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what is the anatomical core?
group of trunk and hip muscles that surround the spine, abdominal viscera and hip
anterior and lateral core muscles (4)
transverse abdominis
internal abdominal oblique
external abdominal oblique
rectus abdominis
posterior core muscles (3)
multifidus
quadratus lumborum
erector spinae muscles
piriformis origin
sacrum
piriformis function
helps stabilize the pelvis
5 functions of the core
stability and balance
protects the spine
power from lower to upper
mobility support
dissipates forces
how many in 2020 experience low back pain?
619 million
lower back pain more likely in those who have (9)
sedentary occupations
past injuries
labour heavy jobs
weak core/bad posture
improper lifting form
pregnancy
central adiposity
asymmetries
stress
how to prevent LBP? (4)
reverse issues listed
encourage good spine hygiene
avoiding painful movements
activating correct muscles for an exercise
open scissors position reflects (3)
elevated + flared ribs
spinal lordosis
anterior pelvic tilt
practicing spine sparing strategies (5)
teaching hip hinge
brace core during ADL w load
maintain a neutral spine during activity
limit rapid repetitive activites
take care in a lowering a heavy weight/object from overhead
core training pyramid progressions
1) diaphragmatic breathing
2) static and or ground based core training (dead bug)
3) dynamic kneeling drills (chops, lifts)
4 top) explosive and/or heavy standing exercises (squats, med ball drills)