“Famous” Physical Therapists Bob Schrupp and Brad Heineck present exercises and rehab for your knee after meniscus surgery. They demonstrate appropriate stretches and strengthening exercises.
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KUKA partner, Life Science Robotics, has developed a revolutionary rehabilitation therapy system that uses a KUKA LBR Med robot. They were demoing it at Medica 2018 in Düsseldorf, Germany, and took the opportunity to talk with us about it.
The robotic system, named ROBERT®, is developed for rehabilitation of bedridden patients. The purpose of ROBERT® is to identify needs and to make a difference for patients, healthcare workers and society. With our LBR Med as a main component, ROBERT® is the first robot in the world that is custom-made for the purpose of taking care of rehabilitation of bedridden patients.
In this video Elly chats with Rich Beaubien, an experienced doctor of chiropractic, about the best exercises for lower back pain. If you’re looking for a home exercise program for low back pain then check out these exercises as a great starting point.
There are a lot of common misconceptions about the best way to tackle lower back pain. Many techniques focus only on stretching the lower back, which can often make the pain worse. Doc Beaubien keeps it simple and shares his ideas for lower back exercises at home.
His top 3 recommendations include:
– Gym ball exercises for back pain (using a trigger point therapy ball)
– The best general stretch for back pain (and it doesn’t involve stretching the back)
– Core exercises for back pain
You can find out more about Doc Beaubien at: http://eclecticchiropractic.com/
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So let’s get straight into it. So what are your three top recommended exercises to relieve the lower-back pain?
So usually we focus on the piriformis because that tends to be what gets people. You may feel it in your back, but really the hip and this piriformis muscle or the external rotators, you don’t want to pick on the piriformis, it’s all those muscles right in here that get tight because we’re sitting all day long, because we sit for a living as a society, basically. And so because of that, we need a way to kind of loosen those things up so it takes the pressure off our low back.
All right. So, we’re going to start with my favorite mobility device. I bought this Rogue. You can use a lacrosse ball. It was just what I had with me while I was traveling. So take this and put it underneath my right flexor, and I’m just going to kind of roll around.
And then, if you find a tender spot … now this is where I’m going to differ with some people. Some people say you find that tender spot, you hold it and you don’t move. If you are insistent to do that, if you find that spot, I need you to find it, and you’re going to hold it.
Then you need to take deep breaths, because if you don’t, you won’t activate your core muscles and your nervous system’s going to be like, “Oh my God that hurts. Please get off it,” and at that point it’s just going remain, it’s going to stay tight. I prefer to just kind of roll around and just get all that fascia nice and mobile.
It’s just kind of like finding the sweet spot, rather than pushing it too far and …
… and looking for the pain, which never …
You don’t want to go live in the pain cave.
Not right on it.
No, no one does. It’s dark there.
We’re trying to get out of the pain cave.
We’re trying to relieve our lower-back pain.
So, now if you find that you’ve rolled around for 30 seconds and still have nothing, cross that leg over and let you get a little bit deeper in there. All right, now, next, my favorite stretch. So this is great for when you’re in the office and you got to do something, but you can’t get on the floor. All right, so. We’re in the chair, and I have no head, but …
That’s all right. We can see the part we need to see.
We grab the ankle, we grab this leg, we sit up straight, and we hug towards us. All right? I know this looks a little different. Everybody always wants to do this. I find that causes more harm than good, so we’re going to sit up straight and pull it towards us.
And lastly core exercises. Now, I know there’s a lot of people that have a lot of ideas what core exercises should be for back pain. These are mine, because they have the least amount of risk for making your back pain worse. So they are a superman. Now, we’re going to do the easy version of superman. We’re going to just have my left arm and my right leg.
Now, if this hurts, obviously, don’t do it. And switch. You’re going to hold for 10 to 30 seconds, or until you can’t. Do it two or three times a day. Now, we’re going to do a bridge. Hips up. Hold it. Again, 10, 20, 30 seconds, whatever works for you. And you’re done with that.
Last but not least, and the one most people is a side bridge, or a side plank. However you like it, you can do it. Come off the floor 10, 20, or 30 seconds. Come down. And then switch sides. Now, if you find that this one’s too simple, you can always put this foot on top, come on top here. But it’s quality over quantity. All right? Those are my exercises I like to do.
So you’ll notice that Rich’s techniques, none of them involves stretching the heck out of your lower back.
Okay, so his approach was to deeply release, deeply stretch and to strengthen those supporting muscles that are going to help you to have a strong lower back. And you know whilst a lower-back program should always be individualized, I hope that these recommendations help provide you with a good foundation to get started and to understand the holistic nature of helping your lower-back pain.
Hawaii’s Healers Series: Holistic Chiropractor Dr. Eliza Kim talks about the importance of healing the body, mind and spirit
Pelvic and bladder problems are more common and treatable than you think. Visit https://www.chihealth.com/pelvic to learn about your options.
How can physical therapy help to treat Pelvic Floor Disorders?
The pelvic floor is made up of several different muscle groups. If the muscles are too weak or too tight, physical therapists treat them. It’s just like any other muscle in the body that needs a little help.
What Pelvic Floor Disorders can be treated with Physical Therapy?
A number of pelvic floor disorders can be treated with physical therapy including: urinary incontinence, fecal incontinence, some prolapse conditions, constipation, and painful intercourse.
What treatments are available?
There are a lot of treatments available including biofeedback which shows the patient how the muscles in the pelvic floor are working. Muscle energy techniques may be used for pelvic alignment disorders. Manual therapy may be used to address soft tissue issues associated with increased spasm or trigger points within the pelvic floor. Another area addressed is posture — looking at muscle weakness in the lower abdominal and pelvic floor areas.
How effective is Physical Therapy in the treatment of Pelvic Floor Disorders?
Physical therapy is a noninvasive approach that can be very effective in treating pelvic floor disorders. Your doctor and your therapist will help determine the best approach for you.
Who is a candidate for Physical Therapy?
All ages can benefit from physical therapy to treat pelvic floor disorders. It’s important you don’t let these issues affect your quality of life
These exercises focus on both concentric and eccentric strengthening of the common extensor tendons affected in lateral epicondylalgia also known as tennis elbow
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📚 ARTICLES: Peterson et al. (2011): https://www.ncbi.nlm.nih.gov/pubmed/22066975
Peterson et al. (2014): https://www.ncbi.nlm.nih.gov/pubmed/24634444
Coombes et al. (2016): https://www.ncbi.nlm.nih.gov/pubmed/26889612
Kenas et al. (2015): https://journals.lww.com/nsca-scj/Abstract/2015/10000/Eccentric_Interventions_for_Lateral_Epicondylalgia.7.aspx
Magnusson et al. (2010): https://www.ncbi.nlm.nih.gov/pubmed/20308995
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional. Video Rating: / 5
This presentation looks at the results from 7 articles, comparing EMG findings of rehab exs used for Glut Strengthening.Want to access two FREE interviews on ‘Integrating S & C with the Rehabilitation of Runners? Head over to http://www.physiouk.co.uk/interviews and register today for free.
For the PDF with the Results & Reference list, click the link http://goo.gl/dp3IKT. Video Rating: / 5
Martin Kelley, DPT of Penn Rehab reviews a number of progressive exercises for the second phase of recovery, six weeks after shoulder surgery including: extensions, internal rotations, horizontal abductions, resistance, and single arm raise inclines.
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An introduction to Neurologic Music Therapy in the Rehabilitation setting, and it’s assistance in functional outcomes in Sensorimotor rehab, Cognitive rehab, and Speech and Language rehab. Video Rating: / 5
As someone who has engaged in exercise and athletic activity for most of my life, I’ve put quite a few miles on my feet. I’m sure I’m not alone when saying that decades of pounding and abuse have added up to more than a few ankle injuries. The same mantra I’m given by doctors and physical therapists is ‘make sure you continue to do your exercises.’
However, what normally happens is people give it a day or two, the ankle feels a bit better, so they don’t continue with their rehab. As we grow older, and the ankles don’t recover as quickly as they used to, it’s important to realize now the absolute importance of actually performing those rehab exercises. Chronic discomfort and stiffness in the ankle can certainly be alleviated (nearly eliminated) by following a regular schedule of ankle strengthening activities.
Not only will strength and balance return, but flexibility will also begin to improve. The crux is this: strengthening exercises for the ankle joints are not just for injury recovery. Make the exercise routine listed below a part of a regular schedule — maybe every morning while watching the news, maybe every night before bed, maybe both! The point is to always make sure the ankles are at their strongest, their most balanced, and most flexible. Doing so will prevent most issues that lead to injury.