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Table 3 Exercise progression within the extension-oriented treatment approach.

From: A randomized clinical trial of the effectiveness of mechanical traction for sub-groups of patients with low back pain: study methods and rationale

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