Penrose Physical Therapy
04
Jan 2016
Jennifer Penrose
Author
Jennifer Penrose
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

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