Re-Discover the Core

Credit

Handouts/Brochure

Speaker

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, CGS Related seminars and products

Advanced Healthcare

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Objectives

1. Investigate missing components of broadly used definitions of the core and how this leads to clinical misunderstanding and lack of evidence when treating core dysfunction.
2. Evaluate the core with a functional emphasis using transverse, sagittal, and frontal planes with stability, mobility, and functional emphasis.
3. Demonstrate the evolution of contraction for stabilization of the core and spine.
4. Appraise standardized evaluations used to evaluate core weakness and stability.
5. Distinguish evidence-based core activities and exercises emphasizing the re defined core that promote stability and mobility in supine, seated, and standing.
6. Demonstrate dynamic core activities during labs to develop an evolutionary plan of care and to promote functional outcomes.

Outline

• Evidence of function and clinical significance
• Definitions and myths

• Region: Superior, inferior, central
• Anatomy & physiology of stabilizers vs. mobilizers

• I-IIA-IIX-IIB - muscle contraction slow twitch to fast twitch
• Stability vs. mobility of the brain in the geriatric client
• Contract-Relax-Antagonist-Contract principle (CRAC)
• Sherrington’s Law: Are we emphasizing poor patterns during treatment?

• Trunk Impairment Scale (TIS): core stability and mobility control
• Bent Knee Fall Out (BKFO)
• Side lying SLR
• 3-Plane Core Test

• Supine core stability
  • Abdominal Ball Press Lab:
  • Anterior abdominal wall re-education
  • Application: low back pain
  • Trochanter Tension Lab:
  • Supine techniques to contract gluteus medius/minimums, TFL, and QL
  • Application: single leg standing balance for mobility and transfers
• Seated core stability
  • Dolphin Lab:
  • Core dissemination during frontal plane mobility
  • Application: lateral mobility: bed mobility, toileting, functional reach
  • Stable Ball Drop Lab:
  • Stabilizing the anterior and posterior abdominal walls
  • Application: low back pain and fall risk
• Standing core stability
  • Wall Plank Lab:
  • Application: low back pain, LOB, fall risk
  • PNF Chop Lab:
  • PNF functional reaching diagonal patterns
  • Application: high to low reaching during functional tasks

Evidence-Based Strategies for Mobility

• Supine core mobility
  • ASIS Press, Scapular Elevation Lab:
  • Mobilization of the pelvis to reduce soft tissue tightness
  • Application: sagittal plane movement of the upper body over the core
• Seated core mobility
  • Quad Sit-up Lab:
  • Sit-stand utilizing lower extremity emphasis
  • Application: low back pain, sit-stand/transfers
  • Mobile Drop Lab:
  • Core rotation and reaching in all planes with various weighted objects
  • Application: functional reach for ADL’s
• Standing core mobility
  • Standing ASIS, Dynamic Chop Lab:
  • Tactile cues for pelvic extension during sit-stand
  • Application: COG over BOS during upright tasks with reduced energy expenditure

Target Audience

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Chiropractors
• Athletic Trainers
• Massage Therapists
• Other Rehab Professionals