Table 3 Exercise progression within the extension-oriented treatment approach.
Extension-Oriented Exercises | Goal | Options for Progression |
|---|---|---|
Prone Lying | 5 minutes | May use pillow to allow lumbar flexion initially if needed May shift pelvis laterally if needed Progress to full lumbar extension without pillows or lateral shift of pelvis Progress time up to 5 minutes |
Prone Lying on Elbows | 5 minutes | May use partial range of extension motion initially if needed May shift pelvis laterally if needed Progress to full lumbar extension with-out lateral shift of pelvis Progress time up to 5 minutes |
Prone Press-Ups | 30 repetitions | May use partial range of extension motion initially if needed May shift pelvis laterally if needed Progress to full lumbar extension with-out lateral shift of pelvis Progress to exhalation during the last repetition to promote increased extension Progress to therapist over-pressure during repetitions to promote increased extension Progress up to 30 repetitions |
Extension in Standing | 30 repetitions | May use partial range of extension motion initially if needed May shift pelvis laterally if needed Progress to full lumbar extension with-out lateral shift of pelvis Progress up to 30 repetitions |