Physiotherapy Core Stability

Core stability greatly improves performance and function as well as reduces the risk of injury for a performer. Physiotherapy exercises for core stability are a great way to gain strength in your core. Whether you require static or dynamic exercises, these core exercises will improve balance, speed, and timing during your performance and make the experience more rewarding.

Physiotherapy Core Stability Blog  Treatment Methods Posture Core Balance

Muscles Used

Core muscles can be divided into two main groups… postural and dynamic. The difference in these two kinds of muscles is that postural muscles deal with core stability and posture whereas dynamic muscles deal with movement. Both kinds of muscles are important as postural muscles need the dynamic muscles for movement and the dynamic muscles need a stable platform

Physiotherapy Exercises Provide Stability

In and of itself the spine is a very unstable area. It is a length of vertebrae stacked on top of each other and wedged in between the pelvis. The lower part of the spine needs to allow movement but at the same time needs to provide stability for the rest of the body. This is where the core muscles come in. Without these muscles there would be no stability in the rest of the spine and it would be impossible to move or stand up even. Physiotherapy of the core muscles provides an increase in core muscle strength and gives added support to the spine, as well as giving greater movement to the core of the body and improving performance all around.

So Which Muscles Are Targeted?

When most people hear the words “core muscles”, they automatically assume that they are talking about the abdominals, specifically the deep abdominals that surround the spine. Although abdominals are a major part of the core, they are not all that the core is made of. Core muscles also include the hip abductors, the hip flexors, and the gluteal muscles. A well rounded physiotherapy exercise regime will include all of these muscles as well as the abdominals.

The Best Core Training Method

Training core muscles uses different methods based on the various needs of the individual in training. Whether the person needs only stability or stability as well as contraction all factor in to what kind of exercises should be utilized. Core muscles are stabilizing muscles. They need to stabilize the body all day every day, whether the person is engaging in sports or not. Therefore a lot of physiotherapy for the core muscles is designed to keep the spine in the neutral S shape regardless of the activity the person is engaging in.

The Benefits

Studies have shown that people who have low back pain and weaker core muscles experience something that causes their core muscles to switch off so to speak. Weak muscles are directly linked to lower back pain, but strong core muscles are known to reduce stress in the lower back and provide overall stability. Athletes especially find this to be true as increased core strength greatly increases their performance levels while decreasing the pain they experience during recovery.

Weak core muscles can cause a loss in the desired curve of the spine during both static and dynamic positioning, but strong core muscles increase the balance and stability of the spine and improve posture; thus reducing back injuries and pain

There’s More to Strength than Crunches

Sit ups and crunches do help with core stability and strength, but abdominals are only a small part of the big muscle group that surrounds the spine. It is a good idea to get an assessment of your own particular needs then focus on all the muscles in the core region… not just the abdominals. Core stability is very important, and it will make a lifetime of difference.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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