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.

Physical Therapy Exercises for Runner’s Knee

Running is a popular form of exercise, but can be very hard on your body. Keith Strange offers some good exercises to help with “runner’s knee” in this article posted on Livestrong.com. For more questions give us a call at 619-756-7500!

Runner’s knee is an overuse injury that can result in pain when bending your knee.

Runner’s knee, or patellofemoral pain syndrome, is a condition that causes a dull or aching pain around or under your kneecap, according to the American Academy of Orthopaedic Surgeons. This condition can be aggravated by walking up or down stairs or when squatting down or bending your knee for an extended period of time. Treatment for this condition often includes exercises designed to help you build strength and flexibility in your thigh muscles.

Standing Hamstring Stretch
Stand in front of a chair or stool that is about knee height. Place the heel of your injured leg on the stool with your toes pointing toward the ceiling. Lean forward at your waist until you feel a stretch in the back of your thigh. Hold this stretch for up to 30 seconds and relax. Repeat. Be sure that you keep your shoulders positioned directly in line with your hips when performing this stretch.

Standing Quadriceps Stretch
Stand in front of a counter or wall for support. Place the hand of your uninjured side on the wall with your uninjured leg farthest away from the wall. Bend your injured knee and reach down with your other hand and grab your foot around your ankle. Use your hand to pull your ankle toward your buttocks until you feel a stretch along the front of your thigh. Hold this stretch for 15 to 30 seconds and relax. Repeat.

Quadriceps Sets
Sit down on the floor with both legs extended in front of you and your toes pointing toward the ceiling. If necessary, you can place a rolled-up towel under the back of your injured knee. Press the back of your knee into the towel by contracting the muscles along the front of your thigh. Hold this contraction for about five seconds and relax. Repeat. You can ensure that you’re performing this exercise correctly by placing your hands on the front of your thigh to feel your muscles contract.

Straight Leg Raise
Lie down on your back with your injured leg extended and your toes pointing toward the ceiling. Bend your other knee and place the sole of your foot on the floor. Keep your injured knee straight and lift your heel about eight inches off the floor. Hold this position for a few seconds and use a slow and controlled motion to lower your heel back to the floor. Repeat.

Benefits of the Use of Ultrasound in Physical Therapy

If you have ever thought of using ultrasound for physical therapy, take a look at this article by Erica Jacques for more information. Give us a call at 619-756-7500 if you have any additional questions!

Ultrasound can help to prepare a muscle for stretching.
Ultrasound, according to Alain-Yvan Belanger, is the most commonly used modality in physical therapy today. Its use dates all the way back to the 1880s. Ultrasound machines generate sound waves that are higher than the frequency we can hear. The effect of these sound waves on the body’s tissues produces a number of benefits.

Deeper Heat
According to Belanger, the way ultrasound generates heat is through the vibrations caused by the sound waves. When tissues vibrate, this increases friction all the way down to the molecular level, causing the temperature of the targeted tissues to rise. This is a benefit of ultrasound over a traditional hot pack, which cannot penetrate into deeper musculature or joint tissues. Ultrasound heads are available in a variety of frequencies that can target a variety of depths, which gives a skilled therapist the ability to send heat exactly where she wants it to go. Some conditions that may benefit from this deeper heat, according to Belanger, include osteoarthritis and phantom limb pain.

Deeper Stretch
The deep heat generated by ultrasound can help to relax a tense or strained muscle. According to Spine Universe, this can help to minimize muscle spasms and shortening often associated with tension or injury. Spine Universe reports that ultrasound therapy has the added benefit of increasing range of motion.

Tissue Healing
Ultrasound’s deep heat is thought to have a healing effect on deep tissues. According to Belanger, ultrasound actually affects the metabolism of soft tissue cells. In addition, these cells often become more receptive to healing fluids, which are present in the increased blood flow generated by ultrasound. Because of this, Belanger goes on to report that ultrasound’s healing benefits may be useful in treating surgical wounds and soft tissue lesions.

Scar Tissue Control
Another benefit of ultrasound is its acoustic effect. The waves generated by ultrasound cause tiny vibrations in the cells of the soft tissues. These microvibrations, as Belanger describes them, have an effect on the fibers that form scar tissue. Over time, ultrasound used in this method can actually prevent some scar tissue from forming, and may be able to break some scar tissue down. Examples of success in scar tissue management are episiotomy scars as well as Dupuytren’s contracture, which is caused by excessive scarring in the tissues of the palm. As with its thermal effects, ultrasound used to break up scar tissue can also maintain and increase range of motion.

Reduced Pain
Some of the pain control from ultrasound comes from the mechanical results of the treatment itself. These include the decreased muscle spasms and muscle tightness as well as tissue healing. However, an added benefit of ultrasound comes not from what it does, but what it can help a physical therapist do. Combining the heating and healing powers of ultrasound prepares muscles for other therapeutic treatments that reduce pain, including stretching and strengthening.