Beginner Abdomen Sprain and Strain Rehabilitation

Pain at rest < 3/10 on Visual Analog Scale,Active ROM of trunk flexion within 50% of contralateral side,Transversus abdominis activation measurable via pressure biofeedback (>5 mmHg rise),Diaphragmatic breathing pattern established without compensatory strategies,Pelvic floor muscle contraction achievable in supine position,No reproduction of symptoms with gentle abdominal palpation

→ Advance to: Week 3

Pain-free functional movements (sitting up, standing),Rectus abdominis and obliques show adequate contraction without bulging or doming,Ability to maintain neutral spine during static contractions,Pressure biofeedback scoring >10 mmHg with TA contraction in crook lying,Pelvic floor contraction sustained for 5 seconds with proper breathing coordination,Diaphragm excursion adequate during forced breathing tasks

→ Advance to: Week 5

Full pain-free trunk active ROM in all directions,Bent-knee fall-out test negative for core compensation,Ability to maintain lumbar spine stability during upper extremity movements,Transversus abdominis demonstrates anticipatory activation during limb movement,Linea alba integrity maintained during load transfer activities,Thoracolumbar fascia shows proper tensioning during bridge variations

→ Advance to: Week 7

Plank hold sustained for 30 seconds without lumbar hyperextension,Curriculum test: 30 curl-ups with proper form,Side plank hold for 15 seconds each side,Bird-dog position maintained for 20 seconds per side,No pain with loaded flexion exercises up to 5 kg,Diaphragm function normal on respiratory strength testing

→ Advance to: Week 9

Plank hold for 60 seconds with optimal alignment,Ability to perform dead-bug exercise without lumbar compensation,Pallof press holds for 30 seconds per side,Woodchop pattern运动 completed without trunk rotation compensation,Pelvic floor muscle endurance >10 sustained contractions at 50% MVC,Return to basic functional activities without flare-up

→ Advance to: Week 11

Trunk rotation strength >85% of contralateral side,Chamberlain test performance at near-normal levels,No abdominal separation >2 cm on ultrasound during loaded tasks,Full return to activities of daily living without limitation,Core endurance battery test scores within normal limits,Patient-reported outcome measures show >50% improvement

→ Advance to: Week 12

Full pain-free participation in desired activities,All core stability tests demonstrate bilateral symmetry,Diaphragm and pelvic floor coordination optimal during high-demand tasks,No recurrence of symptoms with progressive loading,Functional movement screen core stability scoring acceptable,Patient discharged to independent maintenance program

→ Advance to: Maintenance