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Back Pain Rehabilitation Program

Back pain is pain felt in the back, pain may be acute, sub-acute, or chronic depending on the onset.  The pain may originate from the muscles, nerves, bones, joints or other structures in the vertebral column. Depending on the region or the segments of the spine, pain may be: Cervical neck pain, thoracic (middle back pain) , lumbar ( lower back pain ) or coccydynia (tailbone or sacral pain).

Potential causes of back pain:

The most common cause of back pain is due to muscular cause which accounts for about 85% (muscle strain).

Another potential source of lower back pain is the synovial joints of the spine

There are several other potential sources and causes of back pain these include: Spinal disc herniation, degenerative disc disease or isthmic spondylolisthesis, osteoarthritis (degenerative joint disease), lumbar spinal stenosis, trauma and fractures

Other less common causes may include cancer, infection and inflammatory disease.

Back pain management goals

The management goals when treating back pain are to achieve maximal reduction in pain intensity as rapidly as possible, to restore the individual’s ability to function in everyday activities, to help the patient cope with residual pain, to assess for side-effects of therapy. For many, the goal is to keep the pain to a manageable level to progress with rehabilitation.

Back pain assessment & treatment

Not all treatments work for all conditions or for all individuals with the same condition. After consideration of the effects of the back problem on the individual physical function and the expected rate of recovery, different methods of assessment are considered.


Dar El Mona Emphasis on selecting the appropriate measurement tool according to the individual’s level of function. Also, the need to measure the individual performance under different environmental constraints


Dar el Mona state of the art Computer-based physical therapy systems (virtual reality) enable patients to maintain their attention and concentration while stretching and strengthening their physical capacities. In many of these new systems, the program operates by projecting patient’s current image onto a virtual environment presented on a screen. Then, the patient will perform a given set of exercises, prescribed by the therapist, which are aimed to ameliorate their physical abilities while having fun.


The recorded measurement data are shown on a computer system using image processing software. A comparison between different measurements is immediate

Dar El Mona‘s robotic- and computer aided rehabilitation device helps in the prevention, rehabilitation and training of Back pain problems.

  • The range of motion and the strength profiles of the spine-stabilizing musculature are measured in all anatomical main plains. Thus mobility and strength deficits and imbalances are identified. On the basis of these results a specific, highly efficient training (maximum strength, strength endurance, strength coordination and mobility training) of the sensory motor systems of the lumbar spine can be created. Thereby existing muscular imbalances and performance deficits are eradicated and the natural mobility and resilience of the spine reestablished and retained.
  • Measurement of the range of motion of the spine, especially in the thoracic and lumbar segments. The measurement can be conducted simultaneously or successively in the anatomic planes. That way, it is possible to objectify existing deficits of the range of motion, define treatment targets and document the recovery progress.
  • Execution of a specific training (treatment) of the sensory motor systems of the thoracic and lumbar spine joint motor function under isometric working conditions. The training aims at reducing existing muscular imbalances and deficits and at restoring and improving the natural range of motion and resilience of the spine in those segments, A complex test for the identification of functional imbalances and deficits only takes 15 minutes 3- dimensional computer-supported training for the muscles of the lumbar spine area, including the lateral and abdominal muscles.
  • 4D analysis permits rapid static and dynamic (functional) optical measurement of the human back and spine.
  • Radiation-free assessment of the back condition and operates without contact, suitable for adults and children.
  • Numerous clinical parameters for objective analysis of body statics, posture, scoliosis, and all forms of spinal deformities can be shown.
  • Determination of neuromuscular imbalances and deficits in the lumbar spine segment.
  • Targeted training to eradicate existing neuromuscular imbalances and deficits.
  • Conditioning of the musculature as precondition of the general stabilizing of the back and as basis for any further training.
  • Controlled activation of the autochthonic back musculature, initiated through instrumental proprioceptive neuromuscular facilitation (PNF).
  • Neuromuscular training through activating the balance analyzer.
  • Functional training through synergetic demand on the balance analyzer and the sensory motor systems of the lumbar, thoracic and cervical spine motor function.
  • Networking and storage of data for an efficient execution of tests, training and follow up.
  • A whole-body measurement method which unites several conventional back testing systems and saves the user a significant amount of time since all measurements are performed in a sitting position and it is not required to reposition the patient.
  • At Dar EL-MONA Creating an individualized plan of treatment for neurorehabilitation begins with a comprehensive assessment, which informs the development of a tailored individualized intervention strategy.
  • Each patient’s treatment plan is tailored to their specific needs, considering the severity of their condition, overall health, and rehabilitation goals. Continuous assessment and adjustment of the manual therapy techniques ensure optimal outcomes.