Extension exercises for neurological claudication

[bobbypt]

hi....there is a test called von glenderen test(commonly known as bicycle test). this test basically helps relieve from pain(neurological) when one rides a stationary bicycle with spine flexion posture. the stenosis is relieved and patient feel comfortable. If this test is positive....never give any extension exercises past neutral...however, multifidus can be exercised by slight extension to neutral. Abdominal exercises are the best resources...hope this helps!!!!

[jesspt]

I don't know why you would want to give extension exercises if a patient has claudication from stenotic changes in their lumbar spine. The risk of exacerbating their symptoms seems likely, to me.