Posture
Core stabilization for sports & ADL
Thanks to the very popular Yoga, Pilate and many gym classes, 'Core stability' as required for postural-correction has gained much recognition. However, its functional importance has not been fully understood and most people have not been able to
put the 'Core' into practice for activities of daily living. Kibler WB, Press J, Sciascia A, Sports Med 2006: 36(3): 189-98, has discussed the role of core stability in athletic function that could equally apply to our neck and back patients for both sports and activities of daily living:
The importance of function of the central core of the body for stabilization and force generation in all sports activities is being increasingly recognized. 'Core stability' is seen as being pivotal for efficient biomechanical function to maximize force generation and minimize joint loads in all types of activities ranging from running to throwing. However, there is less clarity about what exactly constitutes 'the core', either anatomically or physiologically, and physical evaluation of core function is also variable. '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. Core muscle activity is best understood as the pre-programmed integration of local, single-joint muscles and multi-joint muscles to provide stability and produce motion. This results in proximal stability for distal mobility, a proximal to distal patterning of generation of force, and the creation of interactive moments that move and protect distal joint. Evaluation of the core should be dynamic, and include evaluation of the specific functions (trunk control over the planted leg) and directions of motions (three-planar activity). Rehabilitation should include the restoring of the core itself, but also include the core as the base for extremity function.
Luck LI
Musculoskeletal Physiotherapist
put the 'Core' into practice for activities of daily living. Kibler WB, Press J, Sciascia A, Sports Med 2006: 36(3): 189-98, has discussed the role of core stability in athletic function that could equally apply to our neck and back patients for both sports and activities of daily living:
The importance of function of the central core of the body for stabilization and force generation in all sports activities is being increasingly recognized. 'Core stability' is seen as being pivotal for efficient biomechanical function to maximize force generation and minimize joint loads in all types of activities ranging from running to throwing. However, there is less clarity about what exactly constitutes 'the core', either anatomically or physiologically, and physical evaluation of core function is also variable. '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. Core muscle activity is best understood as the pre-programmed integration of local, single-joint muscles and multi-joint muscles to provide stability and produce motion. This results in proximal stability for distal mobility, a proximal to distal patterning of generation of force, and the creation of interactive moments that move and protect distal joint. Evaluation of the core should be dynamic, and include evaluation of the specific functions (trunk control over the planted leg) and directions of motions (three-planar activity). Rehabilitation should include the restoring of the core itself, but also include the core as the base for extremity function.
Luck LI
Musculoskeletal Physiotherapist