Core strength and low back rehabilitation核心力量和腰背康复.pptVIP

Core stability and low back rehabilitation Supportive texts and readings Stuart McGill, PhD - Professor University of Waterloo - Internationally recognized expert in spine function and injury prevention and rehabilitation Low Back Disorders 2007 (Human Kinetics) Outline Introduction Anatomy and Neutral Pelvis Assessment Conditioning Prescription guidelines Introduction Low back and abdominal exercises are prescribed primarily for rehabilitation of injured low back Prevention of injury As a component of fitness training programs Goal is to stress both damaged and healthy supporting tissue to promote tissue repair while avoiding further excessive loading that can exacerbate existing structural weakness ACSM chapter discusses the science of understanding loading forces and revisits some common practices in abdominal and low back training Most effective train motor control system to activate spine stabilizers Progress to endurance training Finally enhance strength and flexibility Core Stability Stabilizing muscles - act to support muscle action by providing rigid base of support for movement Core stability provided by muscles in the torso connecting the spine, rib cage and pelvis When standing the pelvis and lumbar spine are oriented for maximal stability fig 1 Goal of training is to maintain this “neutral spine” orientation throughout dynamic movement Lumbosacral angle ~ 41 degrees Stabilizing exercise are ones that groove motor patterns and ensure a stable spine during activity Anatomy of the Core No one muscle is the most important muscle for stability - varies with movement pattern For athletes a conflict of stability and rhythmic contraction/relaxation of forced breathing exists Abdominal Group In addition to stabilization each muscle group contributes to trunk movement Transverse abdominus Forced expulsion Internal obliques Lateral flexion, rotation to same side and flexion of trunk External obliques Lateral flexion of trunk to same side, rotation to oppo