Stability and Trunk control exercises

Question 1

Rationale behind stability and trunk control exercise

Answer 1

Helps strengthen muscles required for transition from bedridden to standing and walking

Question 2

What are the physiological effect of this treatment?

Answer 2

Contraction of the specific muscles increase intra-abdominal pressure & thus stability

Question 3

What structures are affected?

Answer 3

1’ core stabilisers-
Multifidus
Trans abs
Pelvic floor
Diaphragm

Question 4

How would you treat someone who has difficulty with stability and trunk control?

Answer 4

1) Introduce
2) Explain procedure & benefits for informed consent
3) Assess ability of patient (able to sit or not)
4) Unable to sit: breathing control, getting into tight jeans, draw tummy in, pelvic tilt (make bridge w back), try to stop passing water, single leg lifts & slides and bent knee fallout
5) able to sit: perform above exercises in sitting, can be done on a gym ball (push in different directions to progress), perturbation (resist being pushed) & reaching
6) complete exercises until fatigue/loss of form

Question 5

What are some precautions to be aware of when carrying out this treatment?

Answer 5

Dizziness when sitting/ standing for first time

Question 6

What should you ensure whilst carrying out this treatment for safely reasons?

Answer 6

Another therapist is present to stabilise patient if required

Question 7

How would you document this

Answer 7

Date, Time, Patient name
Explanation of procedure & gaining informed consent
Able to sit or stand?
Exercises performed
Progress?
Adverse effects
Sign