In the final MPE Online Mentoring session, Andrew and the mentees go over
- A general exercise progression for a patient w/ subacute LBP w/ referral into buttock/posterior thigh
- Exercise specificity?
- For something like tendinopathy- yes
- For NSLBP- specific to patient, not muscles
- Lehman’s continuum: calm things down/build things up
- Consideration of SINS when prescribing exercise/loading
- HEP: less is more
- Exercise purpose: symptom modulation, mobility/ROM, graded exposure
- Allow for pain increase or keep symptom-free?
- Exercise dosage- depends on goal/purpose
- Symptom modulation: example- 10x every hour
- mobility/ROM: multiple times a day (exercise snacks)
- Resistance training: 2-3x/wk
- Consider what other activities patient does daily or weekly
- Lehman’s cup analogy
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