The  Core Spinal Fitness Systems™ Get Strong to the Core
What is The Core Spinal Fitness System? A  medically proven  solution for back and neck pain
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.
In less than 20 minutes per day, twice a week,  you may prevent or  eliminate back pain for the rest of your life!
Serious Inner Strength™ Strength Stability Flexibility Endurance The Four Components of Core Strength:
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.
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 .
More Benefits of Stronger Torso 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.
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.
 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 ” All chronically disabled low back pain  patients have one major problem in common: because of pain, they have stopped using their backs .
Recommendations for Reconditioning the Back Common diagnostic and therapeutic procedures of the lumbosacral spine.  Spine: 16, 1991 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 From the North American Spine Society's Ad Hoc Committee  on Diagnostic & Therapeutic Procedures
Why does the treatment of back pain get so expensive?
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
“ Traditional” Treatment for  Chronic Low Back Pain Bed rest Passive-modality therapy Stretching (home exercise) Polatin, P.  The functional restoration approach to chronic low back pain.  J Musculoskel Med: 7, 1990  Medications Back school Pain clinic
Trunk Rotation Trunk Extension Hip Extension Curl Up Typical Home Exercise Program for the Low Back
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
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™
Until MedX developed their patented restraint systems, there was never an effective way to isolate and strengthen the muscle of the spine. MedX Develops Revolutionary Restraint Systems
The lower spine must be  isolated by anchoring the pelvis  to remove  forces produced by muscles of the hips and thighs . The MedX Lumbar Extension Was Based On:   Pelvic Stabilization
No vertical, horizontal or rotational movement  of the pelvis is possible. This eliminates hip extensor contributions to during exercise. Pelvic Restraint System
Isolated Lumbar Function 72°
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 capabilities Now health clubs, medical professionals and golf courses can offer this amazing technology to their members and patients Evolution of the Core Spinal Fitness Systems™
The Core Lumbar Strength Machine
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.
The Core Ab Isolator, 4 Way Neck,  Super Stretch, & Torso Rotation
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
University of Florida Research 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
University of Florida Research 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
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. Arc Phys Med Rehabilitation Vol 80 No 1 1999
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
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
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.
Surgical Intervention Western Energy Co . One  scheduled  surgery was avoided Estimated Savings:  $149,000 Mooney, V, et. al. Journal of Occupation Rehabilitation: Vol. 5, No. 3, 1995.
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)
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)
Reported by Thomas E. Dreisinger, Ph.D., Prevention First, Minneapolis, MN, at the Spine Symposium 1998 in San Diego, California.   Airline/Prevention First Back 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.   Back Strengthening Results Minneapolis 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.
L2-L3 L5-S1 53 Year Old Female with 5  Month History of  Low Back Pain
Extensive fatty infiltration Lumbar Muscles Before & After Isolated Exercise 16 Exercise Sessions Later… Significant muscle hypertrophy, and decrease in fatty infiltration
The same principles of strengthening are true for the cervical spine as well. Highland et al, Spine: 1992
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.
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 2 nd  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.
Forces of Activity Muscular Strength Strong Back = Healthy Back INJURY
Get Strong to the Core…  for the rest of your life! 20 minutes a day,  twice a week!   Get started TODAY!

Med X Core Spinal Systems

  • 1.
    The CoreSpinal Fitness Systems™ Get Strong to the Core
  • 2.
    What is TheCore Spinal Fitness System? A medically proven solution for back and neck pain
  • 3.
    What is TheCore 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 than20 minutes per 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 ofStronger Torso 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 astrong 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.
     Wasting oftrunk musculature Decrease in muscular and cardiovascular endurance Stiffness of ligaments and joints • sprains • strains • muscle spasms Avoidance of Activity The “Deconditioning Syndrome ” All chronically disabled low back pain patients have one major problem in common: because of pain, they have stopped using their backs .
  • 11.
    Recommendations for Reconditioningthe Back Common diagnostic and therapeutic procedures of the lumbosacral spine. Spine: 16, 1991 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 From the North American Spine Society's Ad Hoc Committee on Diagnostic & Therapeutic Procedures
  • 12.
    Why does thetreatment of back pain get so expensive?
  • 13.
    Common Back PainTreatments (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
  • 14.
    “ Traditional” Treatmentfor Chronic Low Back Pain Bed rest Passive-modality therapy Stretching (home exercise) Polatin, P. The functional restoration approach to chronic low back pain. J Musculoskel Med: 7, 1990 Medications Back school Pain clinic
  • 15.
    Trunk Rotation TrunkExtension Hip Extension Curl Up Typical Home Exercise Program for the Low Back
  • 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, ArthurJones, 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.
    Until MedX developedtheir patented restraint systems, there was never an effective way to isolate and strengthen the muscle of the spine. MedX Develops Revolutionary Restraint Systems
  • 19.
    The lower spinemust be isolated by anchoring the pelvis to remove forces produced by muscles of the hips and thighs . The MedX Lumbar Extension Was Based On: Pelvic Stabilization
  • 20.
    No vertical, horizontalor rotational movement of the pelvis is possible. This eliminates hip extensor contributions to during exercise. Pelvic Restraint System
  • 21.
  • 22.
    MedX designed theCore Lumbar Strength as a direct descendent The MedX Lumbar Extension Machine The Core Lumbar Strength is smaller and lacks the computerized testing capabilities Now 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 LumbarStrength Machine
  • 24.
    Since complete spinalhealth 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 AbIsolator, 4 Way Neck, Super Stretch, & Torso Rotation
  • 26.
    Medx technology isperhaps 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 OutcomesOf 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. Arc Phys Med Rehabilitation Vol 80 No 1 1999
  • 30.
    Clinical Research OutcomesOf 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 OutcomesIn 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 PainReduction 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 Intervention WesternEnergy 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 ResearchOutcomes 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 ResearchOutcomes (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.
    Reported by ThomasE. Dreisinger, Ph.D., Prevention First, Minneapolis, MN, at the Spine Symposium 1998 in San Diego, California. Airline/Prevention First Back 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.
  • 37.
    Reported by ThomasE. Dreisinger, Ph.D., Prevention First, Minneapolis, MN, at the Spine Symposium 1998 in San Diego, California. Back Strengthening Results Minneapolis 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.
  • 38.
    L2-L3 L5-S1 53Year Old Female with 5 Month History of Low Back Pain
  • 39.
    Extensive fatty infiltrationLumbar Muscles Before & After Isolated Exercise 16 Exercise Sessions Later… Significant muscle hypertrophy, and decrease in fatty infiltration
  • 40.
    The same principlesof strengthening are true for the cervical spine as well. Highland et al, Spine: 1992
  • 41.
    A Randomized ClinicalTrial 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 ClinicalTrial 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 2 nd 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.
    Forces of ActivityMuscular Strength Strong Back = Healthy Back INJURY
  • 44.
    Get Strong tothe Core… for the rest of your life! 20 minutes a day, twice a week! Get started TODAY!