PHASE I (Days 7-12):
Goals:
- Return to ADL’s
- Functional dynamic lumbar stability
- Normal gait
Exercises: (Stabilization)
- Supine:
- Heel slides
- SLR
- Marching
- Dead bugs stabilized
- Curl ups with spine in protected position
- Diagonal curl ups with spine in protected position
- Bridging:
- Two legs
- Mini marching
- Single leg
- Prone:
- Single leg & arm lifts
- Simultaneous opposite leg & arm lifts
- Bilateral arm & leg lifts
- Modified push up with neutral spine
- Quadruped:
- Single leg & arm lifts
- Simultaneous opposite leg & arm lifts
PHASE II (Week 5-D/C):
Goals:
- Upper and lower extremity strengthened
- Restored lumbar spine motion
Exercises:
- Aerobic: walking, bike
- UE & LE strengthening
- Squats
- Lunges
- Progress dynamic stabilization program
- Stretching:
- Hamstrings
- Quads
- Hip flexors
- Calves
- Hip rotators (IR & ER)
- Glutes
- Low back
- ITB
- Begin functional activities to prepare for return to work.
PHASE III (Return to Work):
- Work simulated exercises
- Increased ADL independence activities
Click here to download: Laminectomy Protocol
