Lumbo-Pelvic Stability

= The Jackson Clinics Protocol

Phase 1

  1. Injury Prevention and Body Mechanics
  2. Total Health (Nutrition, Cardiopulmonary exercise)
  3. Movement Retraining Basics
  4. Core Setting
  5. Evidence for Stability Training for Low Back Pain (and pelvic pain) [1][2]


Criteria for Progression to Phase 2


Phase 2

  1. Movement Retraining Intermediate
  2. Big 4 Exercises

CRITERIA FOR PROGRESSION TO PHASE 3

Phase 3

  1. Static Balance - Stable Surface
  2. Static Balance - Unstable Surface
  3. Static Balance - Unstable Surface
  4. Dynamic Balance - Stable Surface
  5. Dynamic Balance - Unstable Surface


CRITERIA FOR PROGRESSION TO PHASE 4

Phase 4

  1. Movement Retraining Advanced
  2. Big 4 Exercises - Advanced


CRITERIA FOR PROGRESSION TO PHASE 5

Phase 5

  1. Advanced Strength Training and Postural Stability


CRITERIA FOR DISCHARGE FROM PHYSICAL THERAPY

References

  1. Gatti R. Efficacy of Trunk Balance Exercises for Individuals With Chronic Low Back Pain. J Orthop Sports Phys Ther. 2011. Available at: http://www.jospt.org/issues/id.2593/article_detail.asp. Accessed August 19, 2011.
  2. Macedo LG, Maher CG, Latimer J, McAuley JH. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Physical Therapy. 2009;89(1):9-25. Available at: http://www.ncbi.nlm.nih.gov/pubmed/19056854.