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Establishing Core Stability in Rehabilitation
Establishing Core Stability in Rehabilitation
Rehabilitation
Psoas
– Common to develop tightness
• Increase shear force and compressive forces at
L4-L5 junction
• Lead to reciprocal inhibition of glut maximus,
multifidus, deep erector spinae, internal oblique,
and TA
– Extensor mechanism dysfunction during fxal
mvmt patterns.
Review of Functional Anatomy
Glut medius
– During closed chain movements decelerates femoral
adduction and internal rotation
– Weak glut medius increase frontal and transversus
plane stress at patella-femoral joint and tibiofemoral joint
• Dominance of TFL and quadratus lumborum tightness in IT
band & lumbar spineaffect normal biomechanics of LPH
complex and PTF joint
– MUST be addressed after lower extremity injury
Review of Functional Anatomy
Gluteus maximus
– Open chain hip ext. and ER
– In closed chain eccentrically decelerates hip flexion
and IR
• Major dynamic stabilizer of SI joint
• Decreased activity can lead to pelvic instability,
decreased neuromuscular control muscular
imbalances, poor mvmt patternsinjury
Review of Functional Anatomy
Transverse Abdominus
– Deepest abdominal muscle
– Primary role in trunk stabilization
• Bilateral contraction of TA assists in intra-abdominal
pressure thus enhances spinal stiffness
• Reduces laxity in SI joint
• Attachment with thorocolumbar fascia adds tension w/
contraction and assist in trunk stability
Review of Functional Anatomy
Multifidi
– Most medial of posterior trunk muscles (closest to
lumbar spine)
– Primary stabilizers when trunk is moving from flexion
to extension
• High percentage type 1 Muscle fiberspostural control
• When TA contracts the multifidi are activated
Review of Functional Anatomy