Lower back strain
Hello, Director! My mother is undergoing rehabilitation and has a lower back stretching program.
I would like to ask, what is the basis for determining the starting weight for lower back stretching? At what point in rehabilitation can we consider stopping? Thank you!
Deiphy, 30~39 year old female. Ask Date: 2007/10/21
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions:
1.
Generally speaking, the importance of weight training for the lower back starts at about 1/4 of body weight, increasing by 1 kg every two to three days until reaching 1/2 of body weight.
2.
However, in practice, this should be adjusted based on age, bone density, flexibility of the back muscles, and the presence of nerve compression.
Younger individuals may start at 1/3 of body weight, while older adults can increase by 1 kg per week.
3.
Once the symptoms of sciatica have significantly diminished, you can stop increasing the weight and focus on strengthening the abdominal muscles, improving flexibility, and incorporating deep heat therapy and electrical stimulation.
Finally, I wish you peace and happiness.
Reply Date: 2007/10/21
More Info
When it comes to waist stretching in rehabilitation, particularly for individuals recovering from injuries or surgeries, it's essential to approach the process with caution and a clear understanding of the goals and limitations involved. The question of how much weight to lift during waist stretching exercises and when to stop is multifaceted and should be tailored to the individual’s specific condition, rehabilitation goals, and overall physical capabilities.
Understanding Waist Stretching in Rehabilitation
Waist stretching exercises are often incorporated into rehabilitation programs to improve flexibility, strength, and range of motion in the lower back and surrounding areas. These exercises can help alleviate pain, reduce stiffness, and enhance overall mobility. However, the amount of weight used during these exercises should be determined based on several factors:
1. Individual Assessment: Before starting any rehabilitation program, a thorough assessment by a healthcare professional, such as a physical therapist, is crucial. This assessment will consider the patient's medical history, current physical condition, and specific rehabilitation needs.
2. Initial Weight Considerations: For beginners or those recovering from an injury, it is advisable to start with minimal weight or even body weight. The focus should be on mastering the correct form and technique before gradually increasing the load. Starting with 1-2 kg (2-5 lbs) can be a safe approach, allowing the individual to gauge their comfort level and response to the exercise.
3. Progressive Loading: As the individual becomes more comfortable and demonstrates improved strength and flexibility, the weight can be gradually increased. This progressive loading should be done cautiously, typically increasing by 0.5-1 kg (1-2 lbs) at a time, depending on the individual’s tolerance and response to the exercises.
4. Listening to the Body: It is essential for individuals to listen to their bodies during rehabilitation. If any exercise causes pain (beyond mild discomfort), it should be modified or stopped. Pain is a signal that something may not be right, and pushing through it can lead to further injury.
5. Duration and Frequency: The duration of stretching exercises can vary, but generally, each stretch should be held for 15-30 seconds and repeated 2-4 times. The frequency of these exercises can be daily or several times a week, depending on the rehabilitation plan outlined by the healthcare provider.
When to Stop Rehabilitation Exercises
Determining when to stop rehabilitation exercises, including waist stretching, is equally important. Here are some guidelines:
1. Achievement of Goals: Rehabilitation should have specific goals, such as improved flexibility, strength, and pain reduction. Once these goals are met, the individual may be ready to transition to a maintenance program rather than stopping altogether.
2. Professional Guidance: Regular follow-ups with a healthcare provider are essential to assess progress. They can provide recommendations on when to modify or cease specific exercises based on the individual’s recovery.
3. Self-Monitoring: Individuals should be encouraged to monitor their progress and any changes in symptoms. If they notice a plateau in improvement or a return of pain, it may be time to reassess their rehabilitation strategy.
4. Transition to Maintenance: Once rehabilitation goals are achieved, transitioning to a maintenance program that includes regular stretching and strengthening exercises is crucial for long-term health and injury prevention.
Conclusion
In summary, waist stretching in rehabilitation should begin with light weights, focusing on proper technique and gradual progression. The decision to stop or modify exercises should be based on individual progress, professional guidance, and self-awareness of one’s body. It is always best to work closely with a healthcare professional to ensure a safe and effective rehabilitation process.
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