Penrose Physical Therapy
04
Jan 2016
Jennifer Penrose
Author
Jennifer Penrose
Weeks 0-6:

Precautions:

  • NO bending or twisting
  • Wear brace when out of bed
  • Log roll
  • No sitting for >15 min
  • Lifting limited per M.D.

Exercises:

  • Walk with assistive device 2-3 times a day and progress distances
  • Patient education:
    • Hip dominated movements
    • Neutral spine movements
    • Posture
  • Abdominal bracing
  • Modalities as needed
Weeks 6-12:

Precautions:

  • Minimal back movements, limited FB and rotation on LB
  • May be out of corset per M.D.

Exercises:

  • Lumbar stabilization exercises
  • Stretching:
    • Hamstrings
    • Quads
    • Calves
    • Hip flexors- allows in prone if preferred
    • Piriformis
    • Back- SKTC, DKTC
  • Hooklying heel slides
  • Mini forward lunges
  • Mini squats
  • Body mechanics when lifting
Months 3-6:

Precautions:

  • Back movement only in painfree range
  • Lifting restrictions per M.D.

Exercises:

  • Physioball exercises
  • Add SB and ROT when stabilization is controlled
  • Multidirectional exercises
  • Resistance training
  • Start functional training to progress back to work/sport
Months 6+:
  • No endrange back movements
  • Resume all activities

Click here to download: Lumbar Fusion Protocol

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