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Table 1 Spine mobilizing exercise protocol

From: Optimizing treatment protocols for spinal manipulative therapy: study protocol for a randomized trial

Activity Description Initial dose Goals for progression
Mid-range spinal mobility exercises • Supine pelvic tilts to promote lumbar flexion/extension
• Quadruped rocking into lumbar flexion/extension
• Supine to side lying rotational mobilizations
• Sitting rotational mobilizations
• Flexion/Extension
10–20 repetitions each direction performed daily (each exercise) Full, pain-free ROM, progress to 40 repetitions throughout the day
Exercises specifically into spinal flexion • Supine pelvic tilt
• Quadruped rocking into lumbar flexion
• Double knee-to-chest while supine
• Standing flexion
• Seated flexion
• Self-mobilization into flexion
10–20 repetitions performed daily (prescribe 2 exercises) Full, pain-free ROM, progress to 40 repetitions throughout the day
Exercises specifically into spinal extension • Supine pelvic tilt
• Quadruped rocking into lumbar flexion
• Supported on elbows while prone 30 s
• Prone press-ups to extended elbows
• Prone press-ups to extended elbows with exhale
• Extension while standing
• Extension in standing with self over pressure
10–20 repetitions performed daily (prescribe 2 exercises) Full, pain-free ROM, progress to 40 repetitions throughout the day