West Los Angeles, California: VA Medical Center: Physical Medicine & Rehabilitation Services (PM&RS) Department, Wellness Clinic, Back School & Lumbar Stabilization Program, Amputee Clinic
PROGRAM DESCRIPTION: Within the Physical Medicine & Rehabilitation Services Department we offer a Back School Program and an advanced Lumbar Stabilization Class for Veterans suffering from chronic back and neck pain. The purpose of the Back School Program is to educate patients on the proper use and care of the back. This program may be used for prevention of injuries, as well as rehabilitation. The Therapists in the Wellness Clinic cover topics such as the multiple causes of chronic low back pain including: poor posture/muscular imbalance, improper lifting/body mechanics, strength and flexibility of the key musculature involved with the back, adhesions or scar tissue aka trigger points restricting flexibility and muscular strength, stress and poor diet/reduced nutrients to support healthy joints.
The Back School program is once a week and concentrates on back education such as anatomy of the spine and related musculature, correct body mechanics, posture and then progressing to beginning stretching and strengthening exercises of the back. We commonly see between 10-15 Veterans each week for this program.
The Lumbar Stabilization class is 2x/week for 4 weeks and emphasizes the importance of back stabilization exercise, intermediate stretching/strengthening exercises, postural analysis, correction of postural deficits and practical application of body mechanics. We generally see between 8-10 Veterans each class.
The Veterans attending these programs are unfamiliar with how to attain and maintain a ìneutral spineî during stretching and strengthening exercises. Since the introduction of the AB-Inforcer Core Biofeedback training system, we have seen a vast improvement in the number of patients independently demonstrating proper spine stabilization, posture and body mechanics within our program. Without the physical biofeedback from the AB-Inforcer, patients find it difficult to understand (from a verbal description) how to mobilize the pelvis and maintain abdominal bracing throughout the exercises.