Back injuries are predominantly found in individuals who have a full time profession relating to competitive sports and or high risk jobs such as construction or mining. Lower vertebra injuries in these circumstances are a fairly common occurrence therefore, it is imperative that once the injury is fully healed proper rehabilitation is implemented along with core strengthening exercises. These latter exercises periodically decrease movement disability, lessen the pain, increase muscular function and improve the overall stability of the individual. Core stabilizing exercises also reduce the risk of having a relapse subsequent injury therefore during the overall rehabilitation, they remain an essential and significant part of the program (Akuthota et al, 2008).
One of the most cited core strengthening procedures is the activation of the TA in a quadruped position. In this exercise the individual must draw in their abdominal wall without moving their pelvis or spine after which they’d have to hold this position for a good ten seconds while breathing as per normal. This skill should be repeated until the patient can do the latter without breaking posture and once completely mastered the individual can be progressed to the prone test (Willardson, 2007).
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During the prone test, the patient is made to go through a drawing in procedure to test for Lumbopelvic control. In this instance the individual must be placed in a hooklying position with a biofeedback device placed along the lumbar spine (S2 level). Due to inflated pressure by the device the patient is then instructed to do the drawing in maneuver and for a successful completion of this test, the individual must be able to extend their lower extremity without assistance. Once the latter is completed the rehab physiotherapist would ideally site functioning Lumbopelvic control for the patient and a successful core stabilization rehab procedure.
References
Akuthota, V., Ferreiro, A., Moore, T., & Fredericson, M. (2008). Core stability exercise principles. Current sports medicine reports, 7(1), 39-44.
Willardson, J. M. (2007). Core stability training: applications to sports conditioning programs. The Journal of Strength & Conditioning Research, 21(3), 979-985.
