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Joint Injury and Exercise Rehabilitation

JOINT INJURY AND EXERCISE REHABILITATION

What is joint rehab and why is it important?

 

Here at Dynamic Osteopaths in Solihull and Henley In Arden, we are very keen on the huge importance 

of joint injury rehabilitation, whether this being post-injury rehabilitation or post-operative rehabilitation.

Joint rehabilitation is important in many different ways, one of the most important understandings is that for 

a joint to fully recover post-injury or post-surgery, it needs to follow the correct protocols of joint rehabilitation to allow optimal mobility, strength and function, and of course to minimalize injury reoccurrence.

 

Our Osteopaths in Solihull and Warwickshire are well equipped and highly experienced in injury rehabilitation.

 

 

Personal Training Solhull

Spinal Rehabilitation:

 

Treatment for acute low back pain:

 

- Spinal Mobilisation Manipulation

- Specific Exercises to promote mobility

- Core Stabilisation Training

- Functional Training

 

0-1 weeks - Local segmental control

- deep core activation, 4-point needling, pelvic tilts, bridging, knees to chest

- gentle mobility exercises

 

2-5 weeks - Closed chain segmental control

- squats

- standing row

- balance training

- increase mobility

- manual therapy as required

 

6-8 weeks - Open chain

- dynamic supermans

- dynamic rotations

- everyday functional activities

Back injury and core strengthening
Core strengthening
Spinal Mobility
Back injury and strengthening

Core Stability in Lumbar Spine Rehabilitation

 

Core stability training is aimed at recruiting the deep and superficial truck muscles and to control the position of the lumbar spine in neutral and dynamic movements.

 

Basics

 

Core training should begin with learning how to co-contract the deep core muscles to provide lumbar support. This can be done via an exercise called 'abdominal bracing' with the spine in a neutral position. This can be done via following the below guidelines:

 

  • lye on your back with your knees bent

  • breath in deep and as you breath out, draw your lower abdomen inwards as if you are trying to draw your belly button back towards the floor. Do not hold your breath whilst performing the move.

  • Hold this contraction for 10 seconds and stay relaxed.

  • repeat 5-10 times

 

It is vital that you perform this movement before you continue on to progression exercises. Points to note:

 

  • do not let your whole stomach tense up.

  • do not brace too tense, endurance is what you are looking to achieve

  • do not hold your breath.

 

Once you have mastered this, and then learn how to carry out the four-point hold, keeping neutral.

 

Core stability strengthening

 

Lying leg lift stabilisation exercise

 

  • lye on your back with your knees bent

  • ensure that your back is neutral

  • breath in and as you breathe out,  perform abdominal bracing action

  • once this is achieved slowly slide your legs down, whilst keeping a neutral spine

  • repeat 10 times.

 

Progression

 

1) lift one leg so the hip is at 90 degrees, then repeat to lift the other leg. Return the first leg to the start position the then repeat for 10 repetitions. Keep the braced abdominal position.
 
2) starting in the position as above with both hips at 90 degrees, then slide 1 leg along the floor to the fully extended position but with the other leg remaining elevated at 90 degrees, then bring the extend leg back in line with the elevated leg. Repeat with the other leg.
 
3) slowly lower both legs whilst keeping the knees at 90 degrees and keeping the lumbar spine and pelvis neutral and braced.

 

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