The Core Spinal Fitness Systems™

1. The Core Spinal Fitness Systems™ Get Strong to the Core

2. What is The Core Spinal Fitness System? A medically proven solution for back and neck pain

3. 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

4. In less than 20 minutesper day, twice a week, you may prevent or eliminate back pain for the rest of your life!

5. Serious Inner Strength™ • Strength • Stability • Flexibility • Endurance The Four Components of Core Strength:

6. 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

7. 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.

8. 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.

9. 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.

10. 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”

11. Recommendations for Reconditioning the Back From the North American Spine Society's Ad Hoc Committee on Diagnostic & Therapeutic Procedures • The goalof 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

12. Why does the treatment of back pain get so expensive?

13. 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 • Psychological Rx • Lumbar support/braces • Minor surgery • Dorsal column stimulators • Percutaneous discectomy • Laser discectomy • Major surgery • Laminectomy • Fusion • Iontophoresis • Work Hardening • Anti-gravity chair • Prolotherapy • TENS • Massage • Biofeedback • Ultrasound • Facet rhizotomy • Nerve root blocks • Craniosacral adjustment • Magnets

14. “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

15. Typical Home ExerciseProgram for the Low Back Curl Up Trunk Extension Hip Extension Trunk Rotation

16. 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

17. 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™

18. 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.

19. 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.

20. Pelvic Restraint System No vertical, horizontal or rotational movement of the pelvis is possible. This eliminates hip extensor contributions to during exercise.

21. 72° Isolated Lumbar Function

22. 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™

23. The Core Lumbar Strength Machine

24. 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.

25. The Core Ab Isolator, 4 Way Neck, Super Stretch, & Rotary Torso

26. 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

27. 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

28. 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

29. 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

30. 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

31. 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

32. 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.

33. 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.

34. 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)

35. Workplace Research Outcomes (con’t) 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)

36. 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.

37. 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.

38. 53 Year Old Female with 5 Month History of Low Back Pain L2-L3 L5-S1

39. Lumbar Muscles Before & After Isolated Exercise Extensive fatty infiltration 16 Exercise Sessions Later… Significant muscle hypertrophy, and decrease in fatty infiltration

40. The same principles of strengthening are true for the cervical spine as well. Highland et al, Spine: 1992

41. 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.

42. 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.

43. INJURY Forcesof Activity MuscularStrength Strong Back = Healthy Back

44. Get Strong to the Core… for the rest of your life! 20 minutes a day, twice a week! Get started TODAY!