What is this infamous “core stability” we hear so much about? What functional use does improving it have? A recent article in the BJSM has defined the core stability into three distinct groups.
- Intrapelvic stability
- Peripelvic stability
- Functional stability
At PHYSIOSOUTH we support this view and prefer to provide a more clinical and specific term to treatment aiming to provide stability to these regions.
In theory problems rise due to :
- Loss of active control of the pelvis (inhibition of transeversus abdominis and the pelvic floor muscles and/or
- Loss on integrity of the passive structure (pelvic/lumbar ligaments)
Once the pelvis is stable then trying to “control or stabilise” the other structures to which the pelvis interacts can be achieved. These are
- Pelvis on the hip (pelvifemoral control)
- Pelvis on lumbar (lumbopelvic)
Once the muscle strength and activation patterns allow force transfer through the pelvis, then linking these activities into normal activities can take place. This were the gym based activities, coaching and technique come into the rehabilitation plan.
The PHYSIOSOUTH clinical culture stresses the importance of progressive loading and a continuum of a) obtaining good joint health (ROM), b) good performance status (control and strength) and c) function (exercise or gym based interventions) progressing clients from disability to ability.
Ref (Mitchell et al. BJSM. 2003;37:279-280)
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