Belt Assisted Eccentric Curl Backs with Therapist Assist

  • The patient starts sitting upright with a belt wrapped around the balls of the feet.
  • The patient is instructed to slowly slump back as though they are trying to touch their spine to the table segmentally from below up (S1, then L5, L4 etc.).
  • The therapist uses manual contacts to the abdominals and also to the spine to bring sensory awareness to specific levels of the spine as the patient proceeds.
  • Emphasis is placed on posterior translation at each segmental level.
  • The patient is only allowed to roll back as far as they can while maintaining spinal flexion.
  • Once they can control segmental flexion eccentrically then they can roll all the way back to the table and then come back up using the belt to assist as needed.
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