1.The methods and data provided in this program are formulated according to the general routine, and the specific implementation needs to be completed under the guidance of your attending physician depending on the characteristics of your own condition.
2, the recovery of the lumbar spine after surgery varies greatly due to individual differences and the severity of the disease, it is difficult to predict the time of your recovery and the degree of recovery, you need to be prepared to adhere to the exercise of the mind for a long time, to make the rehabilitation exercise life habitual, can complete the action in life should be completed as far as possible by themselves, not all rely on the help of others.
3, rehabilitation exercise process some pain is inevitable, these pain generally in the exercise stop half an hour can subside, will not cause damage to the tissue.
4, muscle strength exercise should be concentrated on each group of muscle exercises until the muscle has a sense of soreness and fatigue, and then proceed to the next group after sufficient rest. The number of exercises p time p load according to their own conditions to adjust, but must be muscle soreness and fatigue. Too little to achieve the effect, too much to cause muscle damage. Muscle exercise should be careful to keep breathing evenly, not to hold your breath.
5, lower limb exercises, both legs should be carried out, not only practice poor muscle strength side, otherwise the lower limb muscle strength can not reach balance, there is a risk of falling and other accidents in the bed activities, resulting in new injuries.
Correct turning and rising movements:
The correct turning movement after lumbar spine surgery is essential to avoid re-occurrence of the disease and must be strictly ensured! The action of “overall turning” should be adopted, that is, before turning over (taking turning over to the left as an example), straighten the left leg first, flex the right leg as much as possible, stir the right foot on the bed, and reach the right hand to the left side of the body to grasp the edge of the bed, etc. The right hand and the right leg are simultaneously fired to the left, and the spine must be kept in a straight line when turning over, without bending and rotation, to complete the overall turning action.
Correct sitting up movement (and standing) after lumbar spine surgery: sit up time is decided according to different surgical conditions and should never be attempted on your own! After proper turning, start in the lateral position and use the strength of one arm to hold the body up until sitting, and the spine must remain in a straight line throughout the process without bending or rotating.
These methods can be early with the help of family members, holding the waist and back behind the patient to assist in the completion of turning movements, and skilled roar to complete on their own.
After a period of bed rest, the first time down, due to postural redistribution of blood flow, will produce dizziness, nausea, and even some people black in front of the eyes and other abnormal feelings, is a normal phenomenon, family members should pay attention to protect against falls and other accidents. Gradually increase the time of standing and walking, and it will be relieved in a few days.
Abdominal breathing.
To promote gastrointestinal peristalsis and maintain normal bowel function. During the period of bed rest after lumbar spine surgery, 1 – 2 minutes of abdominal breathing should be done every hour. That is, slow and forceful deep breathing, contracting the abdominal muscles when inhaling, and forceful “tummy” when inhaling. Further difficulty can be increased, as hard as possible to complete without causing significant wound pain.
Functional rehabilitation exercise method
In the early stage of postoperative functional exercise, static exercises (no joint movement, maintaining a certain posture until muscle fatigue) are the main exercises. Gradually increase the endurance exercises with small loads, i.e., choose light loads (the amount of load to complete 30 movements that is fatigue), 30 times/group, 30 seconds rest between groups, 2 – 4 groups of continuous exercises, until fatigue.
The first and second day after surgery:
1. Ankle pump exercises: forceful, slow, full range of flexion and extension of the ankle joint, 5 minutes/group, 1 group/hour. (Important for promoting circulation, decreasing swelling and maintaining nerve control)
2.Passive fire active straight leg raising exercise: supine position, early preferably operated by medical staff to complete passive straight leg raising action (>70 degrees is normal) while performing micro-motion stretching. Discharged with the help of family members 2 – 3 times/day. Violence is prohibited and pain should be within the tolerable range.
Third postoperative day.
1, abdominal muscle isometric contraction: supine position, upper body lift force in the forward and upward direction (but only abdominal muscle force, not to cause action), abdominal muscle tightness, lumbar downward pressure on the bed. 50 – 100 / day.
2, lumbar back muscle isometric contraction exercises: supine position, do jerking action, but as long as the lumbar muscles force, may not cause action! Feel the contraction of the lumbar back muscles can. 50–100 times/day.
Postoperative week exercises.
1. straight leg lift exercise: straight leg lift after knee extension to heel 15CM from the bed, hold until exhaustion for 1 time, 5 – 10 times/group, 2 groups/day. If you can easily complete, use pillow sandbags and other heavy objects to increase the difficulty of the load.
2. standing and balance exercises: under the protection of the feet apart, shoulder width, toes are forward, lower limbs and lumbar abdominal muscles contraction, efforts to control the body upright posture, maintain balance. In the control of the body balance within the range of alternate front and back left and right to move the center of gravity. Strive to achieve full weight-bearing standing on one leg by moving to one side. 5 – 10 minutes/time, 2 times/day.
Two weeks or six weeks after the operation (depending on the operation and the degree of stability)
1. “Double bridge exercise”: lie on your back, bend your legs, put your feet flat on the bed, stir up with force, make your buttocks leave the bed, straighten your body as much as possible and keep your balance. Hold for 10 seconds, 10 seconds hold / time, each interval of 5 seconds, 10 – 20 times group, 2 – 4 groups / day.
2, “swallow” back muscle exercises: lying prone on the bed, behind the hands, legs together, waist force, so that the head and legs at the same time lift off the bed. Under painless conditions, keep the force exhaustion for 1 time, 5 times / group, 2 – 3 groups / day.
3, “recoil” abdominal exercises: supine, hip flexion and knee flexion, feet flat on the bed fixed body. Hands up, fingertips toward the ceiling, upper body lift contraction of the abdominal muscles so that the shoulders off the bed (not bending!). . Keep the force exhaustion for 1 time without pain, 5 times / group, 2 – 3 groups / day.
Precautions in daily life.
1, long sitting posture, the waist should be padded with a small soft cushion after the waist to maintain the forward convex position of the waist (waist straight posture).
2, should not work for a long time bent over, if necessary, the knees should be bent to reduce the height of the body.
3.When bending down to pick up something, you should bend your knees and squat to pick it up and stand up with leg strength, not bending down with waist strength.
While performing functional exercises, you must pay close attention to whether the symptoms change, if the symptoms worsen, it may not be suitable for the above exercise methods. You must consult with your primary care physician in a timely manner to avoid serious adverse consequences.