicago roll manip -tx all SIJ dysfunction / sidelying SI gapping
   REACCESS
2. supine marches 2x20
3. control new range - NM
   dead bugs

2 x 5 reps or until fatigue

*MT and core exercises - hypomobile

Question 11

SIJ

posterior innominate

note: need to drive anterior

Answer 11

1. Chicago roll manip - tx all SIJ dysfunction / sidelying SI gapping
   REACCESS

or Prone anterior innominate rotation joint mob

2. glute bridge 2x20 to use new range
3. standing kick backs 3x8

Question 12

SIJ
hypomobile

Answer 12

1. Chicago roll manip - tx all SIJ dysfunction / sidelying SI gapping
   SIJ manipulation
2. Reassess concordant sign (standing flexion, marching, pain, etc.)
3. supine marches 2x20 for mobility (use the new range)
4. Bridge with band (3 × 12) strengthen new range