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    Core Stability A Concept A Life Style

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    abdullah ashraf
    The document discusses core stability, including its definition, components that make up the core, clinical significance, the role of physiotherapists, and an evidence-based approach. It provides information on functional anatomy, biomechanics, and demonstrates core stability exercises.

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    Core Stability A Concept A Life Style

    Uploaded by

    abdullah ashraf
    4 views37 pages
    The document discusses core stability, including its definition, components that make up the core, clinical significance, the role of physiotherapists, and an evidence-based approach. It provides information on functional anatomy, biomechanics, and demonstrates core stability exercises.

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    1. Core Stability a concept a life style

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    The document discusses core stability, including its definition, components that make up the core, clinical significance, the role of physiotherapists, and an evidence-based approach. It provides information on functional anatomy, biomechanics, and demonstrates core stability exercises.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    4 views37 pages

    Core Stability A Concept A Life Style

    Uploaded by

    abdullah ashraf
    The document discusses core stability, including its definition, components that make up the core, clinical significance, the role of physiotherapists, and an evidence-based approach. It provides information on functional anatomy, biomechanics, and demonstrates core stability exercises.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 37

    LOGO

    Dr. Noman Ghaffar Awan, PT


    Senior Lecturer RCR & AHS, RIU

     DPT (KEMU), Mayo Hospital


    Lahore
     MS-SPT (RIU), Pakistan Sports
    Board
     CEO Physiotherapy & Pain Relief
    Clinic, Rex Medical Centre
     Content Creator
    CORE STABILITY; A concept A Life
    style
    AGENDA

     What is core stability?


     What make the core?
     Clinical significance?
     Physiotherapist and Core stability?
     Evidence based approach?
     Demonstration of the core stability
    exercises
    Core Stability
     ‘Core stability’ is defined as the ability
    to control the position and motion of
    the trunk over the pelvis to allow
    optimum production, transfer and
    control of force and motion to the
    terminal segment in integrated
    athletic activities.

    http://link.springer.com/article/10.2165/00007256-
    200636030-00001
    Different terminologies
     Dynamic lumbar stabilization
     Neutral spine control
     “Butt and gut”
     Motor control
     Neuromuscular training
     Neutral spine control
     Muscular fusion
     Trunk stabilization
    What makes the core?

     Functional anatomy
     Biomechanics
    Review of functional Anatomy

    Abdominal wall muscles
    Lower back

    Ø 1. Erector spinae
    Ø Iliocostalis
    Ø Longissimus
    Ø Spinalis
    2. Multifidus
    3. Quadratus lumborum
    4. Latissimus Dorsi
    Erector spinae group

    Multifidi
    Quadratus lumborum

    Latissimus Dorsi


    Diaphragm
    Pelvis
    Hip musculature
    Biomechanics
     Local Stabiliser = Transversus
    Abdominus, multifidus, quadratus
    lumborum part , internal oblique part
     Global Stabiliser = External oblique ,
    quadratus lumborum part, internal
    oblique part , spinalis , gluteus
    medius
     Global Mobiliser = Rectus abdominis ,
    iliocostalis, piriformis, hamsrings

    Muscle Functional Classification Table. Based on work of Bergmark, 1989;


    Richardson et al, 1999; Gibbons and Comerford, 2001b and Norris, 2000).
    Biomechanics
    Panjabi (1992a) described
    three subsystems that
    provided a conceptual model
    for spinal stability:
     Passive (vertebrae, discs,
    joint capsules and
    ligaments) ,
     Active (muscles and
    tendons surrounding the
    spinal column)
     Neural & feedback
    subsystems (various force
    and motion transducers,
    located in ligaments,
    tendons, and muscles, and MANOHAR M
    in the neural control PANJABI
    centres)
    12 movements at spinal segment
    Intra-abdominal Pressure Mechanism

    Core stability could be considered as the


    interplay between these three components .
    Thoraco-lumber Fascia
    Clinical significance
     Low back pain
    Physiotherapist and core stability?
    Who are potential candidates ?
     Younger age <40 or old
     Greater general flexibility
     Positive prone instability
    test
     Presence of movement
    problem during spinal
    range of motion
     Clinical assessment
    Evidence based approach

     Effects of Physio ball and Conventional


    Floor Exercises on Early Phase Adaptations
    in Back and Abdominal Core Stability and
    Balance in Women
     Results: . Early adaptations in a short-
    term core exercise program using the
    physioball resulted in greater gains in
    torso balance and EMG neuronal activity in
    previously untrained women when
    compared to performing exercises on the
    floor.
     A Meta-Analysis of Core Stability Exercise
    versus General Exercise for Chronic Low
    Back Pain
     Conclusions: Compared to general
    exercise, core stability exercise is more
    effective in decreasing pain and may
    improve physical function in patients with
    chronic LBP in the short term. However, no
    significant long-term differences in pain
    severity were observed between patients
    who engaged in core stability exercise
    versus those who engaged in general
    exercise.
    Evidence based approach…….
    Injury prevention
     Does core strength training influence
    running kinetics, lower-extremity stability,
    and 5000-m performance in runners?
     Results: Core strength training may be an
    effective training method for improving
    performance in runners.
    Evidence based approach…….
    Lower extremity injuries

     Decreased lumbar-pelvic
    strength(core stability) contributes to
    the cause of lower extremity injuries
    in athletes, particular in females.
    Further studies are required to
    confirm the gender differences
    (Leetun et al 2004).
    Evidence based approach…….
    Physioball
     Swiss ball exercises involving isometric
    muscle actions, small loads, and long
    tension times are recommended for
    increases in core endurance.
     Plyometric exercises, are
    recommended to improve
    proprioceptive and reactive
    capabilities.Willardson (2007)
    Evidence based approach…….
     Use of Swiss Ball training positively
    affects core stability however specific
    exercises for individuals have proved
    most effective with performance.
    Limited research in the relation
    between Swiss Ball training and
    performance in young
    athletes.Stanton et al (2004).
    Always limitations!!

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