Principles of Functional Exercise

(Ben Green) #1

Spinal Fusion- also known as spondylosyndesis, is a surgical technique used to fuse
together two or more vertebrae. Supplementary bone tissue or metallic devices are used to
fixate the segments.


Basic recommendations: proprioceptive and balance training, extremity flexibility and spinal
stability. Avoid excessive end-range motions of the spine, particularly in flexion and rotation.


Antalgia– simply means leaning away from pain. Antalgic leaning patterns may present in any
plane of motion.
Basic recommendations: Always refer to a doctor.


Hyperlordosis – excessive curve in the lumbar spine.


Hypolordosis – straightening of the lordotic curve in the lumbar or cervical spine.


Hyperkyphosis – excessive thoracic kyphotic curve.


Pelvic tilting


Anterior pelvic tilt – position of pelvis is determined by the ASIS, which is pointed anterior
(forward). This is usually associated with hyperlordosis, or hyperextension, of the lumbar spine.
The glutes stick out.


Posterior Pelvic tilt – position of pelvis is determined by the ASIS, which is shifted posteriorly
(back). This is usually associated with hypolordosis, or flexion of the lumbar spine.


Neutral spine – midway balanced point of the spine that requires the least amount of
muscular contraction.

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