New Element Training (NET) spinal rehabilitation program.

This is a program which includes physiotherapy assessment and treatment working in conjunction with the spinal and peripheral MedX equipment.

We use the MedX spinal computerized assessment and strengthening machine with all our spinal conditions as this is a proven system that works on localizing the deep muscles of the lumbar spine. Multifidus is a deep muscle which functions together with abdominals and pelvic floor muscles to stabilize the low back and pelvis during functional activities. In chronic spinal conditions these muscles may become inhibited and prevent full recovery of a back problem.

MedX spinal treatment is used both for acute and chronic low back pain.

Working with the physiotherapist you will be assessed and tested on the spinal MedX back extension machines for approximately 1 hour and testing will include both static and dynamic performance. The physiotherapist will put you through resisted range of motion and determine the correct weight for you to work with.

A 12-session program after the assessment will include weekly supervised spinal MedX back extension exercises to increase your local back muscle strength and hands on therapy with the physiotherapist. Use of other MedX machines if needed for your condition. These would include the spinal rotation, chest and other general back machines.

How MedX LE works:

MedX LE with Theo Smith

When you have chronic low back pain, your back muscles typically are in spasm, preventing your back from moving smoothly. When you use the MedX LE machine, you are ‘forced’ to move your lower back. This movement can actually feel good, just like if you hurt your elbow or knee, you move it back and forth to help ‘work it out’.

The movement your low back goes through on the MedX LE machine helps increase your range of motion, the amount your back is able to move. This movement stimulates the pumping of fluids into your spinal discs and helps lubricate your joints. All of these factors can help your body naturally heal injured spinal tissue and relieve back pain.

The MedX LE machine isolates your lumbar extensor muscles by tightly holding your legs and pelvis in a position that eliminates them from the movement (Fig. 2).  This ultimately forces your deep back extensor muscles to do all the work. By isolating these muscles, they quickly regain lost strength and most people feel relieved of their low back pain.

The key in strengthening the deep back extensor muscles is eliminating the stronger gluteal (buttocks) and hamstring (rear thigh) muscles from the movement chain. This can be achieved through MedX’s proprietary pelvic stabilization system (Fig. 2).

When using a chain of muscles the body will use the stronger muscles first. Therefore any lower back exercises that rotate the pelvis (Fig. 1) are more of a gluteal and hamstring exercise and do nothing to strengthen the deep back extensor muscles.  However, when the pelvis is properly stabilized and neutralized from the movement, we can directly target the small muscles of the spinal column (Figs. 2-3).