Dr. Bivrell has attained advanced post-graduate training in
spinal rehabilitation as part of his focus on active care for his
patients. The goal of rehabilitation is to strengthen muscle groups
that have weakened because of imbalances that have been created over
time or from injury. The weakened areas are strengthened with a variety
of techniques that include floor exercises, gym ball exercises, and
wobble boards to activate or “wake up” the small muscles that stabilize
and support the spinal column. The principals of core stabilization are
also employed to strengthen the trunk and postural muscles. Our
treadmill and heart rate monitors can be used in order to assess a
patient’s aerobic capacity for safe and effective intensity levels.
Home versions of these exercises are demonstrated, reviewed for proper
form, and progressed to more challenging versions over time. Advice
about cardiovascular exercise (what type, duration, and intensity) and
the safe use of traditional exercise equipment in gyms are reviewed as
well. |

