Physical Therapy Exercises for Core Stabilization

You probably use your core more than you realize. Core strength is extremely important and necessary balance, it is the base of your body that ultimately keeps you stable. Helen Mitchell, a physical therapist assistant, offers some great exercises written for Eastpoint Health & Fitness to strengthen your core. For more questions give us a call at 619-756-7500!

Core stabilization, or core strengthening has been around for many years and has been incorporated into sports performance training programs, exercise programs such as Yoga, Pilates and Boot Camps. In Physical Therapy and rehabilitation, core stabilization means that activation of the trunk muscles must occur first in order for us to create a stable base of support that allows us to move our arms and legs. Making the trunk muscles stronger keeps the spine stable and helps the body stay balanced with movement; preventing falls and injury.

Most people think of the “core” as just being the abdominals (stomach muscles) when in fact the “core” muscles run the entire length of the torso from the hips to the shoulders. When these muscles contract, they stabilize the spine, pelvis and shoulder girdle and create a solid base of support. This allows us to stand upright and move on two feet, shift our weight and move in any direction. This distribution of weight protects the back from injury. An effective core conditioning program needs to target all muscles of the core to be effective.

Benefits of Good Core Strength:

A strong core:

• Reduces Back Pain and Prevents Injury
• Improves Athletic Performance
• Improves Postural Imbalances

Exercises that Build Core Strength:

The most effective core strengthening exercises work the torso as a solid unit with both front and back muscles contracting at the same time. The most basic core strengthening exercise is Abdominal Bracing where you try to pull your navel in toward your spine without holding your breath. Most core strengthening exercises don’t require equipment and include:

• Planks: Position yourself face down on hands and balls of feet. Straighten arms. Tighten stomach muscles and lift hips to form a straight line from head to toe. Hold 15-30 seconds. Do not let hips sag to the floor.

• Basic Push Up: Position yourself face down with hands under shoulders and on balls of feet. Tighten stomach muscles and bend elbows to lower chest towards the ground. Keep neck in neutral by gazing towards floor. Straighten elbows to complete one repetition. Do not let hips sag to the floor.

• Bridging: Lay face up on flat surface, knees bent and arms by sides. Slowly raise buttocks and hips, keeping stomach tight. Slowly lower hips again. This completes one repetition.

• Supermans: Lay face down on flat surface with arms stretched overhead and straight legs. Tighten stomach muscles and simultaneously lift arms and legs into the air a few inches then slowly lower them.

Other exercises include the use of stability balls, medicine balls, kettlebells, wobble boards, yoga and pilates. These particular exercises should only be performed under the supervision of a trained professional and when beginning any type of exercise program, always consult your physician first.

How can fitness professionals encourage seniors to strength train?

With increasing age, your body’s ability to absorb calcium decreases, which unfortunately causes an increased risk for osteoporosis. Strength training can help counter bone degradation! Come see us at San Diego Sports Physical Therapy for your strength and rehabilitation needs! 619-756-7500

Frame strength training as solving a problem.
Identify why the senior needs more strength. In the examples above, Dan doesn’t want to give up golf – it’s an important part of his life. For Jan, the fitness professional will want to probe further; studies have shown seniors may not be swayed by health problems alone. Does she want to travel? Baby-sit her grandchildren? Linking enjoyable life activities to getting stronger provides the motivation to overcome fear and inertia.

Measure progress in “real life” ways.
Continually go back to the senior’s goals and every day activities. Is it easier to bring in the groceries? Are they navigating stairs better? How’s the golf or tennis game? The best part of working with seniors is the rapid gains they make to improve the quality of their lives. They’ll share them with you gleefully!
Strength Program Design Tips for Seniors

Keep it simple.
Design strength training programs with just a few exercises for major muscle groups. Explain the exercises fully and why the senior is performing them. For example, explain that a seated row will strengthen their upper back muscles (rhomboids) which will improve their posture and have the added benefit of improving their appearance!

Strength Program Design Tips for Seniors
Take it slow.
Have the senior perform all exercises slowly. Watch their form and make corrections gently and politely (“please and thank you” are appreciated). Give positive feedback for keeping correct form. Use the same exercises for several sessions so your clients understand them well and get a sense of mastery and control.

Keep strength training to 10 – 30 minutes.
Many seniors have fears of being in pain and getting exhausted. You can relieve those fears by explaining to the senior that strength training is not painful but requires focus and precision to get results. Therefore, they’ll be performing the exercises for 20 -30 minutes – and they can stop at any time if they feel pain. Develop balance, flexibility and cardiovascular exercises if you need to provide an hour session.

The fitness professional’s main goal when working with seniors is to build trust. Trust is extremely important to seniors. They want an expert on making them stronger as well as someone who cares about them and their goals. Celebrate their progress, even small victories, and you’ll have a friend for life. Share your experiences or insights from training seniors in the comments below.

Betsy LaMond is an ACSM Certified Personal Trainer and owner of BoomerFit Cape Cod, Fitness Center for Boomers and Seniors located at 947 Main St, Route 6A, Yarmouthport, MA, BoomerFitCapeCod.com. She teaches Mature Adult Fitness at Cape Cod Community College and provides fitness presentations on boomer and senior fitness to senior organizations.

PEDIATRIC PHYSICAL THERAPY ACTIVITIES

Has your child experienced an injuries recently? Pediatric Physical therapy may be a good option for you and your child! Stephanie Romo from Livestrong shares how physical therapy is beneficial.

Physical therapy may help pediatric patients gain functional independence.

Pediatric physical therapy can be beneficial for children with injuries or other physical limitations. This type of therapy encourages children to engage in play and activities of daily living to promote balance, coordination, and fine and gross motor skills. The goal of these therapeutic activities is to encourage improvement in development and greater functional independence. Want to improve your health? Learn more about LIVESTRONG.COM’s nutrition and fitness program!

DEVELOPMENTAL ACTIVITIES
One important goal of pediatric physical therapy is to improve development, and there are a number of activities that encourage developmental milestones to occur. Children typically learn best through playing, and many pediatric physical therapists recommend therapeutic activities that involve play. Activities such as crawling, walking, skipping, running, and utilizing playground equipment are all examples of therapeutic activities involving play. These types of activities help to encourage children to coordinate the use of large muscle groups to move about independently.

BALANCE AND COORDINATION
Balance and coordination are two important components of physical independence that can be improved through physical therapy. Hand-eye coordination is something that children can learn by playing catch, rolling a ball or drawing a picture. For babies and young toddlers, learning to feed themselves with utensils is a great way to encourage hand-eye coordination. Balance can be improved through activities that involve the vestibular system, such as walking on a balance beam or learning to ride a bicycle.
FINE AND GROSS MOTOR SKILLS
Fine motor skills involve the usage of small muscles, particularly those in the hands, fingers, feet and toes. Activities that encourage these types of skills include sorting small objects, painting and molding clay. Gross motor skills include activities that encourage larger muscle groups, such as swimming, riding a bike and jumping on a trampoline. Range of motion is an important part of gross motor development, and pediatric physical therapy will usually include stretches to encourage joint and muscle mobility.
ACTIVITIES OF DAILY LIVING
When your child is participating in a physical therapy program, most of the activities and learning take place in the child’s natural environment, such as home or school. Encouraging your child to participate in normal daily activities can help her reach milestones, improve self-esteem and gain independence. Try involving your child in meal preparation, ask for her help with cleaning the house and let her assist at the grocery store. Each of these tasks involves physical and cognitive elements, which will help children improve both functional and mental ability.

REFERENCES
American Physical Therapy Association: The ABCs of Pediatric Physical Therapy
Article reviewed by Matt Olberding Last updated on: Sep 2, 2011

Read more: http://www.livestrong.com/article/532184-pediatric-physical-therapy-activities/#ixzz2g6z1APKA