A phased rehabilitation protocol for athletes with lumbar intervertebral disc herniation.
Conservative non-surgical management of a herniated lumbar intervertebral disc (HLD) in athletes is a complex task due to the dramatic forces imparted on the spine during sport participation.
This clinical commentary proposes a framework for rehabilitation built around the phases of healing of the disc. Phase I: Non-Rotational/Non-Flexion Phase (Acute Inflammatory Phase), Phase II: Counter rotation/Flexion Phase (Repair Phase), Phase III: Rotational Phase/Power development (Remodeling Phase), and Phase IV: Full return to sport. This clinical commentary provides a theoretical basis for these phases based on available literature and reviewing popular current practice trends in the management of an HLD.
The authors recognize the limits of any general exercise rehabilitation recommendation with regard to return to sport, as well as any general strength and conditioning program. It is vital that an individual assessment and prescription is made for every athlete which reviews and addresses movement in all planes of motion under all necessary extrinsic and intrinsic demands to that athlete > From Van Gelder et al., Int J Sports Phys Ther 8 (2013) 482-516. All rights reserved to the American Physical Therapy Association’s Sports Physical Therapy Section (SPTS).
Read the free full text article for more information.