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Back Education and FunctionalActivities Training Program
Back Education and FunctionalActivities Training Program
developed by
George W. Aaron, PT, MHS, OCS, MTC, CFMT
developed by
George W. Aaron, PT, MHS, OCS, MTC, CFMT
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There Is No Magic Cure!!There Is No Magic Cure!!
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Key Physcial Therapy ComponentsKey Physcial Therapy Components
Education Exercise
Functional Training
Education Exercise
Functional Training
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Primary ObjectivePrimary Objective
To enable you to protect yourback when necessaryduring
your daily activities.
To enable you to protect yourback when necessaryduring
your daily activities.
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Protecting Your BackProtecting Your Back
Helps with Healing Reduces Pain
Decreases Chance of Re-injury
Helps with Healing Reduces Pain
Decreases Chance of Re-injury
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OverviewOverview
Who Has Back Pain? Anatomy and Mechanics
Causes of Back Pain
Functional Activities
Who Has Back Pain? Anatomy and Mechanics
Causes of Back Pain
Functional Activities
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Back Problems Are CommonBack Problems Are Common
80% to 90 % of population hasback pain at some point
20% to 30% at any given time Leading cause of disability under
age 45
80% to 90 % of population hasback 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 InjuriesResult of Back Injuries
Pain Lost Wages
Medical Expense
Emotional Stress
Short or Long Term Disability
Pain Lost Wages
Medical Expense Emotional Stress
Short or Long Term Disability
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Common Factors
in Back Injuries and Pain
Common Factors
in Back Injuries and Pain
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What We Do To
Ourselves
What We Do To
Ourselves
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A Single Injury or Event is
Rarely the Causeof Back Pain
A Single Injury or Event is
Rarely the Causeof Back Pain
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A single injury is rarely the causeA single injury is rarely the cause
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Much back pain is the result of
repeated inefficient motionand repetitive physical stress
during daily activities
Much back pain is the result of
repeated inefficient motionand repetitive physical stress
during daily activities
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A single event
is rarely thecause of back
pain
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How Do We Avoid This
Repetitive Stress?
How Do We Avoid This
Repetitive Stress?
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Learn To Protect the
Back When NecessaryDuring Various Activities
Learn To Protect the
Back When NecessaryDuring Various Activities
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Neutral SpineNeutral Spine
The Position of LeastPhysical Stress
Protection on Demand
The Position of LeastPhysical 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 repeatedstress that is placed on the back
The ability to use a neutral
position reduces the repeatedstress that is placed on the back
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There are noreplacement body
parts for the spine -
and even if therewere
they wouldnt be as
good as the originalparts in good
condition
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Basic AnatomyBasic Anatomy
How Does Your
Back Work?
How Does Your
Back Work?
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Anatomical ComponentsAnatomical Components
Bony Vertebra Joints - Allow Movement
Disc - Shock Absorption Ligaments - Support
Nerves - Communication Muscles - Cause Movement
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 ProcessThe Degenerative Process
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Spinal NervesSpinal 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 you bend forward,
the muscles become inactive
When muscles contract, they producean electrical signal
Once the back muscles are stretched
during bending, they no longergenerate this signal
When muscles contract, they produce
an electrical signal
Once the back muscles are stretched
during bending, they no longergenerate this signal
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STRESS!Flight or Fight ResponseSTRESS!Flight or Fight Response
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Results of StressResults of Stress
Increased Pain Increased Fatigue
Increased Irritability
Increased Muscle Tension
Increased Pain Increased Fatigue
Increased Irritability
Increased Muscle Tension
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The Effect of Different Positions
On the Back
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
Your Mother Was Right!
Posture Is Important
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Functional Activitiesor
How To Do The Stuff
You Have To Do
Functional Activitiesor
How To Do The Stuff
You Have To Do
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SittingSitting
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How Is The Pelvis Like a Ball?How Is The Pelvis Like a Ball?
It Will Roll DownhillIt Will Roll Downhill
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Improper Body UtilizationImproper Body Utilization
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Getting In and Out of BedGetting In and Out of Bed
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Getting Out of Bed - Step 1Getting Out of Bed - Step 1
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Getting Out of Bed - Step 2Getting Out of Bed - Step 2
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Lifting
ReachingCarrying
Lifting
ReachingCarrying
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Key ComponentsKey Components
Base of Support Weight Shift
Neutral Spine
Protection on Demand
Base of Support Weight Shift
Neutral Spine
Protection on Demand
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BASE OF SUPPORTBASE OF SUPPORT
Provides for stability and balance Provides for stability and balance
A Wid B f S tA Wid B f S t
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A Wide Base of Support
Provides More Stability
A Wide Base of Support
Provides More Stability
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WEIGHT SHIFTWEIGHT SHIFT
Allows more efficient body use Allows more efficient body use
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NEUTRAL SPINENEUTRAL SPINE
Protection on Demand Awareness
Coordination
Strength
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 spineInappropriate rotation of the spine
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Proper transfer - Step 1Proper transfer - Step 1
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Proper transfer - Step 2Proper transfer - Step 2
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improper vacuuming techniqueimproper vacuuming technique
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proper vacuuming techniqueproper vacuuming technique
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EXPLODING COMMON MYTHSABOUT BACK PAINEXPLODING COMMON MYTHSABOUT 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
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?Any Questions?