Professional Documents
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Penanganan Komprehensif
Kelainan Spinal
Lumbar spondylolysis
and spondylolisthesis
DISH
Spondyloarthropathy
( ex. Ankylosing
spondylitis)
Fracture
Tumor
Infection
Role function
Integration level II
Task or
goal-oriented
function
(e.g., ADL, IADL)
Integration level I
Specific physical
Movements
(e.g., 8-foot walk)
Basic component
Coordination
Line motor
Balance
Strength
Flexibility
Endurance
Ruas Vertebra
Objective
RISK FACTORS
OCCUPATIONAL FACTORS
Hard labor and heavy exertions
Lifting, pulling and pushing, twisting,
slipping
Sitting for an extended period
Exposure to prolonged vibration
Persons who view their occupations as
boring, repetitious or dissatisfying may
also report a higher rate of low back
pain
RISK FACTORS
PATIENT - RELATED FACTORS
Age
Sex
Anthropometric Factors
Postural Factors
Spine Mobility
Muscle Strength
Physical Fitness
Smoking
Psychosocial
Factors
TYPES OF EXERCISE
TYPE
Aerobic / Anaerobic
Resistance / Weights
Antigravity
Balance
Stretching
Therapeutic response
Therapeutic window
Toxic response
Age
ORTHOTICS
The Reduction of motion in the lumbar
spine can be achieved only if the
support is extended from the lower
thoracis spine to the greater
trochanteric areas
This immobilitation significantly
decreases the pain and reduces the
duration of bed rest
ORTHOTICS
Restriction on back motion results in weaknes
of the low back supportive muscles
Prolonged use of a back support is
discouraged
EXERCISE
Isometric strengthening exercises (paraspinal
& abdominal muscles)
Back extension or flexion or combination
exercise program ; depends on indications
Pain free +, start daily activities, usually after
2-4 weeks
William flexion exercise
Mc Kenzie hyperextension exercise
Thank you