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Prevent excessive initial mobility or stress on the tissues avoid all exercises that reproduce or increase the pain avoid excessive lifting, twisting, or bending the lumbar spine for 6 weeks avoid preloading the spine in a posterior pelvic tilt avoid prone upper body extensions, or prone leg extensions until 8 weeks Sit to stand with hip hinge, hip rotator stretch for don/doffing shoes Pain control, wound care and promote healing via progression of mobility
Limit driving to short intervals < 30 min./time. For 4 weeks, avoid lifting >5# Rehab following lumbar fusion recovery from a lumbar fusion requires a disciplined rehabilitation program
Proper exercise selection and correct exercise technique can relieve pain and restore function
The main goal of rehabilitation is to promote strength of the back and abdominal muscles to support your spine All your exercises need to be done A randomized controlled trial protocol. Wean out of soft brace brace schedule
Instrumented fusion 0 to 3 weeks s/p surgery Wear hard shell and soft shell 3 to 6 weeks s/p surgery Wear soft portion of brace only 6 weeks Wean out of soft brace exercises within each category are to provide the clinician with examples based on evidence based research, but are not all inclusive
Avoid flexion rom and exercises
For 3 months, avoid rotation and extension beyond neutral Avoid rom at fusion level Avoid excessive loading and distraction
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