1.Based on your knowledge and understanding of the mechanisms of the lumbar spine and the healing mechanisms of soft tissue and bone, develop a comprehensive rehabilitation program (critical pathway, criterion-based rehab program) for a patient with an extruded disk at L4-L5. Which activities would you recommend during the acute phase of recovery? Which positions would you encourage and discourage? Identify and list four general objectives for the care of a patient with an HNP. During each phase of recovery, recommend specific restrictions, agents to aid in pain and swelling management, alterations in body mechanics, flexibility exercises, aerobic fitness, strength training, and balance and proprioception drills. Assuming this patient is a manual laborer who is required to lift boxes from the floor and place them on a truck, what specific ergonomic modifications would you recommend? Is back school an option? If so, list the components of a comprehensive back school program. If this patient sits at a desk all day, what ergonomic design modifications would you recommend?
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