CRITERIA FOR PROGRESSION TO PHASE 2

Below outlines the criteria that each patient must accomplish before allowed to complete the phase 2 exercises. At times, some phase 2 exercises may be given when a patient has not met this criteria. But rarely, will a patient be given the entire cuff program and the big 4 without meeting this criteria. This is based on anecdotal evidence of how best to prevent injury.


  1. Able to engage the primary core muscles without compensatory firing or pain in non-weight bearing (supine or prone)
  2. Able to engage the primary core muscles without compensatory firing or pain in static weight bearing positions (standing)
  3. Core Endurance and Ratio Testing has been completed[1] [2][3]
  4. The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 seconds[4]


References

  1. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944.
  2. McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.
  3. McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.
  4. Mcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at: http://www.archives-pmr.org/article/S0003-9993%2808%2901505-0/abstract