The Core Spinal Fitness Systems™

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The Core Spinal Fitness Systems

• Get Strong to the Core

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What is The Core Spinal Fitness System?

• A medically proven solution for back and neck
  pain

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What is The Core Spinal Fitness System?

• A series of 5 patented exercise machines proven
  to target, isolate, and strengthen spinal muscles
  like no other equipment on the market today

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In less than 20 minutesper day, twice a week,
you may prevent or eliminate back pain for the
rest of your life!
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Serious Inner Strength
The Four Components of Core Strength

• Strength
• Stability
• Flexibility
• Endurance

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Where is My Core?

• It is the corset of muscles which support the
  integrity of the spine and hips.
• Over 29 muscles make up your core

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Why Muscle Matters
Medical evidence suggests that more than 80 of
all low back pain cases are caused by weak
trunk muscles, and not structural lesions.
Melleby, A. The Y's Way to a Healthy Back, 1982.
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More Benefits of StrongerTorso Muscles

• Spine is able to withstand greater axial
  compression
• Extension unloads the disc and allows fluid
  influx for proper nutrition
• A strong relationship exists between lumbar
  extensor strength and maximal lifting loads

Jackson and Brown. Analysis of current approaches
and a practical guide to prescription of
exercise. Clin Orthop Rel Res 179, 1983.
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Why is a strong back essential to my overall
health and well-being?

• Prolonged flexed postures are often associated
  with low back pain.
• Typically people with low back pain have
  decreased low back extensor strength
• Increasing back strength has been proven to
  relive pain, restore function and reduce the need
  for back surgery!

Jackson and Brown. Analysis of current approaches
and a practical guide to prescription of
exercise. Clin Orthop Rel Res 179, 1983.
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All chronically disabled low back pain patients
have one major problem in common
because of pain, they have stopped using their
backs.

• Wasting of trunk musculature
• Decrease in muscular and cardiovascular
  endurance
• Stiffness of ligaments and joints
  sprains strains muscle spasms

Avoidance of Activity
The Deconditioning Syndrome
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Recommendations for Reconditioning the Back

• From the North American Spine Society's Ad Hoc
  Committee
• on Diagnostic Therapeutic Procedures

• The goal of medical treatment for patients with
  low back pain must be to improve function, not
  merely to focus on pain.
• Must include exercises to improve flexibility,
  range of motion, strength, and endurance

Common diagnostic and therapeutic procedures of
the lumbosacral spine. Spine 16, 1991
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Why does the treatment of back pain get so
expensive?
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Common Back Pain Treatments(and why health care
costs are so high)

• Pills
• Electrical stimulation
• Acupuncture
• Acupressure
• Epidural injections
• Trigger pt injection (s)
• Vax D (super traction)
• Rest
• McKenzie
• Stretching
• Chiropractic
• Hypnosis
• Pain clinics

• Iontophoresis
• Work Hardening
• Anti-gravity chair
• Prolotherapy
• TENS
• Massage
• Biofeedback
• Ultrasound
• Facet rhizotomy
• Nerve root blocks
• Craniosacral adjustment
• Magnets

• Psychological Rx
• Lumbar support/braces
• Minor surgery
• Dorsal column stimulators
• Percutaneous discectomy
• Laser discectomy
• Major surgery
• Laminectomy
• Fusion

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Traditional Treatment for Chronic Low Back Pain

• Bed rest
• Passive-modality therapy
• Stretching (home exercise)

• Medications
• Back school
• Pain clinic

Polatin, P. The functional restoration approach
to chronic low back pain. J Musculoskel Med 7,
1990
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Typical Home ExerciseProgram for the Low Back
Curl Up
Trunk Extension
Hip Extension
Trunk Rotation
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Limitations of Calisthenics-Type Exercises

• Increases in resistance are limited by
  constraints of body segment weight.
• Most free exercises fail to provide
  resistance through a full ROM.
• Often, specific muscles (i.e. lumbar
  extensors) cannot be exercised effectively
  due to the inability to isolate

Foster, D., and Fulton, M. Back pain and the
exercise prescription. Clinics in Sports
Medicine 10, 1991
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In 1972, Arthur Jones, CEO and Founder of
Nautilus Sports Medical Industries, began
developing medical exercise and testing tools
centered around spinal health. In 1986, MedX
introduced the Lumbar Extension Machine which has
become the Gold Standard of Treatment for
reducing chronic back pain and dysfunction
through specific spinal strengthening.
Evolution of MedX and the Core Spinal Fitness
Systems
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MedX Develops Revolutionary Restraint Systems
Until MedX developed their patented restraint
systems, there was never an effective way to
isolate and strengthen the muscle of the spine.
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The MedX Lumbar Extension Was Based On Pelvic
Stabilization
The lower spine must be isolated by anchoring
the pelvis to remove forces produced bymuscles
of the hips and thighs.
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Pelvic Restraint System
No vertical, horizontal or rotational movement
of the pelvis is possible. This eliminates hip
extensor contributions to during exercise.
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Isolated Lumbar Function
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MedX designed the Core Lumbar Strength as a
direct descendent The MedX Lumbar Extension
Machine The Core Lumbar Strength is smaller and
lacks the computerized testing capabilitiesNow
health clubs, medical professionals and golf
courses can offer this amazing technology to
their members and patients
Evolution of the Core Spinal Fitness Systems
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The Core Lumbar Strength Machine
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Since complete spinal health requires more than
just strong lumbar extensor muscles, MedX
designed FOUR complimentary exercise machines
that work all the muscles supporting the spine.

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The Core Ab Isolator, 4 Way Neck, Super Stretch,
Rotary Torso
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Medx technology is perhaps the most peer
reviewed, researched and published equipment for
the treatment of low back and neck pain in the
world. Articles documenting the validity and the
reliability of MedX equipment can be find in many
scientific journals including

• Spine
• Physical Therapy
• American Journal of Sports Medicine,
• Archives of Physical Medicine Rehabilitation
• Medicine and Science in Sports and Exercise

• Journal of Musculosketal Medicine
• Sports Medicine
• Orthopedics
• Journal of Occupational
  Rehabilitation
• Journal of Workers Compensation

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University of FloridaResearch Outcomes

• MedX lumbar extension rehabilitation results in
  significant improvements in strength with chronic
  low back patients.
• Increases in lumbar extension strength are
  positively associated with decreased pain and
  increased physical and psychosocial functioning.
• Risch et al., Spine 18, 1993

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University of FloridaResearch Outcomes

• Effects of Isolate Lumbar Extension Resistance
  Training on Bone Mineral Density of the Elderly
• Showed increases in bone mineral density in the
  subjects that trained on the MedX Lumbar
  Extension
• Presented at the American College of Sports
  Medicine Annual Meeting 1992

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Clinical Research Outcomes

• Of 38 people recommended for back surgery, 92
  avoided surgery by using the Lumbar Extension
  Machine. The estimated savings to the insurance
  community was over 4 million dollars.
• Arc Phys Med Rehabilitation Vol 80 No 1 1999

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Clinical Research Outcomes

• Of 895 patients with chronic low back, 627
  completed the isolated low back strengthening
  program
• Average duration of symptoms 26 months
• Patients had an average of 6 previous clinical
  interventions (including surgery)
• 47 were workers compensation patients
• 89 previously failed a supervised exercise
  program
• Orthopaedics Vol 18 No 10 1995

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Clinical Research Outcomes

• In a study using the Lumbar Extension Machine, of
  627 people with chronic back pain
• 76 reported good to excellent results
• 93 reported improvement in function
• 94 reported maintaining all of their improvement
  one year later
• Orthopaedics Vol 18 No 10 1995

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Low Back Pain Reduction Western Energy Co.

• 90 of participants initially reported mild to
  severe low back pain. After 6 months of training
  1 time per week
• 80 reported reduction in pain
• 40 were pain-free within 3 months of training
• Mooney, V, et. al. Journal of Occupation
  Rehabilitation Vol. 5, No. 3, 1995.

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Surgical InterventionWestern Energy Co.

• One scheduled surgery was avoided
• Estimated Savings 149,000
• Mooney, V, et. al. Journal of Occupation
  Rehabilitation Vol. 5, No. 3, 1995.

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Workplace Research Outcomes

• Following a 1 time per week strengthening program
  on the Lumbar Extension Machine, workers
  reported
• 104 increase in strength
• 82 reduction in injury rate
• 97 reduction in medical liability costs
• J Occupational Rehabilitation Vol 5 No 3 1995
• (Western Energy Company Colstrip, Montana)

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Workplace Research Outcomes (cont)

• The average Workers Compensation liability
  dropped from 14,430 per month to 380 per month
• The significant increase in strength associated
  with the exercise program correlated with the
  greatly reduced incidence of back claims.
• J Occupational Rehabilitation Vol 5 No 3 1995
• (Western Energy Company Colstrip, Montana)

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Airline/Prevention FirstBack Program

Annualized total cost per employee for back
injuries 4,883.30 Employees NOT
exercising 206.47 Employees performing
low back exercises Airline saving 4,676.87 per
year for every employee exercising.
Reported by Thomas E. Dreisinger, Ph.D.,
Prevention First, Minneapolis, MN, at the Spine
Symposium 1998 in San Diego, California.
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Back Strengthening ResultsMinneapolis Paramedics

• 39 strength increase in 24 weeks.
• 84 fewer injuries among exercisers
  compared to control group.
• Zero lost/restricted work days among
  exercisers compared to 64 among controls.
• Direct costs were 145 in the exercise group
  versus 16,471 among the controls.

Reported by Thomas E. Dreisinger, Ph.D.,
Prevention First, Minneapolis, MN, at the Spine
Symposium 1998 in San Diego, California.
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53 Year Old Female with 5 Month History of Low
Back Pain
L2-L3
L5-S1
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Lumbar Muscles Before After Isolated Exercise
Extensive fatty infiltration
16 Exercise Sessions Later
Significant muscle hypertrophy, and decrease in
fatty infiltration
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• The same principles of strengthening are true for
  the cervical spine as well.
• Highland et al, Spine 1992

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A Randomized Clinical Trial of Exercise Spinal
Manipulation for Chronic Neck Pain

• Chronic neck pain patients were randomized into 3
  groups
• 1. Chiropractic Only
• 2. Chiropractic plus aggressive exercise
• 3. Aggressive exercise only
• G Bronfort, DC, PhD, Roni Evans, DC, BW Nelson,
  MD, PD Aker, DC, MSc,
• CH Goldsmith, PhD, H Vernon, DC. Spine 26 (7)
  788-799. June 2001.

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A Randomized Clinical Trial of Exercise Spinal
Manipulation for Chronic Neck Pain

• Of the six outcome measures, the aggressive
  exercise only patients were rated the best in
  four, tied for the best in one, and came in 2nd
  in another.
• Chiropractic alone finished last in all outcome
  categories.
• G Bronfort, DC, PhD, Roni Evans, DC, BW Nelson,
  MD, PD Aker, DC, MSc,
• CH Goldsmith, PhD, H Vernon, DC. Spine 26 (7)
  788-799. June 2001.

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Forcesof Activity
MuscularStrength
Strong Back Healthy Back
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Get Strong to the Core for the rest of your
life!

• 20 minutes a day,
• twice a week!
• Get started TODAY!