Rehabilitation after a surgery is a science and an art. The science of rehabilitation relies on a firm understanding of the body’s normal response to injury and trauma. The art of rehabilitation rests in the clinician’s ability to interpret the individual patient’s unique signs and symptoms. The ability to formulate a plan of care that maximizes an individual’s healing potential relies on the ability to blend the science and the art of rehabilitations.
Phase I (First week)
- Protection of incision site.
- Proper sitting, sleeping, standing and walking.
- Avoid holding positions for prolonged periods and avoid all lumbar flexion. (bending using hip hinging and neutral spine method).
- Walk daily with gradual increase in the duration and speed.
Phase II (week 2 –week 3)
- Progress walking program to 20 – 30 minutes.
- Supine pelvic rocks.
- Abdominal bracing.
Phase III (week 4 – week 6)
- Push – ups
- Unsupported dying bug
- Prone alternating leg raises to prone double – leg raises
- Double leg bridging
- Partial sit – ups
- Side – lying double- leg raises
- Progress aerobic conditioning (walking, swimming) to 30 to 60 minutes
Phase IV (week 7 – week 12)
- Push- ups
- Prone “superman”
- Dying bug with weights
- Partial sit- ups with rotation
- Side- lying double leg raises with weights