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PhaseIActiveRestExpectedVisitsImmobilization(usuallydeterminedbyphysician)Bracingisrecommendedifpatientisexperiencingpainwithactivitiesofdaily livingGeneralexercise:modintensitystationarybikingorellipticalmachine,shallowwater(chestdeepwater)Suggestedexercises:singlelegbrides,plank, squats/hiphinge,upperbodyliftingw/spineneutral,lunges,obliquerotationsstartinginHL/supine,OHreachingHoldthepositionforfivesecondsandthenlower downslowlyThisexercisewillhelpyoutostretchyourlowerbackThisconditionorweaknesscanoccurinupto5%ofLowBackPainExercisesWeeksweeks SuggestedInterventionsRepeat timesDo sessionsperdayPhaseSuggestedexercises:chopping/liftingpatternsGeneralTreatmentConsiderations Hamstringstretch:SupportthebackofyourthighbehindthekneeSpondylolysis(spon-dee-low-lye-sis)andspondylolisthesis(spon-dee-low-lis-thee-sis)are commoncausesoflowbackpaininchildrenandadolescentsregularspinalstabilizationexerciseprogramnotonlyaidsinbothpreventionandrecovery,butalso helpsPATIENTEDUCATION.Doublekneestochest:Pullbothkneesuptoyourchestuntilacomfortablestretchisfeltinthelowerbackandbuttocks.The areaofthefifthlumbarvertebraismostoftenaffectedLiftyourpelvisandlowerbackofthefloor.Whilenon-surgicaltreatmentconsistsofphysicaltherapyanda lumbarbrace,moreextremecasesrequiresurgeryAspainsubsides,exercisestoimprovestrengthandflexibilityandtolearnproperbackmechanicsarestarted SpondylolisthesisInitialtreatmentconsistsofrestfromactivitiesthatcausethepain(nohyperextension)andmedicationsandicetorelievepainLowBackPain ExercisesFlexibilityexercises:Singlekneetochest:PullonekneeuptoyourchestuntilacomfortablestretchisfeltinthelowerbackandItcanoccurononeside (unilateral)Spondylolysis/listhesisRehabilitationGuidelineSpondylolisthesis,aslippingofavertebra,canbeoftraumatic,congenital,ordegenerativenature buttocksLastUpdated/26/Goals/MilestonesforProgressionExercisesfocusingonthesemuscleshavebeenshowntosignificantlyreasepainanddisabilityin peoplewithspondylolysis/spondylolisthesis.Lieonyourback,Spondylolysisisabreakdownorfractureofthenarrowbridgebetweentheupperandlowerfacets, calledtheparsinterarticularis(Fig)RepeatSpondylolysis(spon-dee-low-lye-sis),orlumbarstressfracture,isastressfractureofasectionofthelumbarspine Hold secondsSpondylolysisisaweaknessorstressfractureinoneofthevertebrae,thesmallbonesthatmakeupthespinalcolumnThistrainingeffect persistsforSpondylolysisisastressorfatiguefractureofpartofthespine(vertebrae)EXERCISESSpondylolysisTheexactrangeofmotionandstretching exercisesappropriatefortheseexerciseswithinarangeofmotionthatdoesnotincreaseyourpainandwiththeexpectationthatthedevicewillhelpyouto graduallyincreaseyourrangeofmotionuntilSpondylolysisisaweaknessorstressfractureinoneofthevertebrae,thesmallbonesthatmakeupthespinalcolumn