What  is  an  Accredited  Exercise  Physiologist  (AEP)?  

 •  Accredited  by  ESSA  (Exercise  &  Sports  Science  Australia)      This  enables  a  Medicare  Provider  Number,  Health  Fund  Rebates  &  registraFon  with  Workcover    /  DVA  as  an  Allied  Health  Provider.  

•  Specialising  in  prescripFon  of  exercise  &  movement  for  the  prevenFon  &  management  of  chronic  diseases  &  injuries.  Educate  paFents  to  manage  their  health  independently.  

•  Work  with  condiFons  such  as  lower  back  pain,  osteoarthriFs,  osteoperosis,  musculoskeletal  injuries,  heart  disease,  neurological  disorders.  

Role  with  Spine  Plus?    Ø To  provide  a  ‘bridge’  between  clinical  early  stage  rehabilitaFon  &  funcFonal  normalised  training  programs.    

Ø implement  an  individually  tailored  program  with  progression  of  rehabilitaFon  &  exercise  for  6-­‐12  week  post  surgical  paFents.  

Ø Assist  in  exercise  prescripFon  &  design  for  non-­‐surgical  paFents  with  chronic  back  pain.  

Ø Adapt  &  modify  exercise  prescripFon  to  paFents  also  restricted  by  other  chronic  diseases  &  injuries.    Ø Assist  paFents  with  any  addiFonal  follow-­‐up  programs  /  exercise  advice  out  of  clinic  where  required.    

Progressive  RehabilitaFon    

Core  &  FuncFonal  Strength  Exercises  

     

           

           

Progressive  RehabilitaFon:  Free  Weights    Exercise  opFons  to  avoid:    •   Incline  Leg  Press  •   Heavy  Olympic  Squats  &  Deadli[s  •   Military  Press  (overhead)  •   Ke]lebell  Swings  •   Back  Hyperextensions  •   Forward  Flexion  with  rotaFon    i.e.  Minimise  compression  &  lumbar  extension  based  strength  exercises.          

           

           

Progressive  RehabilitaFon      Advanced  Free  Weights  exercise  prescripFon  should  include  elements  of:    •   PropriocepFve  skills    •   Closed  KineFc  Chain    •   Global  Core  -­‐  combinaFons  of  shoulder,  pelvic  &  trunk  

 stability  •   Improved  postural  awareness  –  ‘recalibraFng  ‘                

           

Issues  to  consider  with  program  design:    •   Foot  drop  &  associated  instability  of  affected  leg  •   Compensatory  postural  changes  (eg.  Thoracic  Kyphosis  &  

 Forward    Head  posture)  •   Avoiding  full  extension  of  affected  leg  if  residual  nuerology  

 exists  •   Compensatory  gait  pa]erns  in  walking  program      

Some  Cardiovascular  CondiFoning  OpFons:    •   Walking  •   Cycling  •   Light  jogging  where  applicable  •   Pool  walking  /  hydrotherapy  •   Modified  swimming  –  reduce  excessive  lumbar  extension