Clinical Research Directory

Before starting the exercise, patients will be taught to reduce the lumbar lordosis by contracting and drawing in the abdominal muscles and to find the 24 lumbar and pelvic neutral position by moving the pelvis forwards and backwards (pelvic tilt, bridge, bird-dog and plank etc.). In each session, the neutral position will be found first and attention will be paid to maintain the neutral position throughout the exercise. In addition, core stability exercises including simultaneous contractions of the multifidus and pelvic floor muscles will be given in different positions such as supine, prone, crawling, bridge, kneeling, sitting and standing. The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, patients will be asked to maintain the neutral curvature of the lumbar spine, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition.

The exercise will consist of movements in all directions of thoracic spine flexion, extension, lateral flexion, and rotation. In the thoracic spine extension exercise, both hands will be locked behind the wrists and the back will be placed on a foam roller with the feet positioned 25 flat on the floor. The knee will be maintained at 90° to perform the extension exercise on the foam roller. The hands will be locked with the elbow on a chair. After kneeling, the hip will be moved toward the heels to extend the thoracic spine. In the thoracic spine flexion exercise, the thoracic spine will be flexed by moving backward until the hip touched the heels in a quadruped position.The rotation exercise will be conducted with patients lying on their sides.The elbows will be straight and the palms will be held together. The leg facing the ceiling will be bent to the level of the stomach. Then, the arm facing the ceiling will be moved backward in a large arc to rotate the thoracic spine.

The patients will perform 8 different hip mobility exercises; reverse v-ups, butterfly, frog, internal rotation with foot rise, pike, revolved crescent lunge, pigeon, lunge on the knee. Each exercise will be performed for 2 sets of 20 seconds.