2005 Back School

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Back Education and Functional Activities Training Program

developed by

George W. Aaron, PT, MHS, OCS, MTC, CFMT

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There Is No Magic Cure!!

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Key Physcial Therapy Components Education Exercise Functional Training

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Primary Objective
To enable you to protect your back when necessary during your daily activities.

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Protecting Your Back


Helps with Healing Reduces Pain Decreases Chance of Re-injury

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Overview
Who Has Back Pain? Anatomy and Mechanics Causes of Back Pain Functional Activities
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Back Problems Are Common


80% to 90 % of population has back pain at some point 20% to 30% at any given time Leading cause of disability under age 45
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Result of Back Injuries


Pain Lost Wages Medical Expense Emotional Stress Short or Long Term Disability
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Common Factors in Back Injuries and Pain

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What We Do To Ourselves

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A Single Injury or Event is Rarely the Cause of Back Pain


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A single injury is rarely the cause

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Much back pain is the result of repeated inefficient motion and repetitive physical stress during daily activities
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A single event is rarely the cause of back pain

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How Do We Avoid This Repetitive Stress?

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Learn To Protect the Back When Necessary During Various Activities


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Neutral Spine
The Position of Least Physical Stress Protection on Demand

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cervical spine thoracic spine

lumbar spine Sacrum/coccyx

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The ability to use a neutral position reduces the repeated stress that is placed on the back

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There are no replacement body parts for the spine and even if there were they wouldnt be as good as the original parts in good condition
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Basic Anatomy
How Does Your Back Work?
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Anatomical Components
Bony Vertebra Joints - Allow Movement Disc - Shock Absorption Ligaments - Support Nerves - Communication Muscles - Cause Movement
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Integrated structure and function

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The Degenerative Process

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Spinal Nerves

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Disc Disruption

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Muscles used to stabilize the spine

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When you bend forward, the muscles become inactive


When muscles contract, they produce an electrical signal Once the back muscles are stretched during bending, they no longer generate this signal

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STRESS!
Flight or Fight Response

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Results of Stress
Increased Pain Increased Fatigue Increased Irritability Increased Muscle Tension
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The Effect of Different Positions

On the Back

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Intradiscal pressure in a variety of postures

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Your Mother Was Right! Posture Is Important


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Functional Activities or How To Do The Stuff You Have To Do


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Sitting

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How Is The Pelvis Like a Ball? It Will Roll Downhill

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Improper Body Utilization

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Getting In and Out of Bed

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Getting Out of Bed - Step 1

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Getting Out of Bed - Step 2

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Lifting Reaching Carrying


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Key Components
Base of Support Weight Shift Neutral Spine
Protection on Demand
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BASE OF SUPPORT
Provides for stability and balance

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A Wide Base of Support Provides More Stability

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WEIGHT SHIFT
Allows more efficient body use

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NEUTRAL SPINE
Protection on Demand Awareness Coordination Strength

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Keep the load close to the body

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Inappropriate rotation of the spine

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Proper transfer - Step 1

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Proper transfer - Step 2

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improper vacuuming technique

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proper vacuuming technique

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EXPLODING COMMON MYTHS ABOUT BACK PAIN

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It will eventually go away These pills will fix it Bed rest will fix it Surgery will fix it Chiropractic will put it back in place It must be normal because so many people have it
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Any Questions?

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