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Treatment Day 1 (I.E)
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MT: Spine CT/Lower Thoracic manipulation, Lumbar gapping manipulation
HEP: Open books (side lying thoracic rotation), Prone Quad stretch, Front plank holds x 30 sec, Modified Side plank hold x 20 sec
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Treatment Day 2
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MT: Spine CT/Lower Thoracic manipulation, Lumbar gapping manipulation
TE:
Warm-up: Elliptical x 8 min,
Mobility: Open books (side lying thoracic rotation) x 15 bilaterally, Thread the needle (quadruped thoracic flexion/rotation) x 15 bilaterally, Quadruped rock backs x 10 with hips neutral, x 10 with hips in IR, HK OH trunk rotations x 10 each side, Couch stretch (HK hip flexor + rectus femoris stretch) with posterior pelvic tilt 3 x 30 sec,
Motor Control: Alternating leg extensions in quadruped 2 x 10 each side, Dead Bugs (spine alternating arm flexion + leg extension) 2 x 10 each side, Single leg hip rotation with dowel assist 2 x 10 each side
Core Stability: Front Plank holds 3 x 30 sec, Modified Side-plank holds 3 x 20 sec each side
HEP: Open books (side lying thoracic rotation), Prone Quad stretch, Front plank holds x 30 sec, Modified Side plank hold x 20 sec
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Treatment Day 3
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MT: Spine CT/Lower Thoracic manipulation, Lumbar gapping manipulation
TE:
Warm-up: Elliptical x 8 min,
Mobility: Thread the needle (quadruped thoracic flexion/rotation) x 15 bilaterally, Cat/Camel (quadruped spinal flexion/extension) x 10 each, Quadruped rock backs x 10 with hips neutral, x 10 with hips in IR, HK OH trunk rotations x 10 each side,
Motor Control: Bird dogs (quadruped alternating shoulder flexion + leg extension) 2 x 10 each side, Dead Bugs (supine alternating arm flexion +leg extension) 2 x 10 each side, HK chops without trunk motion 2 x 10 each side with blue TB, Single leg hip rotation with dowel assist 2 x 10 each side, Torso Turns with hips blocked at wall 2 x 10 each side
Core Stability: Front Planks with leg extension lifts 3 x 30 sec, Modified Side-plank holds with 5 lb DB row 2 x 15 each side
HEP: Open books (side lying thoracic rotation), Prone Quad stretch, Front plank holds x 30 sec, Modified Side plank hold x 20 sec
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Treatment Day 4
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MT: Spine CT/Lower Thoracic manipulation, Lumbar gapping manipulation
TE:
Warm-up: Elliptical x 8 min, World’s greatest stretch (split stance thoracic rotation with opposite hand on the ground), Walking figure 4, Reverse toe-touch into inchworm x 10 yards each
Mobility: Quadruped rock backs x 20 each with leg in cross body position, Leg elevated lunge for posterior hip mobility
Motor Control:
Circuit A x 2 rounds: Bird Dogs (quadruped alternating shoulder flexion + leg extension) x 10 each side, Dead Bugs (supine alternating shoulder flexion + leg extension) x 10 each side,
Circuit B x 2 rounds: Hip rotation with dowel assist x 10 each side, Torso Turns with hips blocked at wall x 10 each side
Core Stability: HK chops without trunk motion 2 x 10 each side with blue TB, Split stance paloff press 2 x 15 each side with medium strength band
Strength: Side-stepping with green band at knees 2 x 20 yards, Kettlebell Deadlift with 12 kg 3 x 10, Lateral eccentric tap downs from 4 in step 2 x 12 each side
HEP: Open books (side lying thoracic rotation), Prone Quad stretch, Front plank holds x 30 sec, Modified Side plank hold x 20 sec, WGS (split stance thoracic rotation with opposite hand on the ground), Quadruped figure 4 rock backs, leg elevated lunges
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Treatment Day 5
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MT: Spine CT/Lower Thoracic manipulation, Lumbar gapping manipulation, Posterior hip mobilization grades III/IV bilaterally, Hip IR/ER mobilization with movement (MWM) bilaterally
TE:
Warm-up: Rower x 500 meters, World’s greatest stretch (split stance thoracic rotation with opposite hand on the ground), Walking figure 4, Reverse toe-touch into inchworm x 10 yards each
Mobility: Quadruped rock backs x 20 each with leg in cross body position, Leg elevated lunge for posterior hip mobility
Motor Control:
Circuit A x 2 rounds: Bird dogs (quadruped alternating shoulder flexion + leg extension) 2 x 10 each side, Dead Bugs (supine alternating shoulder flexion + leg extension) 2 x 10 each side, both using red TheraBand for resistance
Single leg Romanian Dead lifts with dowel assist 2 x 10 each side
Core Stability and Strength:
Circuit B x 2 rounds: Split stance paloff press x 15 each side with medium strength band, Side-stepping with green band at knees x 20 yards, Single-leg hip thruster x 8-10 from bench
Circuit C x 2 rounds: Front plank with leg extension lifts x 10 each leg, Kettlebell Deadlift with 12 kg x 12, Lateral eccentric tap downs from 4 in step 2 x 12 each side
HEP: Open books (side lying thoracic rotation), Prone Quad stretch, Front plank holds x 30 sec, Modified Side plank hold x 20 sec, WGS (split stance thoracic rotation with opposite hand on the ground), Quadruped figure 4 rock backs, leg elevated lunges
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Treatment Day 6
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MT: Posterior hip mobilization grades III/IV bilaterally, Hip IR/ER mobilization with movement (MWM) bilaterally
TE:
Warm-up: Rower x 750 meters, World’s greatest stretch (split stance thoracic rotation with opposite hand on the ground), Walking figure 4, Reverse toe-touch into inchworm x 16 yards each
Mobility: Quadruped rock backs x 20 each with leg in cross body position, Leg elevated lunge for posterior hip mobility
Motor Control:
Circuit A x 2 rounds: Torso turns with hips blocked at wall x 10 each side, Pelvic rotations while maintaining ball against wall in golf posture x 10 each side, Single leg hip rotation with dowel assist x 10 each side
Core Stability and Strength:
Circuit B x 2 rounds: Single leg Romanian Dead lifts with dowel assist x 10 each side, Single-leg hip thruster x 8-10 from bench, Side-step up with opposite knee drive with torso angled away from box with 4 kg KB ball hold x 10 each side
Circuit C x 2 rounds: Front plank with leg extension lifts x 12 each leg, Goblet squat with 15 lb KB x 12, Modified side-plank with 5 lb DB row x 15 each side
Split stance Paloff press x 15 each side with medium strength band
HEP: Open books (side lying thoracic rotation), Prone Quad stretch, Front plank holds x 30 sec, Modified Side plank hold x 20 sec, WGS (split stance thoracic rotation with opposite hand on the ground), Quadruped figure 4 rock backs, leg elevated lunges
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Treatment Day 7
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MT: Posterior hip mobilization grades III/IV bilaterally, Hip IR/ER mobilization with movement (MWM) bilaterally
TE:
Warm-up: Rower x 750 meters,
Mobility: Quadruped rock backs x 20 each with leg in cross body position, Leg elevated lunge for posterior hip mobility
Core Stability and Strength:
Circuit A x 2 rounds: Single leg Romanian Dead lifts with dowel assist x 10 each side, Single-leg hip thruster x 8-10 from bench, Side-step up with opposite knee drive with torso angled away from box with 4 kg KB ball hold x 10 each side
HEP: Updated detailed program can be found in Table 6.
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