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Lumbar Dynamic Stabilization Protocol

Low back rehabilitation with core muscle activation, motor control and progressive load.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Lumbar Dynamic Stabilization Protocol?

Motor control exercises (MCE) is an approach that emerged from the research of Hodges and Richardson. It begins with selective activation of the transversus abdominis and lumbar multifidus muscles; later it is integrated into functional movement patterns.

Stepwise progression: Phase 1 (awareness and activation): abdominal hollowing, multifidus recruitment. Phase 2 (static stabilization): plank, side plank, bird dog. Phase 3 (dynamic stabilization): BOSU, balance board, rotational exercises. Phase 4 (functional): work/sport-specific drilling.

Correct muscle activation is monitored with EMG biofeedback and real-time ultrasound imaging (RTUS). Meta-analyses have shown that motor control exercises in chronic low back pain are equally effective as general exercise, although not superior.

Symptoms

Chronic low back pain
Mechanical low back instability
Recurrent low back attacks
Core weakness
Spondylolisthesis rehabilitation
Postoperative low back rehabilitation

Risk Factors

Weak abdominal muscles
Sedentary lifestyle
Obesity
Poor posture
Recurrent mechanical load
Previous disc surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In chronic low back pain
  • In recurrent low back attacks
  • In post-operative rehabilitation
  • In spondylolisthesis management
  • In conservative treatment planning

Treatment Methods

01
Motor control assessment
02
Abdominal hollowing training
03
Multifidus recruitment
04
Static plank and bird dog
05
Dynamic stabilization progression
06
Functional movement patterns
07
EMG biofeedback
08
Home exercise program

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.