by

Bryan M. Bond, BSc, BS, DC, MS, PhD

 AUDIO LECTURE OUTLINE

  1. Introduction
    1. Scope of low back pain
    2. Clinical practice guidelines for low back pain
  2. Exercise in General for Chronic Care Management
    1. Disuse syndrome
    2. Fear-avoidance cycle
    3. Walking speed
  3. Exercise for Low Back Pain
    1. Clinical prediction rules (CPR)
    2. CPR for low back pain
    3. Rehabilitation exercise
  4. Conclusion
Table 1. Exercise Prescription EMG: Gluteus Maximus (in ascending order)

Low/moderate EMG activation (0 – 40% MVIC) for neurological re-education

Higher-level EMG activation (41 – 60% MVIC) for strength gain
  • Prone bridge plank (9%)
  • Lunge w/backward trunk lean
  • Bridge
  • Clamshell w/ 30° hip flexion
  • Lunge
  • Clamshell w/ 60° hip flexion (39%)
  • Sideways lunge (41%)
  • Lateral step-up
  • Transverse lunge
  • Quadruped arm/leg lift
  • Wall squat
  • Single-limb squat
  • Single-limb deadlift
  • Forward step-up (Highest at 74%)
Table 2. Exercise Prescription EMG: Gluteus Medius (in ascending order)
Adapted from Reiman et al., 2012

Low/moderate EMG activation (0 – 40% MVIC) for neurological re-education

Higher-level EMG activation (41 – 60% MVIC) for strength gain
  • Prone bridge plank (27%)
  • Lunge trunk neutral
  • Unilateral mini-squat
  • Clamshell w/ 60° hip flexion
  • Sideways lunge
  • Clamshell w/ 30° hip flexion (40%)
  • Lateral step-up (41%)
  • Quadruped w/contralateral arm/leg lift
  • Forward step-up
  • Unilateral bridge
  • Transverse lunge
  • Side-lying hip abduction
  • Single-limb deadlift (58%)
Figure 1. Disuse Syndrome or “Downward Spiral” of Chronic Disease

Adapted from Moore et al., 2016

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