MSK Rehabilitation Programs
MSK Rehabilitation Programs
Evidence-based therapeutic exercise protocols for musculoskeletal rehabilitation, designed for clinical implementation and patient education.
Overview
Our lab develops standardized, progressive rehabilitation protocols for common musculoskeletal conditions. Each program is designed as a structured video-based patient education series with clear progression criteria, enabling consistent clinical delivery and home exercise adherence.
The programs emphasize a "form before intensity" philosophy — patients must demonstrate tissue tolerance, pain control, and movement accuracy before advancing to the next phase.
Active Programs
Rotator Cuff Rehabilitation Program
A comprehensive protocol for rotator cuff pathology rehabilitation:
| Phase | Focus | Key Exercises |
|---|---|---|
| Phase 1: Mobility | Pain control, scapular mobility | Scapular mobilization, clavicle mobilization, wall clock exercises |
| Phase 2: Activation | Scapular stabilizer strengthening | Trapezius, serratus anterior activation, scapular posterior tilt training |
| Phase 3: Strengthening | Progressive resistance | Rotator cuff strengthening, functional integration |
Core Concept — Shoulder Hygiene: Proper scapular posterior tilt positioning as a daily habit to prevent impingement and promote optimal shoulder mechanics.
Lumbar Spine Rehabilitation Program
A phase-based protocol for lumbar spine disorders:
| Phase | Focus | Key Exercises |
|---|---|---|
| Phase 1: Pain Control | Posture education, core activation | McKenzie extension (stages 1-4), lumbar lordosis positioning |
| Phase 2: Stabilization | Core endurance, motor control | Neutral spine training, hip hinge mechanics |
| Phase 3: Functional | Dynamic stability, return to activity | Progressive loading, functional movement integration |
Target Population: Patients with NRS ≥ 5 pain during activity.
Progression Criteria
All programs use a standardized 3-point checkpoint system before advancing stages:
| Checkpoint | Criteria |
|---|---|
| Tissue Tolerance | No inflammatory signs, adequate tissue healing |
| 24-Hour Pain Rule | Post-exercise pain does not increase by next day |
| Movement Accuracy | Correct form and motor control demonstrated |
Clinical Implementation
- Format: Video scenario scripts with narration and visual demonstrations
- Delivery: In-hospital face-to-face education + home exercise materials
- Platform: MSK8REHAB Exercise Programs
- Documentation: Standardized protocol documents for clinical staff training
Related Publications & Presentations
| Year | Topic | Context |
|---|---|---|
| 2023 | Manipulation techniques in rehabilitation | KARM Summer Continuing Education |
| 2023 | Self-Exercise Therapy for Rheumatic Diseases | Korean College of Rheumatology |
| 2024 | Flexibility exercise methodology | KAPM Spring Conference |
| 2025 | Cancer pain assessment and management | Korean Society of Cancer Rehabilitation |