2005 Back School

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HEALTHSOUTHHEALTHSOUTH

Back Education and FunctionalActivities Training Program

Back Education and FunctionalActivities Training Program

developed by

George W. Aaron, PT, MHS, OCS, MTC, CFMT

developed by

George W. Aaron, PT, MHS, OCS, MTC, CFMT

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There Is No Magic Cure!!There Is No Magic Cure!!

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Key Physcial Therapy ComponentsKey Physcial Therapy Components

Education Exercise

Functional Training

Education Exercise

Functional Training

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Primary ObjectivePrimary Objective

To enable you to protect yourback when necessaryduring

your daily activities.

To enable you to protect yourback when necessaryduring

your daily activities.

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Protecting Your BackProtecting Your Back

Helps with Healing Reduces Pain

Decreases Chance of Re-injury

Helps with Healing Reduces Pain

Decreases Chance of Re-injury

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OverviewOverview

Who Has Back Pain? Anatomy and Mechanics

Causes of Back Pain

Functional Activities

Who Has Back Pain? Anatomy and Mechanics

Causes of Back Pain

Functional Activities

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Back Problems Are CommonBack Problems Are Common

80% to 90 % of population hasback pain at some point

20% to 30% at any given time Leading cause of disability under

age 45

80% to 90 % of population hasback pain at some point

20% to 30% at any given time Leading cause of disability under

age 45

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Result of Back InjuriesResult of Back Injuries

Pain Lost Wages

Medical Expense

Emotional Stress

Short or Long Term Disability

Pain Lost Wages

Medical Expense Emotional Stress

Short or Long Term Disability

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Common Factors

in Back Injuries and Pain

Common Factors

in Back Injuries and Pain

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What We Do To

Ourselves

What We Do To

Ourselves

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A Single Injury or Event is

Rarely the Causeof Back Pain

A Single Injury or Event is

Rarely the Causeof Back Pain

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A single injury is rarely the causeA single injury is rarely the cause

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Much back pain is the result of

repeated inefficient motionand repetitive physical stress

during daily activities

Much back pain is the result of

repeated inefficient motionand repetitive physical stress

during daily activities

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A single event

is rarely thecause of back

pain

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How Do We Avoid This

Repetitive Stress?

How Do We Avoid This

Repetitive Stress?

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Learn To Protect the

Back When NecessaryDuring Various Activities

Learn To Protect the

Back When NecessaryDuring Various Activities

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Neutral SpineNeutral Spine

The Position of LeastPhysical Stress

Protection on Demand

The Position of LeastPhysical Stress


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cervical spine

thoracic spine

lumbar spine

Sacrum/coccyx

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The ability to use a neutral

position reduces the repeatedstress that is placed on the back

The ability to use a neutral

position reduces the repeatedstress that is placed on the back

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There are noreplacement body

parts for the spine -

and even if therewere

they wouldnt be as

good as the originalparts in good

condition

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Basic AnatomyBasic Anatomy

How Does Your

Back Work?

How Does Your

Back Work?

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Anatomical ComponentsAnatomical Components

Bony Vertebra Joints - Allow Movement

Disc - Shock Absorption Ligaments - Support

Nerves - Communication Muscles - Cause Movement

Bony Vertebra Joints - Allow Movement

Disc - Shock Absorption Ligaments - Support

Nerves - Communication Muscles - Cause Movement

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Integrated structure and

function

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The Degenerative ProcessThe Degenerative Process

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Spinal NervesSpinal Nerves

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Disc

Disruption

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Muscles used to stabilize the spine

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When you bend forward,

the muscles become inactive

When you bend forward,

the muscles become inactive

When muscles contract, they producean electrical signal

Once the back muscles are stretched

during bending, they no longergenerate this signal

When muscles contract, they produce

an electrical signal

Once the back muscles are stretched

during bending, they no longergenerate this signal

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STRESS!Flight or Fight ResponseSTRESS!Flight or Fight Response

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Results of StressResults of Stress

Increased Pain Increased Fatigue

Increased Irritability

Increased Muscle Tension

Increased Pain Increased Fatigue

Increased Irritability

Increased Muscle Tension

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The Effect of Different Positions

On the Back

The Effect of Different Positions

On the Back

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Intradiscal pressure in

a variety of postures

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Your Mother Was Right!

Posture Is Important

Your Mother Was Right!

Posture Is Important

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Functional Activitiesor

How To Do The Stuff

You Have To Do

Functional Activitiesor

How To Do The Stuff

You Have To Do

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SittingSitting

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How Is The Pelvis Like a Ball?How Is The Pelvis Like a Ball?

It Will Roll DownhillIt Will Roll Downhill

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Improper Body UtilizationImproper Body Utilization

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Getting In and Out of BedGetting In and Out of Bed

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Getting Out of Bed - Step 1Getting Out of Bed - Step 1

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Getting Out of Bed - Step 2Getting Out of Bed - Step 2

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Lifting

ReachingCarrying

Lifting

ReachingCarrying

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Key ComponentsKey Components

Base of Support Weight Shift

Neutral Spine


Base of Support Weight Shift

Neutral Spine


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BASE OF SUPPORTBASE OF SUPPORT

Provides for stability and balance Provides for stability and balance

A Wid B f S tA Wid B f S t

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A Wide Base of Support

Provides More Stability

A Wide Base of Support

Provides More Stability

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WEIGHT SHIFTWEIGHT SHIFT

Allows more efficient body use Allows more efficient body use

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NEUTRAL SPINENEUTRAL SPINE

Protection on Demand Awareness

Coordination

Strength

Protection on Demand Awareness

Coordination Strength

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Keep the load close to the body

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Inappropriate rotation of the spineInappropriate rotation of the spine

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Proper transfer - Step 1Proper transfer - Step 1

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Proper transfer - Step 2Proper transfer - Step 2

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improper vacuuming techniqueimproper vacuuming technique

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proper vacuuming techniqueproper vacuuming technique

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EXPLODING COMMON MYTHSABOUT BACK PAINEXPLODING COMMON MYTHSABOUT BACK PAIN

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It will eventually go away These pills will fix it

Bed rest will fix it

Surgery will fix it

Chiropractic will put it back in place

It must be normal because so many

people have it

It will eventually go away

These pills will fix it

Bed rest will fix it

Surgery will fix it

Chiropractic will put it back in place

It must be normal because so many

people have it

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Any Questions?Any Questions?

2005 Back School

Documents

Transcript of 2005 Back School