stability & trunk control exercises

Question 1

how to perform

Answer 1

intros, consent, contras, palpate, instruct to move, progress/regress
Controlling & recruiting - palpating it, visually seeing muscle, assess form
instruct with laymans terms (flatten back)

risk - 2 physios when progressing from lying down exercises

Question 2

exercises

Answer 2

lying - single leg slides + lifts, bent knee fall out
sitting - Pelvic tilts, walking PTs, pushing patient out of BOS + reaching
progress - reduce BOS (gym ball/ feet off floor), twist to touch, crunches, practice walking
regress - lift head, touch hand to opposite bedside

Question 3

contraindications

Answer 3

MSK: Recent abdominal surgery
CR: fit and well
CV: heart problems
N: conscious

Question 4

rational

Answer 4

Assess & teach patient to recruit muscles with an exercise to improve co-ordination and strength
A stable core provides a solid base of support improving movement efficiency, balance, proprioception, spinal support, posture correction, functional patterns
repetition rewires neural pathways, encodes movement patterns
load on muscles produces micro tears which repair and grow

Question 5

principles

Answer 5

patient safety, maintain form, can assist, using resistance, changing BoS

Question 6

physiological effects

Answer 6

muscle activation, strengthening, coordinated control of muscle groups, neuromuscular control, proprioception, joint stability, lower injury risk, core endurance, sustain contractions, respiratory function, diaghram control, postural alignment

Question 7

structures

Answer 7

contracting core stabilisers - abdominals, quadratus L, multifidus, erector spinae, pelvic floor muscles (levator ani + peroneal), diaphragm, glutes
neurons
Strong and stable trunk muscles provide support and stability to the spine, pelvis, and hips, reducing excessive movement and shear forces on the joints