Exercise Indications and Progressions

Exercise Indications and Progressions

Please refer to exercise section for further home exercise explanation
Pure Extension Responders:
  • Individuals who symptoms centralize with pure extension exercises
  • Patients may experience low back pain or pain that is in buttocks or leg
Progression:
Unloaded and Static Positioning:
  • Stomach lying with foot anchor
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  • Stomach lying with resistive bands placed at chest level
  • Stomach on elbows without resistive bands
  • Stomach lying on elbows with resistive bands
    • Positions should be maintained for 4-5 minutes at time 3-5 x a day

Unloaded and Dynamic Movement
  • Press up with foot strap
  • Press up the foot strap and resistive bands
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Loaded (Standing) and Dynamic

  • Standing back with foot anchor
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    • 10-20 repetitions every 1-3 hours
    • Maintain good posture between exercise sessions

Lateral Responders

  • Individuals who do not centralize with pure extension exercise
  • Individuals may have a lateral shift present, where a patient’s shoulders/ribcage are shifted laterally from the pelvis.  Shoulders will typically shift away from the painful side
  • Majority of lateral responders will need to side bend the spine towards the painful side
 Unloaded Static
  • Lie on stomach, use foot anchor, offset hip to one side  
    • Lumbar spine should be compressed on the painful side – hips shifted to opposite side of pain
  • Lie on stomach, use foot anchor, offset hips to one side, use resistive bands and place hands at chest level
  • Lie on stomach, use foot anchor, offset hips to one side, use resistive bands and prop oneself up on to elbows
Road Kill Positions
  • Lie on stomach, use foot anchor, raise leg on the painful side up and out so that the inside of the knee is lying flush with the bed
    • Looks as if the leg is performing a breast stroke swimming kick
  • Lie on stomach, use foot anchor, raise leg on the painful side up, hold resistive bands to chest level
  • Lie on stomach, use foot anchor, raise leg on the painful side up, move to elbows positioning
    • All unloaded static positioning should be performed 3-5 minutes 3-5 x a day
Unloaded and Dynamic
  • Lie on stomach, use foot anchor, offset hip to one side, perform press up 
  • Lie on stomach, use foot anchor, offset hip to one side, with resistive bands perform press up
Unloaded Dynamic Road Kill Positioning
  • Perform Road kill positioning on elbows, using your elbow move your lumbar spine further into a side bent position towards the leg that is propped up
  • Perform press up in road kill position without resistive bands
  • Perform road kill position with resistive bands
Loaded (Standing) Dynamic
  • Use foot anchor, place strap anchor on the opposite hip of pain location, shift hips (side glide) away from the pain
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  • Use foot anchor, place strap anchor on the opposite hip of pain location, shift hips (side glide) away from the pain, while shifted away bend backwards
    • All dynamic exercises should be performed 10-20 repetitions every 1-3 hours
    • Maintain good posture in between exercise sessions

NOTE: **Blog material not to replace medical advice**