The Core Spinal Fitness Systems™

Get Strong to the Core

What is The Core Spinal What is The Core Spinal Fitness System?Fitness System?

A medically proven solution for back and neck pain

What is The Core Spinal What is The Core Spinal Fitness System?Fitness System?

A series of 5 patented exercise machines proven to target, isolate, and strengthen spinal muscles like no other equipment on the market today

In less than 20 minutesper day, twice a week,

you may prevent or eliminate back pain for the

rest of your life!

Serious Inner Strength™Serious Inner Strength™

Strength Stability Flexibility Endurance

The Four Components of Core Strength:The Four Components of Core Strength:

Where is My “Core”?Where is My “Core”?

It is the corset of muscles which support the integrity of the spine and hips.

Over 29 muscles make up your core

Why Muscle Matters:Why Muscle Matters:

Medical evidence suggests that

more than 80% of all low back

pain cases are caused by weak

trunk muscles, and not

structural lesions.

Melleby, A. The Y's Way to a Healthy Back, 1982.

More Benefits of StrongerMore Benefits of StrongerTorso MusclesTorso Muscles

Spine is able to withstand greater axial

compression

Extension unloads the disc and allows

fluid influx for proper nutrition

A strong relationship exists between

lumbar extensor strength and maximal

lifting loads

Jackson and Brown. Analysis of current approaches and a practical guide to prescription of exercise. Clin Orthop Rel Res: 179, 1983.

Why is a strong back essential to Why is a strong back essential to my overall health and well-being?my overall health and well-being?

Prolonged flexed postures are often associated with low back pain.

Typically people with low back pain have decreased low back extensor strength

Increasing back strength has been proven to relive pain, restore function and reduce the need for back surgery!

Jackson and Brown. Analysis of current approaches and a practical guide to Jackson and Brown. Analysis of current approaches and a practical guide to prescription of exercise. prescription of exercise. Clin Orthop Rel Res: Clin Orthop Rel Res: 179, 1983.179, 1983.

Wasting of trunk musculatureWasting of trunk musculature Decrease in muscular and cardiovascular enduranceDecrease in muscular and cardiovascular endurance Stiffness of ligaments and jointsStiffness of ligaments and joints

• • sprainssprains• • strainsstrains• • muscle spasmsmuscle spasms

Avoidance of ActivityAvoidance of Activity

The “Deconditioning SyndromeThe “Deconditioning Syndrome””

All chronically disabled low back pain All chronically disabled low back pain patients have one major problem in common:patients have one major problem in common:

because of pain, they have stopped using their backsbecause of pain, they have stopped using their backs..

Recommendations forRecommendations for Reconditioning the BackReconditioning the Back

Common diagnostic and therapeutic procedures of the lumbosacral spine. Spine: 16, 1991

The goal of medical treatment for patients with low

back pain must be to improve function, not merely to

focus on pain.

Must include exercises to improve flexibility, range of

motion, strength, and endurance

From the North American Spine Society's Ad Hoc Committee

on Diagnostic & Therapeutic Procedures

Why does the treatment of Why does the treatment of back pain get so expensive?back pain get so expensive?

Common Back Pain TreatmentsCommon Back Pain Treatments(and why health care costs are so high)(and why health care costs are so high)

• PillsPills• Electrical stimulationElectrical stimulation• AcupunctureAcupuncture• AcupressureAcupressure• Epidural injectionsEpidural injections• Trigger pt injection (s)Trigger pt injection (s)• Vax D (super traction)Vax D (super traction)• RestRest• McKenzieMcKenzie• StretchingStretching• ChiropracticChiropractic• HypnosisHypnosis• Pain clinicsPain clinics

• Iontophoresis Iontophoresis • Work HardeningWork Hardening• Anti-gravity chairAnti-gravity chair• ProlotherapyProlotherapy• TENSTENS• MassageMassage• BiofeedbackBiofeedback• UltrasoundUltrasound• Facet rhizotomyFacet rhizotomy• Nerve root blocksNerve root blocks• Craniosacral Craniosacral

adjustmentadjustment• MagnetsMagnets

• Psychological RxPsychological Rx• Lumbar Lumbar

support/bracessupport/braces• Minor surgeryMinor surgery

–Dorsal column Dorsal column stimulatorsstimulators–Percutaneous Percutaneous discectomydiscectomy–Laser Laser discectomy discectomy

• Major surgeryMajor surgery–LaminectomyLaminectomy–FusionFusion

““Traditional” Treatment for Traditional” Treatment for Chronic Low Back PainChronic Low Back Pain

Bed rest

Passive-modality therapy

Stretching (home exercise)

Polatin, P. The functional restoration approach to chronic low

back pain. J Musculoskel Med: 7, 1990

MedicationsMedications

Back schoolBack school

Pain clinicPain clinic

Trunk RotationTrunk Rotation

Trunk ExtensionTrunk Extension

Hip ExtensionHip Extension

Curl UpCurl Up

Typical Home ExerciseTypical Home ExerciseProgram for the Low BackProgram for the Low Back

Limitations of Limitations of Calisthenics-Type ExercisesCalisthenics-Type Exercises

Increases in resistance are limited by constraints of body segment weight.

Most “free exercises” fail to provide resistance through a full ROM.

Often, specific muscles (i.e. lumbar extensors) cannot be exercised effectively due to the inability to isolate

Foster, D., and Fulton, M. Back pain and the exercise prescription. Clinics in Sports Medicine: 10, 1991

In 1972, Arthur Jones, CEO and Founder of Nautilus Sports Medical Industries, began developing medical exercise and testing tools centered around spinal health. In 1986, MedX introduced the Lumbar Extension Machine which has become the Gold Standard of Treatment for reducing chronic back pain and dysfunction through specific spinal strengthening.

Evolution of MedX and the Core Evolution of MedX and the Core Spinal Fitness Systems™Spinal Fitness Systems™

Until MedX developed their patented restraint systems, there was never an

effective way to isolate and strengthen the muscle of the spine.

MedX Develops Revolutionary MedX Develops Revolutionary Restraint SystemsRestraint Systems

The lower spine must be

isolated by anchoring the pelvis

to remove forces produced by

muscles of the hips and thighs.

The MedX Lumbar Extension Was Based On:The MedX Lumbar Extension Was Based On:

Pelvic StabilizationPelvic Stabilization

No vertical, horizontal or rotational movement of the pelvis is possible. This eliminates hip extensor contributions to during exercise.

Pelvic Restraint System

Isolated Lumbar FunctionIsolated Lumbar Function

72°72°

MedX designed the Core Lumbar Strength as a direct descendent The MedX Lumbar Extension Machine

The Core Lumbar Strength is smaller and lacks the computerized testing capabilities

Now health clubs, medical professionals and golf courses can offer this amazing technology to their members and patients

Evolution of the Core Spinal Evolution of the Core Spinal Fitness Systems™Fitness Systems™

The Core Lumbar Strength MachineThe Core Lumbar Strength Machine

Since complete spinal health requires more than just strong lumbar extensor muscles, MedX designed FOURFOUR complimentary exercise machines that work all the muscles supporting the spine.

The Core Ab Isolator, 4 Way Neck, The Core Ab Isolator, 4 Way Neck, Super Stretch, & Rotary TorsoSuper Stretch, & Rotary Torso

Medx technology is perhaps the most peer reviewed, researched and published equipment for the treatment of

low back and neck pain in the world.

Articles documenting the validity and the reliability of MedX equipment can be find in many scientific journals including

SpinePhysical TherapyAmerican Journal of Sports Medicine, Archives of Physical Medicine & RehabilitationMedicine and Science in Sports and Exercise

Journal of Musculosketal Medicine Sports Medicine Orthopedics Journal of Occupational Rehabilitation Journal of Workers’ Compensation

University of FloridaUniversity of FloridaResearch OutcomesResearch Outcomes

MedX lumbar extension rehabilitation results in

significant improvements in strength with chronic

low back patients.

Increases in lumbar extension strength are

positively associated with decreased pain and

increased physical and psychosocial functioning.Risch et al.,

Spine: 18, 1993

University of FloridaUniversity of FloridaResearch OutcomesResearch Outcomes

Effects of Isolate Lumbar Extension

Resistance Training on Bone Mineral

Density of the Elderly

Showed increases in bone mineral density in the

subjects that trained on the MedX Lumbar

Extension

Presented at the American College of Sports

Medicine Annual Meeting 1992

Clinical Research OutcomesClinical Research Outcomes

Of 38 people recommended for back surgery, 92% avoided surgery by using the Lumbar Extension Machine. The estimated savings to the insurance community was over 4 million dollars.

Arc Phys Med Rehabilitation Vol 80 No 1 1999

Clinical Research OutcomesClinical Research OutcomesOf 895 patients with chronic low back, 627 completed the isolated low back strengthening program:

Average duration of symptoms: 26 months

Patients had an average of 6 previous clinical interventions (including surgery)

47% were workers’ compensation patients

89% previously failed a “supervised exercise program”

Orthopaedics Vol 18 No 10 1995

Clinical Research OutcomesClinical Research Outcomes

In a study using the Lumbar Extension Machine, of 627 people with chronic back pain:

76% reported good to excellent results 93% reported improvement in function94% reported maintaining all of their improvement

one year later

Orthopaedics Vol 18 No 10 1995

Low Back Pain Reduction Low Back Pain Reduction Western Energy Co.Western Energy Co.

90% of participants initially reported mild to severe low back pain. After 6 months of training 1 time per week:

80% reported reduction in pain

40% were pain-free within 3 months of training

Mooney, V, et. al. Journal of Occupation Rehabilitation: Vol. 5, No. 3, 1995.

Surgical InterventionSurgical InterventionWestern Energy CoWestern Energy Co..

One scheduled surgery was avoided

Estimated Savings: $149,000

Mooney, V, et. al. Journal of Occupation Rehabilitation: Vol. 5, No. 3, Mooney, V, et. al. Journal of Occupation Rehabilitation: Vol. 5, No. 3, 1995.1995.

Workplace Workplace Research OutcomesResearch Outcomes

Following a 1 time per week strengthening program on the Lumbar Extension Machine, workers reported:

104% increase in strength82% reduction in injury rate 97% reduction in medical liability costs

J Occupational Rehabilitation Vol 5 No 3 1995 (Western Energy Company Colstrip, Montana)

Workplace Workplace Research Outcomes (con’t)Research Outcomes (con’t)

The average Workers’ Compensation liability dropped from $14,430 per month to $380 per month

The significant increase in strength associated with the exercise program correlated with the greatly reduced incidence of back claims.

J Occupational Rehabilitation Vol 5 No 3 1995 (Western Energy Company Colstrip, Montana)

Reported by Thomas E. Dreisinger, Ph.D., Prevention First, Minneapolis, MN,at the Spine Symposium 1998 in San Diego, California.

Airline/Prevention FirstAirline/Prevention FirstBack ProgramBack Program

Annualized total cost per employee for back injuries:

$ 4,883.30 Employees NOT exercising

$ 206.47 Employees performing low back exercises

Airline saving $4,676.87 per year for every employee exercising.

Reported by Thomas E. Dreisinger, Ph.D., Prevention First, Minneapolis, MN,at the Spine Symposium 1998 in San Diego, California.

Back Strengthening ResultsBack Strengthening ResultsMinneapolis ParamedicsMinneapolis Paramedics

39% strength increase in 24 weeks.

84% fewer injuries among exercisers

compared to control group.

Zero lost/restricted work days among

exercisers compared to 64 among controls.

Direct costs were $145 in the exercise group

versus $16,471 among the controls.

L2-L3 L5-S1

53 Year Old Female with 5 53 Year Old Female with 5 Month History of Low Back PainMonth History of Low Back Pain

Extensive fatty infiltration

Lumbar Muscles Before &Lumbar Muscles Before & After Isolated ExerciseAfter Isolated Exercise

16 Exercise Sessions Later…

Significant muscle hypertrophy, and decrease in

fatty infiltration

The same principles of strengthening are true for the

cervical spine as well.

Highland et al, Spine: 1992

A Randomized Clinical Trial of Exercise & A Randomized Clinical Trial of Exercise & Spinal Manipulation for Chronic Neck PainSpinal Manipulation for Chronic Neck Pain

Chronic neck pain patients were randomized into 3 groups:1. Chiropractic Only2. Chiropractic plus aggressive exercise3. Aggressive exercise only

G Bronfort, DC, PhD, Roni Evans, DC, BW Nelson, MD, PD Aker, DC, MSc, CH Goldsmith, PhD, H Vernon, DC. Spine 26 (7): 788-799. June 2001.

A Randomized Clinical Trial of Exercise & A Randomized Clinical Trial of Exercise & Spinal Manipulation for Chronic Neck PainSpinal Manipulation for Chronic Neck Pain

Of the six outcome measures, the aggressive exercise only patients were rated the best in four, tied for the best in one, and came in 2nd in another.

Chiropractic alone finished last in all outcome categories.

G Bronfort, DC, PhD, Roni Evans, DC, BW Nelson, MD, PD Aker, DC, MSc, CH Goldsmith, PhD, H Vernon, DC. Spine 26 (7): 788-799. June 2001.

ForcesForcesof Activityof Activity

MuscularMuscularStrengthStrength

INJURYINJURY

Strong Back = Healthy BackStrong Back = Healthy Back

Get Strong to the Core…Get Strong to the Core… for the rest of your life! for the rest of your life!

20 minutes a day,

twice a week!

Get started TODAY!